Increasing Effective Mental Health Care for LGBT Clients

NCT05352659 | Enrolling By Invitation DMC

• 1 other identifier: U48DP006382
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Sexual Orientation; Gender Identity

Outcome Measures

Primary Outcomes (1)

• Virtual Simulated Client Skill Assessment

  Therapists' conduct an initial consultation visit through an on-line interface with an actor trained to follow a specific client LGBTQ profile and the therapists' skills with the simulated client are assessed using a standardized performance checklist by researchers while they view an audio-video recording of the visit.

  Within 30 days after therapist completion of the intervention, an average of 6 months after enrollment.

Study Arms (2)

Face-to-face and online LGBTQ training+

EXPERIMENTAL

The Study Intervention arm receives the organization-level LGBTQ climate assessment and technical assistance, the provider-level face-to-face LGBTQ training along with links to publicly available on-line training.

Behavioral: Face-to-face and online LGBTQ+ training

On-line resources

OTHER

The Comparison Intervention arm receives only links to publicly available on-line resources.

Behavioral: On-line training

Interventions

Face-to-face and online LGBTQ+ training BEHAVIORAL

The intervention consists of Organization-level technical assistance in regard to LGBTQ climate of the organization AND Clinician-level face-to-face virtual workshop LGBTQ competency training, virtual clinical consultations, and links to publicly available LGBTQ training.

Face-to-face and online LGBTQ training+

On-line training BEHAVIORAL

This study arm receives only links to publicly available on-line LGBTQ training.

On-line resources

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Therapists must be employed by a participating study general mental health services organization in Maryland. They must be 18 years of age or older, in the process of being licensed or already licensed to provide clinical mental healthcare in Maryland, able to speak and understand English, and have at least 10 clients 16 years old and older.

You may not qualify if:

• Participants may not be under 18 years of age, unlicensed, or have less than 10 clients 16 years or older.

Sponsors & Collaborators

• University of Maryland, College Park: lead

Study Sites (1)

University of Maryland School of Public Health

College Park, Maryland, 20742, United States

Location

MeSH Terms

Conditions

Sexual Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Bradley Boekeloo

  University of Maryland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Provider skills assessors will be masked to condition.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Randomized controlled trial

Study Record Dates

• First Submitted: December 16, 2021
• First Posted: April 29, 2022
• Study Start: March 1, 2021
• Primary Completion: May 1, 2022
• Study Completion: June 1, 2025
• Last Updated: May 8, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)