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Table 2 EPHPP tool domain ratings

From: Societal discrimination and mental health among transgender athletes: a systematic review and Meta-analysis

Study

Global rating

Selection bias

Study design

Confounders

Blinding

Data collection methods

Withdrawals and dropouts

Strong: 1 ≤ weak rating

Weak: > 1 weak rating

Strong: participants more likely to represent the target population with > 80% participation.

Weak: less likely to represent the population with < 60% participation.

Strong: randomized/clinical controlled trial

Weak: any design apart from randomized, clinical, case-control, cohort anality, and cohort interrupted time series.

Strong: controlled for at least 80% of relevant confounders

Weak: controlled for less than 60% of relevant confounders.

Strong: outcome assessors unaware of participants’ intervention status AND participants unaware of the research question.

Weak: aware of both.

Strong: valid and reliable data collection methods

Weak: data collection methods both unreliable and invalid.

Strong: greater than 80% follow-up rate.

Weak: follow-up rate of less than 60%.

Agnes Elling-Machartzki (2017) [22]

Weak

Strong

Weak

Moderate

Weak

Weak

Strong

Calzo et al.(2014) [21]

Moderate

Moderate

Weak

Moderate

Strong

Moderate

Moderate

Hargie et al. (2017) [32]

Weak

Moderate

Weak

Weak

Moderate

Strong

Strong

Herrick and Duncan (2018) [36]

Weak

Weak

Weak

Moderate

Weak

Moderate

Strong

Lucas-Carr and Krane (2012) [37]

Moderate

Weak

Weak

Moderate

Moderate

Strong

Strong

McGannon et al. (2019) [30]

Weak

Weak

Weak

Weak

Strong

Strong

Weak

Mereish and Poteat (2015) [4]

Weak

Strong

Weak

Moderate

Weak

Moderate

Weak

Munson and Ensign (2021) [34]

Strong

Strong

Weak

Strong

Moderate

Strong

Strong

Nye et al. (2019) [18]

Moderate

Strong

Weak

Strong

Moderate

Moderate

Strong

Travers (2006) [31]

Weak

Weak

Weak

Moderate

Strong

Moderate

Strong

Travers and Deri (2011) [35]

Strong

Strong

Weak

Moderate

Strong

Strong

Strong

Walen et al. (2020) [33]

Moderate

Strong

Weak

Strong

Moderate

Moderate

Moderate