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| Name | Class |
|---|---|
| David R. Kessler, M.D. '55 Fund for LGBTQ Mental Health Research at Yale | UNKNOWN |
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The purpose of the proposed study is to train mental health providers (MHPs) at lesbian, gay, bisexual, transgender, and queer (LGBTQ) community centers across the United States in evidence-based, LGBTQ-affirmative cognitive-behavioral therapy (CBT).
The purpose of the proposed study is to train mental health providers (MHPs) at LGBTQ community centers across the United States in evidence-based, LGBTQ-affirmative cognitive-behavioral therapy (CBT).
The primary objective of this study is to determine whether the LGBTQ-affirmative CBT training increases LGBTQ and CBT knowledge, clinical skills, and cultural humility among a sample of MHPs from LGBTQ community centers in the U.S. The proposed prospective study will follow a 2-arm waitlist randomized-controlled trial design where one group of MHPs will be randomized to receive the intervention training (i.e., the immediate training group) in LGBTQ-affirmative CBT, and the second group of MHPs will be randomized to a waitlist control group.
The proposed mixed-methods study will consist of predominantly quantitative self-report measures, as well as a qualitative self-assessment of participants' LGBTQ-affirmative CBT clinical skills. All study measures will be administered online at three time points-- baseline, 4-months post-baseline, and 8-months post-baseline (changed prior to randomization from 3-months and 6-months, respectively)-- via the secure Yale Qualtrics survey software.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| immediate training group | Experimental | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the immediate training group will take part in the first 11-week course. |
|
| waitlist control group | Experimental | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the waitlist control group will take part in the second 11-week course. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LGBTQ-affirmative CBT training | Behavioral | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Familiarity With LGBTQ-Affirmative CBT Skills | Familiarity with LGBTQ-affirmative CBT skills will be measured using a self-developed questionnaire by the researchers for the purpose of this study. This questionnaire consists of 7 items rated on a 5-point Likert scale for each item. An overall score of 35 (sum of all items) would be the highest possible score on the questionnaire and would indicate a high level of familiarity with LGBTQ-affirmative CBT skills. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| Use of LGBTQ-Affirmative CBT Skills | Use LGBTQ-affirmative CBT skills will be measured using a self-developed questionnaire by the researchers for the purpose of this study. This questionnaire consists of 7 items rated on a 5-point Likert scale for each item. An overall score of 35 (sum of all items) would be the highest possible score on the questionnaire and would indicate a high level of use of LGBTQ-affirmative CBT skills. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Self-Reported LGBTQ Clinical Skills Competency | Competency in LGBTQ clinical skills will be measured using the Sexual Orientation Counselor Competency Scale (SOCCS) - Clinical Skills subscale. This subscale consists of 11-items from a psychometrically validated measure, based on a 7-point Likert scale assessing the extent to which respondents endorse clinical competence as related to their skills in working with clients of diverse sexual identities. For the present study, items have been adapted to specifically assess competence in clinical skills based on an LGBTQ-affirmative CBT framework. An overall score of 7 (arithmetic mean of all 11 items) would be the highest possible score and would indicate a high level of competence in LGBTQ clinical skills. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John Pachankis, Ph.D. | Associate Professor of Public Health (Social and Behavioral Sciences) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale LGBTQ+ Mental Health Initiative - Research Lab | New York | New York | 10010 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Bidell, M. P. (2005). The Sexual Orientation Counselor Competency Scale: Assessing attitudes, skills, and knowledge of counselors working with lesbian, gay, and bisexual clients. Counselor Education and Supervision, 44(4), 267-279. | ||
| Background | Gonzalez, E., Sperandio, K. R., Mullen, P. R., & Tuazon, V. E. (2021). Development and initial testing of the Multidimensional Cultural Humility Scale. Measurement and Evaluation in Counseling and Development, 54(1), 56-70. | ||
| 12956539 | Background | Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003 Sep;129(5):674-697. doi: 10.1037/0033-2909.129.5.674. | |
| 32437174 |
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Recruitment was conducted through an online flyer emailed to listservs of mental health providers at CenterLink LGBTQ community centers. An informal webinar was also held in October 2020 for mental health providers at CenterLink LGBTQ community centers to learn more about the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Immediate Training Group | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the immediate training group will take part in the first 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
| FG001 | Waitlist Control Group | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the waitlist control group will take part in the second 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Immediate Training Group | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the immediate training group will take part in the first 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Familiarity With LGBTQ-Affirmative CBT Skills | Familiarity with LGBTQ-affirmative CBT skills will be measured using a self-developed questionnaire by the researchers for the purpose of this study. This questionnaire consists of 7 items rated on a 5-point Likert scale for each item. An overall score of 35 (sum of all items) would be the highest possible score on the questionnaire and would indicate a high level of familiarity with LGBTQ-affirmative CBT skills. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
