Gender Identity Clinical Trial
Official title:
Increasing Effective Mental Health Care for LGBT Clients
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.
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. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04531761 -
Evaluating the Efficacy of the Parent Support Program
|
N/A | |
Recruiting |
NCT03922269 -
Trans People Living With HIV Throughout Europe
|
||
Recruiting |
NCT02687568 -
Values of Enhanced Monitoring by EEG Recording (Narcotrend) for Sedation in Colonoscopy
|
N/A | |
Completed |
NCT04290286 -
i2TransHealth: Interdisciplinary, Internet-based Trans Health Care
|
N/A | |
Recruiting |
NCT05649605 -
Early Mental Response - The EMRE Study
|
N/A | |
Recruiting |
NCT05195164 -
The Effects of Orchiectomy and Age on Vascular and Metabolic Health in Older Versus Younger Transgender Women
|
||
Recruiting |
NCT05787470 -
Sex, Hormones and Identity Affect Nociceptive Expression
|
||
Completed |
NCT03554785 -
Comparative Effectiveness Research to Improve the Health of Sexual and Gender Minority Patients Through Cultural Competence and Skill Training of Community Health Center Providers and Non-clinical Staff
|
N/A | |
Completed |
NCT03557268 -
Pubertal Blockade and Hormone Therapy in Transgender Youth
|
||
Not yet recruiting |
NCT06177600 -
TransHealthGUIDE: Transforming Health for Gender-Diverse Youth
|
N/A | |
Not yet recruiting |
NCT06443164 -
Efficacy of a Chronic Pain Treatment Prior to Gender-affirming Surgery
|
N/A | |
Completed |
NCT05899218 -
Sexual and Gender Minority Emerging Adults Eliciting Narratives
|
N/A | |
Enrolling by invitation |
NCT03175445 -
Sexual Dimorphism Analysis in Egyptian Population by Locating the Mandibular Canal Using CBCT
|
N/A | |
Recruiting |
NCT04237467 -
Effects of Aging and Gender-Affirming Hormone Therapy on Vascular Endothelial Function and Metabolic Profiles in Transgender Men
|
||
Recruiting |
NCT03872648 -
TransCare - Genital Surgery for Trans Women in Centralized vs. Decentralized Health Care Delivery Settings
|
||
Recruiting |
NCT05761678 -
Quality of Life of Transgender People - Implementation and Monitoring of an Online Cohort (e-QoL-Trans)
|
||
Not yet recruiting |
NCT03808883 -
TRANSLATE: Transgender and Gender Nonconforming Individuals' Access to Healthcare
|
N/A | |
Completed |
NCT02701049 -
Patient Centered Methods to Collect Sexual Orientation and Gender Identity Status in the ED
|
N/A | |
Enrolling by invitation |
NCT03595956 -
Transgender Cohort Study of Gender Affirmation and HIV-related Health
|
||
Recruiting |
NCT05607303 -
Effect of Hormones on Frequency of Headache and Brain Structure and Function in Puberty
|