Minnesota Inclusive LTSS for LGBTQ Seniors

NCT05530590 | Completed

• 2 other identifiers: STUDY000141775R01AG075734
• Study Type: interventional
• Target: 761
• Locations: 1 country
• Sites: 1

Brief Summary

This study is designed to help improve the care of sexual and gender minority (SGM) with Alzheimer's Disease and Alzheimer's Disease Related Dementia (AD/ADRD) in long-term services and supports (LTSS) by training the state's LTSS workforce in SGM culturally responsive care. The randomized controlled trial will rigorously test the effects of an in person versus an online training program on improving SGM culturally responsive care with a waitlist control.

Conditions

Alzheimer Disease; Dementia

Keywords

Long-term support and service facilities; Alzheimer Disease; Dementia; LTSS; Seniors

Outcome Measures

Primary Outcomes (4)

• Environment change

  Access to sexual and gender minority (SGM) providers, gender neutral intake forms

  baseline and 6-months follow up

• Skills assessment

  Ability to conduct 7 skills key to providing competent care to SGM

  Baseline

• Skills assessment

  Ability to conduct 7 skills key to providing competent care to SGM

  Immediately post-intervention

• Competence in SGM Care

  Competent scale when it comes to providing care to SGM

  6 months after intervention

Secondary Outcomes (11)

• SGM with AD/ADRD referenced explicitly in policies

  Baseline

• SGM with AD/ADRD referenced explicitly in policies

  6 months post-intervention

• SGM knowledge

  Baseline

• SGM knowledge

  immediately post-intervention

• SGM knowledge

  6 months post-intervention

Other Outcomes (11)

• Discrimination experience at work

  Baseline

• Discrimination experience at work

  immediately post-intervention

• Discrimination experience at work

  6 months post-intervention

Study Arms (3)

Training to Serve (TTS) in person training

EXPERIMENTAL

Participants are provided access to the pretest one week before the training. On the day of training, when the trainers arrive, participants have a final opportunity to complete the baseline survey before the intervention. Tablets will be available to complete pre- and post- surveys. The training for management takes 3-4 hours, and for staff, one hour. For consistency and feasibility, both trainings are conducted by the same trainers at the same visit. Immediately after the intervention, participants complete the post-intervention seminar evaluation assessing knowledge and attitudes/comfort in serving SGM clients.

Other: Training to Serve (TTS) in person training

Training to Serve online training (eTTS)

EXPERIMENTAL

Participants are provided a unique identifier to access the online website. The opening page welcomes them to the study, then directs them to the chunked consent materials and baseline survey. As soon as they have completed this, they receive access to the intervention, which for management is expected to take 1-2 hours and for staff, 30-45 minutes (i.e., the online equivalent of 3-4 and 1 hour, respectively). After completion of the required modules, participants receive access to the optional modules as well as the posttest survey to evaluate the training. Once the post-test is complete, they are thanked for their involvement and informed they will receive an e-mail to access a follow-up survey in six months' time.

Other: Training to Serve online training (eTTS)

Waitlist control

NO INTERVENTION

Participants complete the baseline survey, then they receive a note thanking them for completing all activities and informing them the intervention will be available in 6 months' time.

Interventions

Training to Serve (TTS) in person training OTHER

Participants receive in person training.

Training to Serve (TTS) in person training

Training to Serve online training (eTTS) OTHER

Participants receive online training.

Training to Serve online training (eTTS)

Eligibility Criteria

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

You may qualify if:

• licensure in Minnesota to provide nursing and/or as a housing with services establishment
• Willingness to undertake a policy and environment review at baseline and 6 months later
• having at least 5 managers/ supervisors and 5 staff.

You may not qualify if:

• Participants who cannot speak and read English

Sponsors & Collaborators

• University of Minnesota: lead
• National Institute on Aging (NIA): collaborator

Study Sites (1)

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

MeSH Terms

Conditions

Alzheimer Disease; Dementia

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Neurocognitive Disorders; Mental Disorders

Study Officials

• Simon Rosser, PhD,MPH

  University of Minnesota

  PRINCIPAL INVESTIGATOR

• Tetyanna Shippee, PhD

  University of Minnesota

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study involves conducting a 3-arm, stratified (management/staff), group (agency) randomized controlled trial (RCT) of the in-person vs. online intervention vs. waitlist control on organizational factors (i.e., environment and policy) and on staff knowledge, attitudes, and skills.

Study Record Dates

• First Submitted: July 22, 2022
• First Posted: September 7, 2022
• Study Start: January 31, 2024
• Primary Completion: December 12, 2025
• Study Completion: December 12, 2025
• Last Updated: April 29, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)