Development and usability testing of digital knowledge translation tools for parents on sexual orientation and gender identity

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Abstract Background Parents play a critical role in supporting children’s understanding of sexual orientation and gender identity (SOGI), yet many report lacking the confidence, language, or resources to initiate these conversations. Arts-based digital knowledge translation (KT) tools have demonstrated promise in promoting inclusive, emotionally resonant learning, particularly for sensitive or stigmatized topics. This study aimed to develop and evaluate the usability of two animated KT videos designed to help parents discuss SOGI with their children. Methods We conducted a sequential explanatory mixed-methods study. Two short, animated, story-based videos were developed based on prior qualitative research with Canadian parents. Development was guided by the ARCHE-ECHO KT Tool Development Cycle to ensure user-centred and iterative refinement. Twenty-four parents completed quantitative usability testing using the System Usability Scale (SUS), KT evaluation subscales, and four pre–post visual analogue scale (VAS) items assessing changes in understanding, comfort, confidence, and likelihood of initiating SOGI conversations. Eight participants subsequently joined focus groups to explore user experience in depth. Quantitative data were analyzed descriptively and with paired t-tests, while qualitative data underwent thematic analysis. Results Both videos demonstrated high usability, with mean SUS scores of 82.4 and 79.8. Pre–post VAS ratings showed significant improvements across all outcomes, including understanding of gender diversity, comfort discussing SOGI topics, and confidence responding to children’s questions (all p < .001). Participants perceived the videos as accessible, visually engaging, and culturally inclusive. Thematic analysis identified four major themes: increased parental confidence and knowledge; enhanced emotional and cognitive engagement due to arts-based design; desire for ongoing support and community resources; and value of inclusive representation. Participants recommended additional enhancements such as multilingual captions and age-specific adaptations. Conclusion Arts-based KT tools provide an effective, user-centered approach to supporting parents in engaging children in inclusive, developmentally appropriate SOGI discussions. Integrating visual storytelling with inclusive design can build parental confidence, promote open communication, and reduce stigma. These tools may complement existing sexuality education efforts and strengthen culturally responsive public health communication. Future work should examine long-term effects and develop multilingual, culturally responsive versions to broaden accessibility.

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