What does this research mean for the field?

Adapting cognitive behavioral and mindfulness-based sexual wellbeing interventions for transgender women requires integrating educational content on gender-affirming care, inclusive language, and trans-specific experiences related to gender identity and dysphoria. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe the process of adapting eSense, an online cognitive behavioral and mindfulness-based sexual wellbeing intervention originally designed for cisgender women, into eSense TRANScend for transgender women.

August 29, 2026The Journal of Sex Research

“It Would Be a Program That is Made for Me and Sees Me”: Adapting an Online, Cognitive Behavioral and Mindfulness-Based Sexual Wellbeing Intervention for Transgender Women

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To describe the process of adapting eSense, an online cognitive behavioral and mindfulness-based sexual wellbeing intervention originally designed for cisgender women, into eSense TRANScend for transgender women.
Recruited adult transfeminine participants assigned male or intersex at birth from an LGBTQ+-serving community health center.
Participants reviewed intervention content across two treatment arms—cognitive behavioral therapy (CBT, n=8) and mindfulness-based therapy (MBT, n=5)—and provided feedback through focus groups and surveys analyzed via rapid qualitative analysis.
Across both arms, participants identified three core adaptation targets: incorporating education on how gender-affirming care impacts sexual function and pleasure, broadening language and anatomical inclusivity, and highlighting diverse transfeminine experiences.
Arm-specific feedback recommended integrating trans-specific scenarios into CBT cognitive exercises and addressing gender dysphoria and bodily alienation within MBT body-focused mindfulness exercises.

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Implication

Qualitative study reveals key adaptation needs for an online sexual wellbeing program in trans women, highlighting the value of gender-affirming care guidance and dysphoria-informed mindfulness.

Cite This Study

Kabel et al. (2026) studied this question.

synapsesocial.com/papers/6a9299088e5d7d1fc0c10b94 https://doi.org/10.1080/00224499.2026.2719853

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Implication

Qualitative study reveals key adaptation needs for an online sexual wellbeing program in trans women, highlighting the value of gender-affirming care guidance and dysphoria-informed mindfulness.

“It Would Be a Program That is Made for Me and Sees Me”: Adapting an Online, Cognitive Behavioral and Mindfulness-Based Sexual Wellbeing Intervention for Transgender Women

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Discussion

Implication

Cite This Study

“It Would Be a Program That is Made for Me and Sees Me”: Adapting an Online, Cognitive Behavioral and Mindfulness-Based Sexual Wellbeing Intervention for Transgender Women

Key Points

Discussion

Implication

Cite This Study

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