Transgender Education for Affirmative and Competent HIV and Healthcare

HIV/AIDS Clinical Trial

— TEACHH  

Official title:

'Transgender Education for Affirmative and Competent HIV and Healthcare (TEACHH)': Protocol of Community-based Participatory Intervention Development and a Non-randomized Multi-site Pilot Study With Pre- Post-test Design

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04096053
• Other study ID #: 00036238
• Status: Completed
• Phase: N/A
• Start date: September 1, 2018
• Est. completion date: March 31, 2020

Study information

• Verified date: July 2020
• Source: University of Toronto
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Educational workshops are an efficacious strategy to increase healthcare providers' ability to provide gender-affirming care for transgender (trans) people. This strategy may also reduce healthcare providers' stigma towards trans people and people living with HIV. There is less evidence, however, of educational workshops that address HIV prevention and care among trans women. This protocol details the development and pilot testing of the TEACHH: Transgender Education for Affirmative and Competent HIV and Healthcare intervention that aims to increase gender-affirming HIV care competency among healthcare providers.This community-based research (CBR) project involves intervention development and implementation of a non-randomized multi-site pilot study with pre- post-test design. First, the investigators will conduct a qualitative formative phase involving focus groups with 30 trans women and individual interviews with 12 providers to understand HIV care access barriers for trans women and elicit feedback on a proposed workshop. Second, the investigators will pilot test the intervention with 90-150 providers (n=30-50x3 in-person settings). Primary outcomes include feasibility (e.g., completion rate), workshop satisfaction, and willingness to attend another workshop. Secondary pre- and post-intervention outcomes, assessed directly preceding and following the workshop, include perceived competency, intention to provide gender-affirming HIV care, and attitudes/biases towards trans women with HIV. Primary outcomes will be summarized as frequencies and proportions (categorical variables) and means and standard deviations (continuous variables). The investigators will conduct paired-sample t tests to assess pre- and post-intervention differences for secondary outcomes.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 78
• Est. completion date: March 31, 2020
• Est. primary completion date: March 31, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Workshop participants must be 18 years or older and identify as working at a location that provides health or social services to trans women or being in-training to work in health or social services (e.g., medical student, social work student). Workshop participants may include a mix of HIV- and non-HIV service providers.

Exclusion Criteria:

• Not fitting the above criteria.

Related Conditions & MeSH terms

• Acquired Immunodeficiency Syndrome
• Health Care Acceptability
• HIV Infections
• HIV/AIDS
• Stigma, Social

Intervention

Other:
• TEACHH
See arm/group description.

Locations

Country	Name	City	State
Canada	Factor-Inwentash Faculty of Social Work, University of Toronto	Toronto	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
University of Toronto

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Workshop Recruitment Rate	Number of people who participate in the workshop / Number of people invited to participate in the workshop	3 hours
Primary	Workshop Completion Rate	Number of people who finish all 3 hours of the workshop / Number of people who start the workshop	3 hours
Primary	Survey completion rate	Number of people who complete the post-survey/Number of people who complete the pre-survey	3 hours
Primary	Satisfaction with the workshop	Measured in two ways - satisfaction scale and willingness to attend another workshop on trans women with HIV	3 hours
Secondary	attitudes/biases, perceived competency, and behavioral intention to provide gender- affirming HIV care to trans women living with HIV	a scale adapted from (1) Nyblade et al.'s brief, standardized tool for measuring HIV- related stigma among health facility staff and (2) trans-specific questions from Bidell's Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS), an interdisciplinary self-assessment for health providers	3 hours