Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385704013> ?p ?o ?g. }
- W4385704013 abstract "Abstract Background Health disparities experienced by LGBTQ + individuals have been partially attributed to health professionals’ lack of cultural competence to work with them. Cultural competence, the intricate integration of knowledge, skills, attitudes, and behaviors that improve cross-cultural communication and interpersonal relationships, has been used as a training framework to enhance interactions between LGBTQ + patients and health professionals. Despite multiple published LGBTQ + cultural competency trainings, there has been no quantitative appraisal and synthesis of them. This systematic review assessed articles evaluating the design and effectiveness of these trainings and examined the magnitude of their effect on cultural competence outcomes. Methods Included studies quantitatively examined the effectiveness of LGBTQ + cultural competency trainings for health professionals across all disciplines in various healthcare settings. 2,069 citations were retrieved from five electronic databases with 44 articles meeting inclusion criteria. The risk of bias in the included studies was assessed by two authors utilizing the Joanna Briggs Institute critical appraisal checklists. Data extracted included study design, country/region, sample characteristic, training setting, theoretical framework, training topic, modality, duration, trainer, training target, measurement instrument, effect size and key findings. This review followed the PRISMA statement and checklist to ensure proper reporting. Results 75% of the studies were published between 2017 and 2023. Four study designs were used: randomized controlled trial ( n = 1), quasi-experimental pretest–posttest without control ( n = 39), posttest only with control ( n = 1) and posttest only without control ( n = 3). Training modalities were multiple modalities with ( n = 9) and without simulation ( n = 25); single modality with simulation ( n = 1); and with didactic lectures ( n = 9). Trainings averaged 3.2 h. Ten studies employed LGBTQ + trainers. The training sessions resulted in statistically significant improvements in the following cultural competence constructs: (1) knowledge of LGBTQ + culture and health ( n = 28, effect size range = 0.28 – 1.49), (2) skills to work with LGBTQ + clients ( n = 8, effect size range = 0.12 – 1.12), (3) attitudes toward LGBTQ + individuals ( n = 14, effect size range = 0.19 – 1.03), and (4) behaviors toward LGBTQ + affirming practices ( n = 7, effect size range = 0.51 – 1.11). Conclusions The findings of this review highlight the potential of LGBTQ + cultural competency training to enhance cultural competence constructs, including (1) knowledge of LGBTQ + culture and health, (2) skills to work with LGBTQ + clients, (3) attitudes toward LGBTQ + individuals, and (4) behaviors toward LGBTQ + affirming practices, through an interdisciplinary and multi-modal approach. Despite the promising results of LGBTQ + cultural competency training in improving health professionals’ cultural competence, there are limitations in study designs, sample sizes, theoretical framing, and the absence of longitudinal assessments and patient-reported outcomes, which call for more rigorous research. Moreover, the increasing number of state and federal policies that restrict LGBTQ + health services highlight the urgency of equipping health professionals with culturally responsive training. Organizations and health systems must prioritize organizational-level changes that support LGBTQ + inclusive practices to provide access to safe and affirming healthcare services for LGBTQ + individuals." @default.
- W4385704013 created "2023-08-10" @default.
- W4385704013 creator A5019288154 @default.
- W4385704013 creator A5026237074 @default.
- W4385704013 creator A5056736658 @default.
- W4385704013 creator A5077253897 @default.
- W4385704013 date "2023-08-09" @default.
- W4385704013 modified "2023-10-16" @default.
- W4385704013 title "LGBTQ + cultural competency training for health professionals: a systematic review" @default.
- W4385704013 cites W1550275457 @default.
- W4385704013 cites W1553512866 @default.
- W4385704013 cites W1728670 @default.
- W4385704013 cites W1830040212 @default.
- W4385704013 cites W1976985160 @default.
- W4385704013 cites W1985565084 @default.
- W4385704013 cites W1986977853 @default.
- W4385704013 cites W1991838121 @default.
- W4385704013 cites W1997505050 @default.
