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| ID | Type | Description | Link |
|---|---|---|---|
| 5R01AG075734 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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This study is designed to help improve the care of sexual and gender minority (SGM) with Alzheimer's Disease and Alzheimer's Disease Related Dementia (AD/ADRD) in long-term services and supports (LTSS) by training the state's LTSS workforce in SGM culturally responsive care. The randomized controlled trial will rigorously test the effects of an in person versus an online training program on improving SGM culturally responsive care with a waitlist control.
The study involves conducting a 3-arm, stratified (management/staff), group (agency) randomized controlled trial (RCT) of the in-person vs. online intervention vs. waitlist control on organizational factors (i.e., environment and policy) and on staff knowledge, attitudes, and skills.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Training to Serve (TTS) in person training | Experimental | Participants are provided access to the pretest one week before the training. On the day of training, when the trainers arrive, participants have a final opportunity to complete the baseline survey before the intervention. Tablets will be available to complete pre- and post- surveys. The training for management takes 3-4 hours, and for staff, one hour. For consistency and feasibility, both trainings are conducted by the same trainers at the same visit. Immediately after the intervention, participants complete the post-intervention seminar evaluation assessing knowledge and attitudes/comfort in serving SGM clients. |
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| Training to Serve online training (eTTS) | Experimental | Participants are provided a unique identifier to access the online website. The opening page welcomes them to the study, then directs them to the chunked consent materials and baseline survey. As soon as they have completed this, they receive access to the intervention, which for management is expected to take 1-2 hours and for staff, 30-45 minutes (i.e., the online equivalent of 3-4 and 1 hour, respectively). After completion of the required modules, participants receive access to the optional modules as well as the posttest survey to evaluate the training. Once the post-test is complete, they are thanked for their involvement and informed they will receive an e-mail to access a follow-up survey in six months' time. |
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| Waitlist control | No Intervention | Participants complete the baseline survey, then they receive a note thanking them for completing all activities and informing them the intervention will be available in 6 months' time. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Training to Serve (TTS) in person training | Other | Participants receive in person training. |
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| Measure | Description | Time Frame |
|---|---|---|
| Environment change | Access to sexual and gender minority (SGM) providers, gender neutral intake forms | baseline and 6-months follow up |
| Skills assessment | Ability to conduct 7 skills key to providing competent care to SGM | Baseline |
| Skills assessment | Ability to conduct 7 skills key to providing competent care to SGM | Immediately post-intervention |
| Competence in SGM Care | Competent scale when it comes to providing care to SGM | 6 months after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| SGM with AD/ADRD referenced explicitly in policies | Human Resources policies and intake forms | Baseline |
| SGM with AD/ADRD referenced explicitly in policies | HR policies and intake forms |
| Measure | Description | Time Frame |
|---|---|---|
| Discrimination experience at work | Adapted everyday discrimination scale | Baseline |
| Discrimination experience at work | Adapted everyday discrimination scale |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Simon Rosser, PhD,MPH | University of Minnesota | Principal Investigator |
| Tetyanna Shippee, PhD | University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
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| ID | Term |
|---|---|
| D000544 | Alzheimer Disease |
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D024801 | Tauopathies |
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The study involves conducting a 3-arm, stratified (management/staff), group (agency) randomized controlled trial (RCT) of the in-person vs. online intervention vs. waitlist control on organizational factors (i.e., environment and policy) and on staff knowledge, attitudes, and skills.
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| Training to Serve online training (eTTS) | Other | Participants receive online training. |
|
| 6 months post-intervention |
| SGM knowledge | 10-item review of key content in training | Baseline |
| SGM knowledge | 10-item review of key content in training | immediately post-intervention |
| SGM knowledge | 10-item review of key content in training | 6 months post-intervention |
| SGM attitudes | Homonegativity scale | Baseline |
| SGM attitudes | Homonegativity scale | immediately post-intervention |
| SGM attitudes | Homonegativity scale | 6 months post-intervention |
| Health care empathy | Jefferson Physician Empathy student version | Baseline |
| Health care empathy | Jefferson Physician Empathy student version | immediately post-intervention |
| Health care empathy | Jefferson Physician Empathy student version | 6 months post-intervention |
| immediately post-intervention |
| Discrimination experience at work | Adapted everyday discrimination scale | 6 months post-intervention |
| Social desirability at work | Marlowe Crowne Social desirability scale | Baseline |
| Social desirability at work | Marlowe Crowne Social desirability scale | immediately post-intervention |
| Social desirability at work | Marlowe Crowne Social desirability scale | 6 months post-intervention |
| Sexual and Religious Identification | Duke Religiosity Index | Baseline |
| Sexual and Religious Identification | Duke Religiosity Index | 6 months follow-up post-intervention |
| Agency demographics | Agency type, size and staff | Baseline |
| SGM estimate | Number of SGM staff | Baseline and 6 month follow up. |
| SGM estimate | Number of SGM staff | 6 months follow up post-intervention |
| D019636 |
| Neurodegenerative Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |