Developing a web-based LGBT cultural competency training for oncologists: The COLORS training

Seay, Julia; Hicks, Amanda; Markham, Merry Jennifer; Schlumbrecht, Matthew; Bowman, Meghan; Woodard, Jennifer; Kollefrath, Austin; Diego, Daniela; Quinn, Gwendolyn P.; Schabath, Matthew B.

doi:10.1016/j.pec.2019.01.006

Cited by 23 publications

(19 citation statements)

References 32 publications

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“…The development and content of the COLORS Training has been detailed elsewhere . Briefly, the COLORS Training was developed in 3 phases.…”

Section: Methodsmentioning

confidence: 99%

“…The first 2 modules, LGBT Basics and Inclusive Environments, cover general topics such as sexual orientation and gender identity terminology, intersectionality, and approaches for assessing and promoting the inclusivity of the clinic environment. The last 2 modules, Initiating Oncology Care With LGBT Patients and Issues in Cancer Survivorship Among LGBT Patients, cover oncology‐specific topics, such as welcoming chosen family, hormone therapy considerations, and fertility preservation considerations for sexual and gender minority adolescents and young adults . Each of the modules include interactive content that requires the learner to engage with and receive feedback from the training for successful completion.…”

Section: Methodsmentioning

confidence: 99%

“…The development and content of the COLORS Training has been detailed elsewhere. 41 Briefly, the COLORS Training was developed in 3 phases. First, the research team conducted a literature review to examine existing LGBT competency training studies and educational materials.…”

Section: Colors Trainingmentioning

confidence: 99%

“…The last 2 modules, Initiating Oncology Care With LGBT Patients and Issues in Cancer Survivorship Among LGBT Patients, cover oncology-specific topics, such as welcoming chosen family, hormone therapy considerations, and fertility preservation considerations for sexual and gender minority adolescents and young adults. 41 Each of the modules include interactive content that requires the learner to engage with and receive feedback from the training for successful completion. For example, the training contains interactive case vignettes, where the trainee must choose how to communicate with an LGBT patient.…”

Section: Colors Trainingmentioning

confidence: 99%

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Web‐based LGBT cultural competency training intervention for oncologists: Pilot study results

Seay

Hicks

Markham

et al. 2019

Cancer

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Background Lesbian, gay, bisexual, and transgender (LGBT) cancer patients experience substantial health disparities, including poorer overall health and lower satisfaction with their cancer care than their heterosexual and cisgender counterparts, which may be due in part to a lack of culturally competent providers. To address these disparities, a web‐based LGBT cultural competency training tailored to oncologists was developed by an interdisciplinary team of scientists, LGBT cancer survivors, cultural competency experts, oncologists, a web designer, and an instructional designer. Methods Oncologists (n = 44) were recruited from 3 academic cancer centers in Florida. Participants were administered the LGBT cultural competency training Curriculum for Oncologists on LGBT populations to Optimize Relevance and Skills (COLORS) and completed pre‐ and posttraining measures regarding LGBT‐related knowledge, attitudes (including general negative attitudes and health care–related attitudes), and clinical practices. After the training, participants completed training acceptability measures. Results Of the 44 participants, 33 (75%) completed the COLORS training. Participants were 55% non‐Hispanic white, 63% male, and had a mean age of 47 years. Participants demonstrated significant improvements in LGBT‐related knowledge (t = −4.9, P < .001), attitudes (Z = −3.0, P = .002; t = −2.5, P = .019), and clinical practices (Z = −3.5, P < .001) after completing the COLORS training (Wilcoxon signed rank tests were used for nonnormally distributed variables). Moreover, training acceptability was high, with 82% of participants rating the training as high quality, and 97% being willing to recommend the training to a colleague. Conclusion The COLORS training is both feasible to administer and acceptable for use with oncologists, and may improve oncologists' LGBT‐related knowledge, attitudes, and clinical practices. Larger trials are needed to examine the training's effectiveness in reducing LGBT cancer disparities, as well as its applicability to other types of care providers.

