DG24-- The Kids Are Alright: Navigating Health Disparities in CF

This session will explore two important and often underrecognized factors that influence participation and outcomes in cystic fibrosis (CF) care: neurodivergence and gender diversity. Participants will examine how neurodivergent traits, including attention differences, sensory sensitivities, and variations in processing speed, can impact pulmonary function testing (PFTs), airway clearance routines, exercise participation, and tolerance to therapeutic touch, devices, and structured treatment plans. The session will highlight the unique role of physical therapists (PTs) and respiratory therapists (RTs) in identifying potential barriers to engagement and implementing practical, discipline-specific adaptations such as modified cueing strategies, adjusted pacing, and incorporation of patient interests to support participation and adherence.
In addition, the session will address considerations for providing gender-affirming CF care across the pediatric-to-adult continuum. Attendees will discuss how transgender and gender-diverse individuals may experience challenges related to healthcare access, trust, body dysphoria, and mental health that can affect treatment adherence and participation in therapy. Emphasis will be placed on creating inclusive clinical environments, using affirming communication practices, and fostering therapeutic relationships that support long-term engagement in care. Throughout the presentation, PTs and RTs will be encouraged to maintain ownership of treatment adaptations while collaborating effectively with occupational therapists, speech-language pathologists, psychologists, and the broader interdisciplinary CF care team to deliver patient-centered, individualized care.