Health Care Acceptability, HIV/AIDS, Stigma, Social
Conditions
Brief summary
Educational workshops are an efficacious strategy to increase healthcare providers' ability to provide gender-affirming care for transgender (trans) people. This strategy may also reduce healthcare providers' stigma towards trans people and people living with HIV. There is less evidence, however, of educational workshops that address HIV prevention and care among trans women. This protocol details the development and pilot testing of the TEACHH: Transgender Education for Affirmative and Competent HIV and Healthcare intervention that aims to increase gender-affirming HIV care competency among healthcare providers.This community-based research (CBR) project involves intervention development and implementation of a non-randomized multi-site pilot study with pre- post-test design. First, the investigators will conduct a qualitative formative phase involving focus groups with 30 trans women and individual interviews with 12 providers to understand HIV care access barriers for trans women and elicit feedback on a proposed workshop. Second, the investigators will pilot test the intervention with 90-150 providers (n=30-50x3 in-person settings). Primary outcomes include feasibility (e.g., completion rate), workshop satisfaction, and willingness to attend another workshop. Secondary pre- and post-intervention outcomes, assessed directly preceding and following the workshop, include perceived competency, intention to provide gender-affirming HIV care, and attitudes/biases towards trans women with HIV. Primary outcomes will be summarized as frequencies and proportions (categorical variables) and means and standard deviations (continuous variables). The investigators will conduct paired-sample t tests to assess pre- and post-intervention differences for secondary outcomes.
Interventions
OTHERTEACHH
See arm/group description.
Sponsors
University of Toronto
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Workshop participants must be 18 years or older and identify as working at a location that provides health or social services to trans women or being in-training to work in health or social services (e.g., medical student, social work student). Workshop participants may include a mix of HIV- and non-HIV service providers.
Exclusion criteria
* Not fitting the above criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Workshop Recruitment Rate | 3 hours | Number of people who participate in the workshop / Number of people invited to participate in the workshop |
| Workshop Completion Rate | 3 hours | Number of people who finish all 3 hours of the workshop / Number of people who start the workshop |
| Survey completion rate | 3 hours | Number of people who complete the post-survey/Number of people who complete the pre-survey |
| Satisfaction with the workshop | 3 hours | Measured in two ways - satisfaction scale and willingness to attend another workshop on trans women with HIV |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| attitudes/biases, perceived competency, and behavioral intention to provide gender- affirming HIV care to trans women living with HIV | 3 hours | a scale adapted from (1) Nyblade et al.'s brief, standardized tool for measuring HIV- related stigma among health facility staff and (2) trans-specific questions from Bidell's Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS), an interdisciplinary self-assessment for health providers |
Countries
Canada
Outcome results
None listed