|
Adverse events were monitored from baseline through completion of the final follow-up assessment at 8 months.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Immediate Training Group | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the immediate training group will take part in the first 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Zachary Soulliard | Yale University School of Public Health | 646-344-4060 | zachary.soulliard@yale.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Sep 23, 2020 | Jan 5, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 7, 2021 | Dec 7, 2021 | SAP_001.pdf |
| ICF | No | No | Yes | Informed Consent Form | Sep 17, 2020 | Oct 12, 2021 | ICF_002.pdf |
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| Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| Applied LGBTQ Clinical Skills Competency | Competency in LGBTQ clinical skills will be measured by asking participants to provide responses to videos of fictional LGBTQ clients. Participants will watch 2 brief video clips (90 seconds each) of fictional clients presenting concerns they would like to address in psychotherapy. Participants will then be asked to write a brief paragraph describing what clinical approaches they would use in clinical treatment in order to address the challenges discussed by the fictional client. These written responses will be rated based on 22 items on a 2-point scale of 0 (did not mention at all), 1 (briefly discussed), and 2 (discussed in detail) to determine participants' LGBTQ-affirmative and general CBT skills. Items coded related to LGBTQ-affirmative CBT skills will not be double coded in the comparable items related to general CBT skills. Average scores will be taken such that 2 would be the highest possible score and would indicate a high level of competence in LGBTQ clinical skills. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| Applied CBT Clinical Skills Competency | Competency in general CBT clinical skills will be measured by asking participants to provide responses to videos of fictional LGBTQ clients. Participants will watch 2 brief video clips (90 seconds each) of fictional clients presenting concerns they would like to address in psychotherapy. Participants will then be asked to write a brief paragraph describing what clinical approaches they would use in clinical treatment in order to address the challenges discussed by the fictional client. These written responses will be rated based on 22 items on a 2-point scale of 0 (did not mention at all), 1 (briefly discussed), and 2 (discussed in detail) to determine participants' LGBTQ-affirmative and general CBT skills. Items coded related to LGBTQ-affirmative CBT skills will not be double coded in the comparable items related to general CBT skills. Average scores will be taken such that 2 would be the highest possible score and would indicate a high level of competence in CBT clinical skills. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| LGBTQ Cultural Humility | LGBTQ cultural humility will be measured using the Multidimensional Cultural Humility Scale (MCHS). This questionnaire is a 15-item self-report psychometrically validated measure assessing the extent to which respondents endorse an ability to maintain an other-oriented, interpersonal stance in relation to cultural identities most salient to clients. For the present study, items were adapted to specifically assess cultural humility as related to working with LGBTQ clients. An overall score of 90 (sum of all items) would be the highest possible score on the questionnaire and would indicate a high level of LGBTQ cultural humility. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| Content Knowledge of Minority Stress | Content knowledge of minority stress will be measured using a self-developed, 10-item multiple-choice measure by the researchers for the purpose of this study and based on past minority stress research. An overall score of 10 (i.e., answering all 10-items correctly) would be the highest possible score on the measure and would indicate a high level of content knowledge of minority stress. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-Intervention |
| Content Knowledge of CBT/LGBTQ-Affirmative CBT | Content knowledge of CBT/LGBTQ-affirmative CBT will be measured using a self-developed, 10-item multiple-choice measure by the researchers for the purpose of this study based on past interventional studies of LGBTQ-affirmative CBT. An overall score of 10 (i.e., answering all 10-items correctly) would be the highest possible score on the measure and would indicate a high level of content knowledge of CBT/LGBTQ-affirmative CBT. | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
| Acceptability of LGBTQ-affirmative CBT Training | Acceptability of LGBTQ-affirmative CBT will measured using a self-developed questionnaire by the researchers based on past research on training acceptability. Participants will be asked to report how many of the 11 training sessions they attended. Participants will then be asked 2 qualitative questions in regard to which of the 11 training sessions they found most and least helpful. Participants will also be asked 7 questions based on a 5-point Likert scale regarding their interest and perceived benefit from the training. An overall score of 35 (sum of all items) on the Likert scale items would be the highest possible score on the measure and would indicate a high level of perceived acceptability of the LGBTQ-affirmative CBT training. | Immediate Post-intervention |
| Background |
