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

Summary

The primary goal of this PCORI proposal is to evaluate the impact of enhanced provider and clinical staff training to address the health disparities of SGM CHC patients to ultimately improve their health outcomes because CHCs are a key part of the U.S. health care delivery system for underserved populations. The current application proposes to test an intervention designed to understand how CHCs, including front line staff and safety net clinical providers, can identify and provide optimal care for their SGM patients, and will determine whether enhanced training of CHC staff in best practices for the provision of primary care for SGM patients will improve their clinical outcomes. The time is right for routinization of SOGI measures in EHRs and evaluation of the optimal methods to train primary care providers in the best practices for the care of SGM patients.

Conditions

• LGBT Health
• Cultural Competency
• Education
• Sexual Orientation
• Gender Identity

Interventions

BEHAVIORAL

Clinician and Non-clinician staff training

An optimized training program for non-clinical staff, clinicians and administrators developed by TFI's National LGBT Health Education Center that will include content-specific webinars and "Office Hours" for specific CHC consultations to optimize the provision of SGM health services at each CHC and to foster the development of in-house expertise to sustain ongoing training and quality improvement in the provision of care for LGBT patients.

Sponsors & Collaborators

• OCHIN, Inc.

  collaborator OTHER

• AllianceChicago

  collaborator OTHER

• Association of Asian Pacific Community Health Organizations

  collaborator UNKNOWN

• Beaufort Jasper Hampton Comprehensive Health Services

  collaborator UNKNOWN

• Kaiser Permanente

  collaborator OTHER

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• Piedmont Healthcare

  collaborator OTHER

• Howard Brown Health Center

  collaborator OTHER

• Heartland Alliance

  collaborator OTHER

• Near North Health Service Corporation

  collaborator UNKNOWN

• Legacy Health System

  collaborator OTHER

• Campus Health Center - Wayne State University (Nursing Practice Corporation)

  collaborator UNKNOWN

• Eureka Community Health & Wellness Center

  collaborator UNKNOWN

• Winding Waters Clinic

  collaborator UNKNOWN

• CHARLES B WANG COMMUNITY HEALTH CENTER

  collaborator UNKNOWN

• Waimanalo Health Center

  collaborator UNKNOWN

• Fenway Community Health

  lead OTHER

Principal Investigators

• Kenneth Mayer, MD · Fenway Community Health Center

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-03-01

Primary Completion

2022-06-30

Completion

2023-05-31

Countries

• United States

Study Locations