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LGBTQIA+ adolescents' perceptions of gender tailoring and portrayal in a virtual-reality-based alcohol-prevention tool: a qualitative interview study and thematic analysis
Abstract
Gender-sensitive interventions in alcohol-prevention that target adolescents often lead to binary tailoring for girls and boys. However, increased societal and legal recognition of sexual and gender minorities as well as research with this age group demand a broader understanding of gender. Therefore, the present study addresses the question of how interventions should be further developed to include sexual and gender diversity by exploring LGBTQIA+ adolescents’ perceptions of gender portrayal and gender-tailoring using Virtual LimitLab—a virtual-reality simulation for training refusal skills under peer pressure to consume alcohol. Qualitative interviews with 16 LGBTQIA+ adolescents were conducted after individual simulation testing. Using a thematic analysis with reflexive orientation, four themes were identified: Statements on relevance of gender, opinions on tailoring- and flirting options, and opinions on characters. Participants called for greater diversity representation among the characters, regarding gender identity and sexual orientation, as well as for representing, e.g., racialised peers. Moreover, participants suggested expanding the simulation’s flirting options by adding bisexual and aromantic/asexual options. Divergent views on the relevance of gender and wishes for tailoring options reflected the participant group’s heterogeneity. Based on these findings, future gender-sensitive interventions should conceptualise gender in a complex and multidimensional manner that intersects with further diversity categories.
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Prediger et al. (2023) explored how LGBTQIA+ adolescents perceived gender tailoring and portrayal in a VR-based alcohol prevention simulation called Virtual LimitLab.
“Prediger et al. (2023) explored how LGBTQIA+ adolescents perceived gender tailoring and portrayal in a VR-based alcohol prevention simulation called Virtual LimitLab.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Prediger et al. (2023)
Many participants in Prediger et al. (2023) identified the binary male/female avatar options as unrealistic and exclusionary and called for bisexual and aromantic/asexual interaction options.
“Many identified the binary male/female avatar options as unrealistic and exclusionary and called for bisexual and aromantic/asexual interaction options.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Prediger et al. (2023)
Several participants in Prediger et al. (2023) considered that adapting the storyline through multiple-choice branching already achieved sufficient immersion without additional avatar options.
“Others cautioned that highly specific categories could themselves become exclusive, and several considered that adapting the storyline through multiplechoice branching already achieved sufficient immersion without additional avatar options.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Prediger et al. (2023)
In Prediger et al. (2023), participants' views on gender tailoring diverged.
“Participants' views on gender tailoring diverged.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Prediger et al. (2023)
Others in Prediger et al. (2023) cautioned that highly specific categories could themselves become exclusive.
“Others cautioned that highly specific categories could themselves become exclusive, and several considered that adapting the storyline through multiplechoice branching already achieved sufficient immersion without additional avatar options.”
From Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review (2026) · cites this paper as Prediger et al. (2023)
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“acknowledging the needs of this community, especially since digital alcohol prevention that is targeted towards this high-risk group is widely lacking [27].”
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Cited by
Sorted by citations
Artificial intelligence and immersive technologies for LGBTQ+ youth: a narrative review
Shekarchi, R., Eleuteri, S., Saladino, V., Calaresi, D., Giordano, F., & Prunas, A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.2002054
Metadata
- Authors
- Prediger, C., Heinrichs, K., Tezcan-Güntekin, H., Stadler, G., Pilz González, L., Lyk, P., Majgaard, G., & Stock, C.
- Affiliations
- Institute of Health and Nursing Science, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
- Department of Health and Education, Alice Salomon University of Applied Science, Alice-Salomon-Platz 5, 12627 Berlin, Germany
- Institute of Gender in Medicine, Charité–Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
- SDU Game Development and Learning Technology, Mærsk Mc-Kinney Møller Institute, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2023-02-04
- Volume
- 20
- Issue
- 4
- Pages
- 2784
- ISSN
- 1660-4601
- PMC
- PMC9957229
- Cited by
- 3
- References
- 2
- Language
- en
- Funders
- Stiftung Charité (WIS_PRO_619, 122827)
- TrygFonden, Denmark (WIS_PRO_619, 122827)
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