Primary care physicians’ competence on LGBTI health Other
Conditions
Interventions
Current interventions, as of 15/07/2026:
This study is a type I effectiveness–implementation hybrid, two-arm (intervention and control), parallel-group, superiority randomized controlled trial with
PCPs born between 1965 and 1980 (Generation X)
and PCPS born before 1965 (Baby Boomers generation or older ones if any). Allocation tables will be generated using Stata 19 (StataCorp LLC, College Station, TX, USA) with block randomization (block s
Sponsors
Unisanté
Eligibility
Sex/Gender
All
Age
25 Years to 99 Years
Inclusion criteria
Inclusion criteria: Current key inclusion criteria as of 15/07/2026: 1. In at least one of the following medical disciplines (as defined by Swiss medical discipline standards): General internal medicine (formerly general medicine or internal medicine), “General” pediatrics (excluding pediatric surgery), “Specialized” pediatrics with advanced training (excluding pediatric surgery), “General” gynecology and/or obstetrics, “Specialized” gynecology and/or obstetrics with in-depth training, Psychiatry and psychotherapy (for adults and/or the elderly), Psychiatry and psychotherapy for children and adolescents, and the “Médecin praticien” qualification (defined as physicians who have completed three years of postgraduate training but are not yet eligible for a specialist title)[RB9.1] 2. In the French-speaking Switzerland, defined as practicing in at least one of the following cantons: Fribourg, Geneva, Jura, Neuchâtel, Wallis, Vaud, Bern 3. At least 1 day a week _____ Previous key inclusion criteria: Primary care physicians who practice clinical medicine: 1. In at least one of the following medical disciplines (as defined by Swiss medical discipline standards): General internal medicine (formerly general medicine or internal medicine), “General” pediatrics (excluding pediatric surgery), “Specialized” pediatrics with advanced training (excluding pediatric surgery), “General” gynecology and/or obstetrics, “Specialized” gynecology and/or obstetrics with in-depth training, Psychiatry and psychotherapy (for adults and/or the elderly), Psychiatry and psychotherapy for children and adolescents 2. In the French-speaking Switzerland, defined as practicing in at least one of the following cantons: Fribourg, Geneva, Jura, Neuchâtel, Wallis, Vaud, Bern 3. At least 1 day a week
Exclusion criteria
Exclusion criteria: 1. Primary care physicians who were involved in the development of the e-learning training courses offered in the intervention and control arms of the study, or who had completed any of them 2. Not understanding French at all
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Knowledge measured using “The QUeering Individual Relational and Knowledge Scales” for provider (QUIRKS-Provider) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1;Attitudes measured using “The QUeering Individual Relational and Knowledge Scales” for provider (QUIRKS-Provider) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1;Previous primary outcome(s): 1. Knowledge measured using “The QUeering Individual Relational and Knowledge Scales” for provider (QUIRKS-Provider) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1 2. Attitudes measured using The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale” (LGBT-DOCSS) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1 | — |
Secondary
| Measure | Time frame |
|---|---|
| Skills (clinical preparedness) measured using The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale” (LGBT-DOCSS) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1;Self-reported behaviours measured using “The Gay Affirmative Practice Scale” (GAP) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1;The use of LGBTI-friendly Environmental Cues measured using “The QUeering Individual Relational and Knowledge Scales” for provider (QUIRKS-Provider) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and t1;Knowledge (a), Attitudes (b), Skills (clinical preparedness) (c), Self-reported behaviours (d), The use of LGBTI-friendly Environmental Cues (e) measured using (a, b, e) “The QUeering Individual Relational and Knowledge Scales” for provider (QUIRKS-Provider) ; (c) The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale” (LGBT-DOCSS); (d) “The Gay Affirmative Practice Scale” (GAP) at at t2, 3 months after the intervention. We will measure changes between t0, t1 and t2;Implementation outcomes measured using the RE-AIM theoretical framework. The reach dimension will be assessed by comparing the number and sociodemographic characteristics of participants with those of the source population. Adoption will be evaluated based on the proportion of participants allocated to the I-CARE group who complete the training program, along with post-intervention items assessing participants’ satisfaction with the I-CARE content, format, ease of use, and relevance to clinical practice at end of study;Previous key secondary outcome(s): 1. Skills (clinical preparedness) measured using The Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale” (LGBT-DOCSS) at t0 (before the intervention) and t1 (after the intervention). We will measure changes between t0 and | — |
Countries
Switzerland
Contacts
Public ContactRaphaël Bize
Outcome results
None listed