| Pachankis JE, McConocha EM, Clark KA, Wang K, Behari K, Fetzner BK, Brisbin CD, Scheer JR, Lehavot K. A transdiagnostic minority stress intervention for gender diverse sexual minority women's depression, anxiety, and unhealthy alcohol use: A randomized controlled trial. J Consult Clin Psychol. 2020 Jul;88(7):613-630. doi: 10.1037/ccp0000508. Epub 2020 May 21. |
| Background | Myles, P. J., & Milne, D. L. (2004). Outcome evaluation of a brief shared learning programme in cognitive behavioural therapy. Behavioural and Cognitive Psychotherapy, 32(2), 177-188. |
| 29096945 | Background | White Hughto JM, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention. Soc Sci Med. 2017 Dec;195:159-169. doi: 10.1016/j.socscimed.2017.10.004. Epub 2017 Oct 30. |
| 28891750 | Background | Lelutiu-Weinberger C, Pachankis JE. Acceptability and Preliminary Efficacy of a Lesbian, Gay, Bisexual, and Transgender-Affirmative Mental Health Practice Training in a Highly Stigmatizing National Context. LGBT Health. 2017 Oct;4(5):360-370. doi: 10.1089/lgbt.2016.0194. Epub 2017 Sep 11. |
| Background | Rousmaniere, T. (2017). Deliberate practice for psychotherapists: A guide to improving clinical effectiveness. Routledge/Taylor & Francis Group. |
| 35901370 | Derived | Pachankis JE, Soulliard ZA, Seager van Dyk I, Layland EK, Clark KA, Levine DS, Jackson SD. Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers. J Consult Clin Psychol. 2022 Jul;90(7):582-599. doi: 10.1037/ccp0000745. |
| BG001 |
| Waitlist Control Group |
Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the waitlist control group will take part in the second 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | Participants were allowed to select more than one option for gender identity, leading to n > 121 for this measure. | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Sexual Orientation | Count of Participants | Participants |
|
| Education Degree | Count of Participants | Participants |
|
| Employment Status | Count of Participants | Participants |
|
| Theoretical Orientation | Count of Participants | Participants |
|
| Primary Mode of Psychotherapy | Count of Participants | Participants |
|
| Age of Clients | Count of Participants | Participants |
|
| Number of Years Working in Mental Health | Mean | Standard Deviation | years |
|
| Number of Years Working with LGBTQ Clients | Mean | Standard Deviation | years |
|
| Immediate Training Group |
Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the immediate training group will take part in the first 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
| OG001 | Waitlist Control Group | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the waitlist control group will take part in the second 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. |
|
|
| Primary | Use of LGBTQ-Affirmative CBT Skills | Use LGBTQ-affirmative CBT skills will be measured using a self-developed questionnaire by the researchers for the purpose of this study. This questionnaire consists of 7 items rated on a 5-point Likert scale for each item. An overall score of 35 (sum of all items) would be the highest possible score on the questionnaire and would indicate a high level of use of LGBTQ-affirmative CBT skills. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
|
|
|
| Secondary | Self-Reported LGBTQ Clinical Skills Competency | Competency in LGBTQ clinical skills will be measured using the Sexual Orientation Counselor Competency Scale (SOCCS) - Clinical Skills subscale. This subscale consists of 11-items from a psychometrically validated measure, based on a 7-point Likert scale assessing the extent to which respondents endorse clinical competence as related to their skills in working with clients of diverse sexual identities. For the present study, items have been adapted to specifically assess competence in clinical skills based on an LGBTQ-affirmative CBT framework. An overall score of 7 (arithmetic mean of all 11 items) would be the highest possible score and would indicate a high level of competence in LGBTQ clinical skills. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
|
|
|
| Secondary | Applied LGBTQ Clinical Skills Competency | Competency in LGBTQ clinical skills will be measured by asking participants to provide responses to videos of fictional LGBTQ clients. Participants will watch 2 brief video clips (90 seconds each) of fictional clients presenting concerns they would like to address in psychotherapy. Participants will then be asked to write a brief paragraph describing what clinical approaches they would use in clinical treatment in order to address the challenges discussed by the fictional client. These written responses will be rated based on 22 items on a 2-point scale of 0 (did not mention at all), 1 (briefly discussed), and 2 (discussed in detail) to determine participants' LGBTQ-affirmative and general CBT skills. Items coded related to LGBTQ-affirmative CBT skills will not be double coded in the comparable items related to general CBT skills. Average scores will be taken such that 2 would be the highest possible score and would indicate a high level of competence in LGBTQ clinical skills. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
|
|
|
| Secondary | Applied CBT Clinical Skills Competency | Competency in general CBT clinical skills will be measured by asking participants to provide responses to videos of fictional LGBTQ clients. Participants will watch 2 brief video clips (90 seconds each) of fictional clients presenting concerns they would like to address in psychotherapy. Participants will then be asked to write a brief paragraph describing what clinical approaches they would use in clinical treatment in order to address the challenges discussed by the fictional client. These written responses will be rated based on 22 items on a 2-point scale of 0 (did not mention at all), 1 (briefly discussed), and 2 (discussed in detail) to determine participants' LGBTQ-affirmative and general CBT skills. Items coded related to LGBTQ-affirmative CBT skills will not be double coded in the comparable items related to general CBT skills. Average scores will be taken such that 2 would be the highest possible score and would indicate a high level of competence in CBT clinical skills. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | units on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