- W4385704013 cites W1997724235 @default.
- W4385704013 cites W2001104120 @default.
- W4385704013 cites W2003005787 @default.
- W4385704013 cites W2006055497 @default.
- W4385704013 cites W2011182411 @default.
- W4385704013 cites W2021895826 @default.
- W4385704013 cites W2027179252 @default.
- W4385704013 cites W2027508313 @default.
- W4385704013 cites W2032387347 @default.
- W4385704013 cites W2032972540 @default.
- W4385704013 cites W2036436550 @default.
- W4385704013 cites W2041447836 @default.
- W4385704013 cites W2054033811 @default.
- W4385704013 cites W2055690472 @default.
- W4385704013 cites W2056725025 @default.
- W4385704013 cites W2068768019 @default.
- W4385704013 cites W2072022103 @default.
- W4385704013 cites W2077943289 @default.
- W4385704013 cites W2080445247 @default.
- W4385704013 cites W2081753990 @default.
- W4385704013 cites W2083831221 @default.
- W4385704013 cites W2084726628 @default.
- W4385704013 cites W2087252211 @default.
- W4385704013 cites W2093337007 @default.
- W4385704013 cites W2094061627 @default.
- W4385704013 cites W2094239935 @default.
- W4385704013 cites W2096812201 @default.
- W4385704013 cites W2099697766 @default.
- W4385704013 cites W2102477288 @default.
- W4385704013 cites W2109608360 @default.
- W4385704013 cites W2110124920 @default.
- W4385704013 cites W2111892415 @default.
- W4385704013 cites W2125675643 @default.
- W4385704013 cites W2132253094 @default.
- W4385704013 cites W2134049139 @default.
- W4385704013 cites W2137070227 @default.
- W4385704013 cites W2137264528 @default.
- W4385704013 cites W2144654737 @default.
- W4385704013 cites W2147454523 @default.
- W4385704013 cites W2156098321 @default.
- W4385704013 cites W2159663903 @default.
- W4385704013 cites W2162544110 @default.
- W4385704013 cites W2163435284 @default.
- W4385704013 cites W2163629112 @default.
- W4385704013 cites W2163749674 @default.
- W4385704013 cites W2172005696 @default.
- W4385704013 cites W2268369714 @default.
- W4385704013 cites W2284386481 @default.
- W4385704013 cites W2294238022 @default.
- W4385704013 cites W2318639802 @default.
- W4385704013 cites W2324833425 @default.
- W4385704013 cites W2333389052 @default.
- W4385704013 cites W2346756561 @default.
- W4385704013 cites W246286872 @default.
- W4385704013 cites W2466198984 @default.
- W4385704013 cites W2472828066 @default.
- W4385704013 cites W2473715994 @default.
- W4385704013 cites W2475130796 @default.
- W4385704013 cites W2515302406 @default.
- W4385704013 cites W2605367767 @default.
- W4385704013 cites W2606103291 @default.
- W4385704013 cites W2611396667 @default.
- W4385704013 cites W2613999189 @default.
- W4385704013 cites W2621188758 @default.
- W4385704013 cites W2625445003 @default.
- W4385704013 cites W2721771326 @default.
- W4385704013 cites W2738366735 @default.
- W4385704013 cites W2766244300 @default.
- W4385704013 cites W2766742912 @default.
- W4385704013 cites W2783285161 @default.
- W4385704013 cites W2793322990 @default.
- W4385704013 cites W2793762700 @default.
- W4385704013 cites W2800554107 @default.
- W4385704013 cites W2801148759 @default.
- W4385704013 cites W2801898309 @default.
- W4385704013 cites W2888120992 @default.
- W4385704013 cites W2892823261 @default.
- W4385704013 cites W2898219797 @default.
- W4385704013 cites W2905665418 @default.
- W4385704013 cites W2909782291 @default.
- W4385704013 cites W2914122116 @default.
- W4385704013 cites W2919080037 @default.