Evaluating the Effectiveness of LGBT Cultural Competency Training for Oncologists: Study Protocol for a Randomized Pragmatic Trial

This article was originally published here

Trials. 2022 Apr 15;23(1):314. doi: 10.1186/s13063-022-06274-0.


BACKGROUND: LGBT patients may have unique psychosocial cancer care needs, and health care providers must know and understand these unique needs to effectively address disparities through personalized health care delivery. As such, our group has developed and piloted an online LGBT cultural competency training course designed specifically for oncologists, called Curriculum for Oncologists on LGBT populations to Optimize Relevance and Skills (COLORS). We designed a pragmatic randomized trial for oncologists to compare the effectiveness of COLORS training versus general online LGBT cultural competency training in improving LGBT-related knowledge, attitudes, and clinical practices.

METHODS/DESIGN: Study procedures include an 8-step approach to recruitment, randomization, retention, and completion of interventions. Oncologists of any subspecialty who are currently practicing physicians will be identified from the American Medical Association master file. Approximately 5,000 oncologists will receive a FedEx envelope with an invitation letter and study schedule. Electronic consent is obtained using a secure Research Electronic Data Capture (REDCap) portal hosted at the Moffitt Cancer Center (Tampa, FL) where oncologists will complete the eligibility questionnaire, pre-training assessments, and then be randomized to complete the COLORS training or an online general health care training offered by the National LGBT Health Education Center. The effectiveness of both trainings will be assessed using self-reported measures of LGBT-related knowledge, attitudes, and clinical practices. The measurements will be collected before and directly after the end of the training, as well as 3 months after the end of the training. The primary outcomes are changes in knowledge, attitudes, and practice behaviors regarding LGBT patients with cancer from pre-test training to post-test training in COLORS training versus comparative training.

DISCUSSION: The primary premise of this trial is to evaluate the effectiveness of the COLORS cultural competency training program. If successful, among oncologists who have completed COLORS training, it should lead to statistically significant improvements in knowledge, attitudes, and affirmation practice.

PMID:35428352 | DOI:10.1186/s13063-022-06274-0

Sara H. Byrd