Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies
Objectives Training/education is increasingly used to improve healthcare professionals’ knowledge, attitudes and clinical skills about lesbian, gay, bisexual and transgender (LGBT) health, but few reviews have assessed their effectiveness. This review describes the impact of training about LGBT heal...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-01-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e090005.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841551526327222272 |
|---|---|
| author | Kate Jolly Ameeta Retzer Sarah Damery Nicola Kay Gale Adekemi Oluwayemisi Sekoni Ifeoma Okafor Bibiane Manga-Atangana Rachel Posaner |
| author_facet | Kate Jolly Ameeta Retzer Sarah Damery Nicola Kay Gale Adekemi Oluwayemisi Sekoni Ifeoma Okafor Bibiane Manga-Atangana Rachel Posaner |
| author_sort | Kate Jolly |
| collection | DOAJ |
| description | Objectives Training/education is increasingly used to improve healthcare professionals’ knowledge, attitudes and clinical skills about lesbian, gay, bisexual and transgender (LGBT) health, but few reviews have assessed their effectiveness. This review describes the impact of training about LGBT healthcare for healthcare professionals on participants’ knowledge, attitudes and clinical practice.Design Systematic review of intervention studies with contemporaneous comparators.Data sources Medline, CINAHL (Cumulated Index in Nursing and Alllied Health Literature), PsycINFO, Social Sciences Citation Index, Education Resources Information Center, Cochrane Library, University of York CRD, PROSPERO and Ethos e-thesis database were searched from 15/12/2015 to 29/11/2023 to update a review published in 2017.Eligibility criteria Interventional studies of training/education for healthcare professionals or students about LGBT-specific health issues, compared with standard or no training/education. Outcomes were changes in participants’ knowledge, attitudes or clinical practice regarding LGBT health.Data extraction and synthesis Reviewer pairs independently screened titles/abstracts and full texts. Data were extracted by one reviewer and checked by a second (population, training content, development, delivery, duration/intensity and outcomes). The National Institutes of Health tool for controlled intervention studies assessed study quality. Synthesis was descriptive.Results 11 734 citations were screened, and 10 studies were included. 8/10 were published since 2019. Study quality was poor (8/10) or fair (2/10), and all were conducted in high-income countries. Four focused on transgender care. All studies used multi-component approaches, with topics covering terminology, lived experience, LGBT-specific health, sexuality and sexual history taking. Training duration ranged from 40 min to 50+ hours. Five studies included LGBT individuals in training development and/or delivery. 7/7 studies assessing attitudes, 2/4 studies assessing knowledge and 4/6 studies assessing skills/practice (actual or intended) reported statistically significant improvements.Conclusions Multi-component healthcare professional training on LGBT health can significantly improve participants’ knowledge, attitudes and skills. However, there was substantial heterogeneity in training content, delivery and duration, and most studies were of poor quality.PROSPERO registration number CRD42023414431 (26/06/2023). |
| format | Article |
| id | doaj-art-fdfc178934dd4f308c24c08b57083504 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-fdfc178934dd4f308c24c08b570835042025-01-09T16:10:13ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-090005Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studiesKate Jolly0Ameeta Retzer1Sarah Damery2Nicola Kay Gale3Adekemi Oluwayemisi Sekoni4Ifeoma Okafor5Bibiane Manga-Atangana6Rachel Posaner71 Institute for Applied Health Research, University of Birmingham, Birmingham, UK1 Institute for Applied Health Research, University of Birmingham, Birmingham, UK1 Institute for Applied Health Research, University of Birmingham, Birmingham, UK5 School of Social Policy and Society, University of Birmingham, Birmingham, UK2 Department of Community Health and Primary Care, University of Lagos, Akoka, Nigeria2 Department of Community Health and Primary Care, University of Lagos, Akoka, Nigeria3 SIFA Fireside, Birmingham, UK4 Health Services Management Centre Knowledge and Evidence Service, University of Birmingham, Birmingham, UKObjectives Training/education is increasingly used to improve healthcare professionals’ knowledge, attitudes and clinical skills about lesbian, gay, bisexual and transgender (LGBT) health, but few reviews have assessed their effectiveness. This review describes the impact of training about LGBT healthcare for healthcare professionals on participants’ knowledge, attitudes and clinical practice.Design Systematic review of intervention studies with contemporaneous comparators.Data sources Medline, CINAHL (Cumulated Index in Nursing and Alllied Health Literature), PsycINFO, Social Sciences Citation Index, Education Resources Information Center, Cochrane Library, University of York CRD, PROSPERO and Ethos e-thesis database were searched from 15/12/2015 to 29/11/2023 to update a review published in 2017.Eligibility criteria Interventional studies of training/education for healthcare professionals or students about LGBT-specific health issues, compared with standard or no training/education. Outcomes were changes in participants’ knowledge, attitudes or clinical practice regarding LGBT health.Data extraction and synthesis Reviewer pairs independently screened titles/abstracts and full texts. Data were extracted by one reviewer and checked by a second (population, training content, development, delivery, duration/intensity and outcomes). The National Institutes of Health tool for controlled intervention studies assessed study quality. Synthesis was descriptive.Results 11 734 citations were screened, and 10 studies were included. 8/10 were published since 2019. Study quality was poor (8/10) or fair (2/10), and all were conducted in high-income countries. Four focused on transgender care. All studies used multi-component approaches, with topics covering terminology, lived experience, LGBT-specific health, sexuality and sexual history taking. Training duration ranged from 40 min to 50+ hours. Five studies included LGBT individuals in training development and/or delivery. 7/7 studies assessing attitudes, 2/4 studies assessing knowledge and 4/6 studies assessing skills/practice (actual or intended) reported statistically significant improvements.Conclusions Multi-component healthcare professional training on LGBT health can significantly improve participants’ knowledge, attitudes and skills. However, there was substantial heterogeneity in training content, delivery and duration, and most studies were of poor quality.PROSPERO registration number CRD42023414431 (26/06/2023).https://bmjopen.bmj.com/content/15/1/e090005.full |
| spellingShingle | Kate Jolly Ameeta Retzer Sarah Damery Nicola Kay Gale Adekemi Oluwayemisi Sekoni Ifeoma Okafor Bibiane Manga-Atangana Rachel Posaner Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies BMJ Open |
| title | Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies |
| title_full | Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies |
| title_fullStr | Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies |
| title_full_unstemmed | Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies |
| title_short | Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies |
| title_sort | impact of education and training on lgbt specific health issues for healthcare students and professionals a systematic review of comparative studies |
| url | https://bmjopen.bmj.com/content/15/1/e090005.full |
| work_keys_str_mv | AT katejolly impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT ameetaretzer impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT sarahdamery impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT nicolakaygale impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT adekemioluwayemisisekoni impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT ifeomaokafor impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT bibianemangaatangana impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies AT rachelposaner impactofeducationandtrainingonlgbtspecifichealthissuesforhealthcarestudentsandprofessionalsasystematicreviewofcomparativestudies |