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“…The development and content of the COLORS Training has been detailed elsewhere . Briefly, the COLORS Training was developed in 3 phases.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Colors Trainingmentioning

confidence: 99%

Section: Colors Trainingmentioning

confidence: 99%

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Web‐based LGBT cultural competency training intervention for oncologists: Pilot study results

Seay

Hicks

Markham

et al. 2019

Cancer

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“…Cancer disparities among sexual and gender minority (SGM) individuals are a rarely addressed public health issue. 1 Epidemiologic studies suggest SGM individuals may be at greater risk for some cancers, including anal, breast, cervical, colorectal, endometrial, lung, and prostate cancers, relative to their heterosexual and cisgender counterparts, making this particularly troubling. 2 Systemic discrimination in healthcare negatively impacts SGM patients' physical and mental health.…”

Section: Introductionmentioning

confidence: 99%

Mental Health of Sexual and Gender Minority Oncology Patients: Synthesis of Recommendations for Advancing Health Equity

et al. 2021

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Sexual and gender minority (SGM) individuals are at increased risk for several health concerns, including those related to mental health. This increased risk, combined with the unique psychosocial challenges faced by SGM cancer patients, leads to disparities in mental health outcomes across the cancer care continuum. Despite these disparities, little to no resources (e.g. SGM groups, SGM cancer-related literature) exist within most cancer institutes to target SGM populations for appropriate cancer care, such as cancer prevention, accessible treatment, end-of-life, and survivorship concerns, which all may impact psychological wellbeing. This paper synthesizes existing recommendations, both general and cancer-specific, pertaining to the mental health concerns of SGM individuals with hope to provide a valuable resource for cancer institutes and providers on how to better address the unique mental health outcomes of SGM cancer patients. Additional input was obtained from stakeholders from a large, Midwestern, NCI-designated cancer center in an effort to expand our understanding of SGM cancer patients' needs. Through review of relevant guidelines and recommendations and feedback from stakeholder meetings, five broad areas of recommendation for improving SGM cancer care were identified: welcoming environment, patient education and support, community connections, standard approach to care, and research. Rooted in pertinent psychological constructs, each recommendation provides suggestions for increasing attention to SGM patients' psychosocial oncological needs. These recommendations seek to establish culturally inclusive and responsive climates where all SGM cancer patients feel valued and respected.

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Communicating with LGBTQ+ persons at end of life: A case‐based analysis of interdisciplinary palliative clinician perspectives

Rosa,

McDarby,

Buller

et al. 2023

Psycho-Oncology

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ObjectiveLesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) persons with serious illness and their families often experience end‐of‐life (EOL) care disparities, such as homophobia and transphobia, disrespect and mistreatment, and exclusion of significant others or life partners. The aim of the study was to explore interdisciplinary clinicians’ communication knowledge and priorities using a case of a gay man at EOL and his same‐sex, cisgender spouse.MethodsInterdisciplinary clinicians (n = 150) who participated in a national 3‐day communication training program, rooted in Adult Learning Theory and supported by the National Cancer Institute, responded to open‐ended questions about a composite case study emphasizing diversity challenges relevant to LGBTQ + communities in the EOL context. A thematic analysis of responses using an iterative, inductive approach was conducted until saturation was reached.ResultsParticipants from nursing (48%), social work (35%) and chaplaincy (17%) responded to the survey. Five themes emerged: 1) provision of patient‐centered care; 2) legal and ethical factors inform care and decision making; 3) considerations of same‐sex spouse or couple context; 4) dynamics and role of family of origin; and 5) elements of inclusive clinical care.ConclusionsLGBTQ + inclusive communication training is essential for all palliative clinicians to deliver culturally safe care. Our findings have implications for identifying unconscious bias, addressing discriminatory care, filling clinician knowledge gaps, and informing educational interventions to support LGBTQ + inclusion. Future research must focus on micro‐ and macro‐level communication issues that shape the quality of palliative and EOL care for patients and chosen family members.

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Developing a web-based LGBT cultural competency training for oncologists: The COLORS training

Cited by 23 publications

References 32 publications

Web‐based LGBT cultural competency training intervention for oncologists: Pilot study results

Web‐based LGBT cultural competency training intervention for oncologists: Pilot study results

Mental Health of Sexual and Gender Minority Oncology Patients: Synthesis of Recommendations for Advancing Health Equity

Communicating with LGBTQ+ persons at end of life: A case‐based analysis of interdisciplinary palliative clinician perspectives

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