Clinical Trial Details
— Status: Enrolling by invitation
Administrative data
NCT number |
NCT05352659 |
Other study ID # |
U48DP006382 |
Secondary ID |
|
Status |
Enrolling by invitation |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
March 1, 2021 |
Est. completion date |
June 1, 2025 |
Study information
Verified date |
May 2024 |
Source |
University of Maryland, College Park |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The overall aims of the 5-year University of Maryland Prevention Research Center (UMD-PRC)
Core Research Project are to identify, refine, implement, evaluate, translate, disseminate,
and communicate approaches and tools that can be used to improve the competency of mental
health care for LGBT persons which is a social determinant of LGBT health disparities. The
UMD-PRC research team, in collaboration with the community advisory board (CAB), have
identified 5 evidence based resources (Tools) to improve health care competency with sexual
and gender minority populations (lesbian/gay, bisexual, and transgender [LGBT] people). The
UMD-PRC will use the Sexual and Gender Diversity Learning Community (SGDLC) program
(Strategy) and these tools along with technical assistance (TA) to improve LGBT mental health
care. The following hypothesis will be tested. The study intervention group will show an
increase in a) organization-level LGBT-friendly policies and environment as observed by the
researchers and b) LGBT competent clinician practice assessed through clinician self-reported
preparedness, awareness, and knowledge as well as referral for co-occurring client health
needs; client-reported satisfaction with therapy and health literacy; and research team
assessment of clinician performance providing consultation to a standardized LGBT patient
actor.
Description:
Mental health organizations will be randomized to two study groups. Within each organization,
clinicians will be recruited. Within clinician practices, clients will be recruited. Baseline
data will be collected from the two groups of mental health organization leads, clinicians,
and clients. Both groups will undergo data collection with 5 tools by research teams: at the
organization level the Organizational Climate Assessment and at the clinician level the
Provide Self-Assessment during month 1 of each site's participation. Client level Client
Satisfaction Survey data will also be collected during month 1 of each site's participation
(cohort 1 clients). During months 2-4 of each site's participation, clinicians in the control
group will receive standard nationally, publicly freely accessible information, specifically
a letter notifying them about the on-line accessible SAMHSA LGBT services education manual
and Fenway Health Webinars. In the intervention group, clinicians will also receive a letter
notifying them about the nationally, publicly freely accessible on-line SAMHSA education
manual and Fenway Health Webinars plus they will receive a 1-day, clinician training followed
by 4 biweekly 2-hour technical assistance workshops to review and address information gleaned
from the 5 tool's and to finalize the problem-solving related to needs for change based on
the 5 tool's. During month 5 of each site's participation, both groups will undergo follow-up
data collection and assessment by research teams at the organization and clinician levels.
Client level data will also be collected during month 5 of each site's participation (cohort
2 clients). Finally, during month 6 of each site's participation, each site's 5 clinicians in
both study arms will complete one first-time consultation session by screen-to-screen
interaction via on-line computer interface with a LGBT standardized patient so that their
objective skill-level performance can be assessed.