|
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| Secondary | LGBTQ Cultural Humility | LGBTQ cultural humility will be measured using the Multidimensional Cultural Humility Scale (MCHS). This questionnaire is a 15-item self-report psychometrically validated measure assessing the extent to which respondents endorse an ability to maintain an other-oriented, interpersonal stance in relation to cultural identities most salient to clients. For the present study, items were adapted to specifically assess cultural humility as related to working with LGBTQ clients. An overall score of 90 (sum of all items) would be the highest possible score on the questionnaire and would indicate a high level of LGBTQ cultural humility. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
|
|
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| Secondary | Content Knowledge of Minority Stress | Content knowledge of minority stress will be measured using a self-developed, 10-item multiple-choice measure by the researchers for the purpose of this study and based on past minority stress research. An overall score of 10 (i.e., answering all 10-items correctly) would be the highest possible score on the measure and would indicate a high level of content knowledge of minority stress. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-Intervention |
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| Secondary | Content Knowledge of CBT/LGBTQ-Affirmative CBT | Content knowledge of CBT/LGBTQ-affirmative CBT will be measured using a self-developed, 10-item multiple-choice measure by the researchers for the purpose of this study based on past interventional studies of LGBTQ-affirmative CBT. An overall score of 10 (i.e., answering all 10-items correctly) would be the highest possible score on the measure and would indicate a high level of content knowledge of CBT/LGBTQ-affirmative CBT. | Participants in the Immediate training group started training immediately after randomization, and therefore, have no data for the four-month waiting period prior to receiving the intervention. Participants in the Waitlist control group started training four months after randomization and therefore, were not assessed at the four-month follow-up time point due to completion of the study. | Posted | Mean | Standard Error | score on a scale | Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention |
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| Secondary | Acceptability of LGBTQ-affirmative CBT Training | Acceptability of LGBTQ-affirmative CBT will measured using a self-developed questionnaire by the researchers based on past research on training acceptability. Participants will be asked to report how many of the 11 training sessions they attended. Participants will then be asked 2 qualitative questions in regard to which of the 11 training sessions they found most and least helpful. Participants will also be asked 7 questions based on a 5-point Likert scale regarding their interest and perceived benefit from the training. An overall score of 35 (sum of all items) on the Likert scale items would be the highest possible score on the measure and would indicate a high level of perceived acceptability of the LGBTQ-affirmative CBT training. | This outcome was collected only during the assessment immediately following the intervention for each group. | Posted | Mean | Standard Error | score on a scale | Immediate Post-intervention |
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| 0 |
| 61 |
| 0 |
| 61 |
| 0 |
| 61 |
| EG001 | Waitlist Control Group | Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. The participants in the waitlist control group will take part in the second 11-week course. LGBTQ-affirmative CBT training: Participants will take part in 11-week LGBTQ-affirmative CBT training via Zoom for 1-hour per week. | 0 | 60 | 0 | 60 | 0 | 60 |
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| Immediate Pre-intervention |
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| Immediate Post-intervention |
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| Four-month Post-intervention |
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| Immediate Pre-intervention |
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| Immediate Post-intervention |
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| Four-month Post-intervention |
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| Immediate Pre-intervention |
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| Immediate Post-intervention |
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| Four-month Post-intervention |
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| Immediate Pre-intervention |
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| Immediate Post-intervention |
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| Four-month Post-intervention |
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| Immediate pre-intervention |
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| Immediate post-intervention |
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| Four-month Post-intervention |
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| Immediate Pre-intervention |
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| Immediate Post-intervention |
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| Four-month Post-intervention |
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| Immediate Pre-intervention |
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| Immediate Post-intervention |
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| Four-month Post-intervention |
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