Trial Outcomes & Findings for Assessing Mental Health Providers' Clinical Knowledge and Skills Via an Online Training on LGBTQ-affirmative Cognitive-behavioral Therapy (NCT NCT04559698)

Last Updated: 2022-03-14

Results Overview

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.

Recruitment status

COMPLETED

Study phase

Target enrollment

121 participants

Primary outcome timeframe

Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

Results posted on

2022-03-14

Participant Flow

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.

Participant milestones

Participant milestones
Measure	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.	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.
Overall Study STARTED	61	60
Overall Study Four-month Pre-intervention	0	60
Overall Study Immediate Pre-intervention	61	55
Overall Study Immediate Post-intervention	52	44
Overall Study Four-month Post-intervention	47	0
Overall Study COMPLETED	47	44
Overall Study NOT COMPLETED	14	16

Reasons for withdrawal

Reasons for withdrawal
Measure	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.	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.
Overall Study Lost to Follow-up	14	15
Overall Study Withdrawal by Subject	0	1

Baseline Characteristics

Assessing Mental Health Providers' Clinical Knowledge and Skills Via an Online Training on LGBTQ-affirmative Cognitive-behavioral Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.	Total n=121 Participants Total of all reporting groups
Age, Continuous	39.74 years STANDARD_DEVIATION 11.36 • n=5 Participants	35.72 years STANDARD_DEVIATION 9.33 • n=7 Participants	37.74 years STANDARD_DEVIATION 10.55 • n=5 Participants
Sex/Gender, Customized Gender Identity : Cisgender Man	14 Participants n=5 Participants	11 Participants n=7 Participants	25 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Cisgender Woman	29 Participants n=5 Participants	37 Participants n=7 Participants	66 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Transgender Man	6 Participants n=5 Participants	0 Participants n=7 Participants	6 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Transgender Woman	1 Participants n=5 Participants	1 Participants n=7 Participants	2 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Gender Non-Binary	4 Participants n=5 Participants	8 Participants n=7 Participants	12 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Gender Non-Conforming	1 Participants n=5 Participants	2 Participants n=7 Participants	3 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Genderqueer	6 Participants n=5 Participants	1 Participants n=7 Participants	7 Participants n=5 Participants
Sex/Gender, Customized Gender Identity : Other	2 Participants n=5 Participants	3 Participants n=7 Participants	5 Participants n=5 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	15 Participants n=5 Participants	9 Participants n=7 Participants	24 Participants n=5 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	46 Participants n=5 Participants	51 Participants n=7 Participants	97 Participants n=5 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Asian	1 Participants n=5 Participants	2 Participants n=7 Participants	3 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Race (NIH/OMB) Black or African American	5 Participants n=5 Participants	8 Participants n=7 Participants	13 Participants n=5 Participants
Race (NIH/OMB) White	43 Participants n=5 Participants	38 Participants n=7 Participants	81 Participants n=5 Participants
Race (NIH/OMB) More than one race	11 Participants n=5 Participants	11 Participants n=7 Participants	22 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	1 Participants n=7 Participants	1 Participants n=5 Participants
Region of Enrollment United States	60 participants n=5 Participants	59 participants n=7 Participants	119 participants n=5 Participants
Region of Enrollment Canada	1 participants n=5 Participants	0 participants n=7 Participants	1 participants n=5 Participants
Region of Enrollment Uganda	0 participants n=5 Participants	1 participants n=7 Participants	1 participants n=5 Participants
Sexual Orientation Asexual	1 Participants n=5 Participants	1 Participants n=7 Participants	2 Participants n=5 Participants
Sexual Orientation Bisexual	6 Participants n=5 Participants	7 Participants n=7 Participants	13 Participants n=5 Participants
Sexual Orientation Gay	13 Participants n=5 Participants	9 Participants n=7 Participants	22 Participants n=5 Participants
Sexual Orientation Heterosexual/Straight	14 Participants n=5 Participants	14 Participants n=7 Participants	28 Participants n=5 Participants
Sexual Orientation Lesbian	9 Participants n=5 Participants	9 Participants n=7 Participants	18 Participants n=5 Participants
Sexual Orientation Pansexual	7 Participants n=5 Participants	6 Participants n=7 Participants	13 Participants n=5 Participants
Sexual Orientation Queer	11 Participants n=5 Participants	13 Participants n=7 Participants	24 Participants n=5 Participants
Sexual Orientation Other	0 Participants n=5 Participants	1 Participants n=7 Participants	1 Participants n=5 Participants
Education Degree High School/GED or Associate's Degree	2 Participants n=5 Participants	0 Participants n=7 Participants	2 Participants n=5 Participants
Education Degree Bachelor's Degree	6 Participants n=5 Participants	14 Participants n=7 Participants	20 Participants n=5 Participants
Education Degree Master's Degree	50 Participants n=5 Participants	45 Participants n=7 Participants	95 Participants n=5 Participants
Education Degree Doctoral Degree	3 Participants n=5 Participants	1 Participants n=7 Participants	4 Participants n=5 Participants
Employment Status Full-Time (40 Hours Per Week)	37 Participants n=5 Participants	29 Participants n=7 Participants	66 Participants n=5 Participants
Employment Status Part-Time (Less Than 40 Hours Per Week)	19 Participants n=5 Participants	12 Participants n=7 Participants	31 Participants n=5 Participants
Employment Status Practicum Student/Intern	3 Participants n=5 Participants	13 Participants n=7 Participants	16 Participants n=5 Participants
Employment Status Other	2 Participants n=5 Participants	6 Participants n=7 Participants	8 Participants n=5 Participants
Theoretical Orientation Cognitive Behavioral (CBT)	10 Participants n=5 Participants	17 Participants n=7 Participants	27 Participants n=5 Participants
Theoretical Orientation Existential	0 Participants n=5 Participants	1 Participants n=7 Participants	1 Participants n=5 Participants
Theoretical Orientation Humanistic/Person-Centered	15 Participants n=5 Participants	14 Participants n=7 Participants	29 Participants n=5 Participants
Theoretical Orientation Psychodynamic/Psychoanalytic	2 Participants n=5 Participants	3 Participants n=7 Participants	5 Participants n=5 Participants
Theoretical Orientation Solution-Focused	9 Participants n=5 Participants	4 Participants n=7 Participants	13 Participants n=5 Participants
Theoretical Orientation Third-Wave CBT	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Theoretical Orientation Eclectic or Integrative	23 Participants n=5 Participants	21 Participants n=7 Participants	44 Participants n=5 Participants
Theoretical Orientation Missing	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Primary Mode of Psychotherapy Individual Therapy	52 Participants n=5 Participants	46 Participants n=7 Participants	98 Participants n=5 Participants
Primary Mode of Psychotherapy Family Therapy	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Primary Mode of Psychotherapy Group Therapy	7 Participants n=5 Participants	9 Participants n=7 Participants	16 Participants n=5 Participants
Primary Mode of Psychotherapy Other	1 Participants n=5 Participants	5 Participants n=7 Participants	6 Participants n=5 Participants
Age of Clients <5-12	2 Participants n=5 Participants	2 Participants n=7 Participants	4 Participants n=5 Participants
Age of Clients 13-17	5 Participants n=5 Participants	7 Participants n=7 Participants	12 Participants n=5 Participants
Age of Clients 18-30	29 Participants n=5 Participants	29 Participants n=7 Participants	58 Participants n=5 Participants
Age of Clients 31-50	23 Participants n=5 Participants	19 Participants n=7 Participants	42 Participants n=5 Participants
Age of Clients 51-65+	2 Participants n=5 Participants	3 Participants n=7 Participants	5 Participants n=5 Participants
Number of Years Working in Mental Health	6.85 years STANDARD_DEVIATION 7.42 • n=5 Participants	5.40 years STANDARD_DEVIATION 6.77 • n=7 Participants	6.13 years STANDARD_DEVIATION 7.11 • n=5 Participants
Number of Years Working with LGBTQ Clients	4.33 years STANDARD_DEVIATION 5.37 • n=5 Participants	2.82 years STANDARD_DEVIATION 2.95 • n=7 Participants	3.58 years STANDARD_DEVIATION 4.39 • n=5 Participants

PRIMARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

Population: 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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Familiarity With LGBTQ-Affirmative CBT Skills Four-month Pre-intervention	—	19.00 score on a scale Standard Error 0.66
Familiarity With LGBTQ-Affirmative CBT Skills Immediate Pre-intervention	18.30 score on a scale Standard Error 0.76	19.70 score on a scale Standard Error 0.76
Familiarity With LGBTQ-Affirmative CBT Skills Immediate Post-intervention	24.34 score on a scale Standard Error 0.66	25.46 score on a scale Standard Error 0.79
Familiarity With LGBTQ-Affirmative CBT Skills Four-month Post-intervention	25.57 score on a scale Standard Error 0.66	—

PRIMARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Use of LGBTQ-Affirmative CBT Skills Four-month Post-intervention	24.02 score on a scale Standard Error 0.69	—
Use of LGBTQ-Affirmative CBT Skills Four-month Pre-intervention	—	17.53 score on a scale Standard Error 0.66
Use of LGBTQ-Affirmative CBT Skills Immediate Pre-intervention	16.77 score on a scale Standard Error 0.67	18.46 score on a scale Standard Error 0.77
Use of LGBTQ-Affirmative CBT Skills Immediate Post-intervention	22.93 score on a scale Standard Error 0.72	23.61 score on a scale Standard Error 0.77

SECONDARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Self-Reported LGBTQ Clinical Skills Competency Four-month Pre-intervention	—	3.30 score on a scale Standard Error 0.19
Self-Reported LGBTQ Clinical Skills Competency Immediate Pre-intervention	3.31 score on a scale Standard Error 0.17	3.14 score on a scale Standard Error 0.18
Self-Reported LGBTQ Clinical Skills Competency Immediate Post-intervention	5.05 score on a scale Standard Error 0.15	5.03 score on a scale Standard Error 0.19
Self-Reported LGBTQ Clinical Skills Competency Four-month Post-intervention	5.33 score on a scale Standard Error 0.13	—

SECONDARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Applied LGBTQ Clinical Skills Competency Four-month Pre-intervention	—	0.12 score on a scale Standard Error 0.02
Applied LGBTQ Clinical Skills Competency Immediate Pre-intervention	0.11 score on a scale Standard Error 0.02	0.14 score on a scale Standard Error 0.02
Applied LGBTQ Clinical Skills Competency Immediate Post-intervention	0.24 score on a scale Standard Error 0.03	0.31 score on a scale Standard Error 0.03
Applied LGBTQ Clinical Skills Competency Four-month Post-intervention	0.22 score on a scale Standard Error 0.03	—

SECONDARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Applied CBT Clinical Skills Competency Four-month Pre-intervention	—	0.12 units on a scale Standard Error 0.01
Applied CBT Clinical Skills Competency Immediate Pre-intervention	0.10 units on a scale Standard Error 0.01	0.12 units on a scale Standard Error 0.01
Applied CBT Clinical Skills Competency Immediate Post-intervention	0.17 units on a scale Standard Error 0.03	0.11 units on a scale Standard Error 0.02
Applied CBT Clinical Skills Competency Four-month Post-intervention	0.14 units on a scale Standard Error 0.02	—

SECONDARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
LGBTQ Cultural Humility Four-month pre-intervention	—	75.28 score on a scale Standard Error 0.83
LGBTQ Cultural Humility Immediate pre-intervention	76.48 score on a scale Standard Error 0.90	75.76 score on a scale Standard Error 1.03
LGBTQ Cultural Humility Immediate post-intervention	77.34 score on a scale Standard Error 0.88	77.27 score on a scale Standard Error 1.27
LGBTQ Cultural Humility Four-month Post-intervention	78.55 score on a scale Standard Error 0.74	—

SECONDARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-Intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Content Knowledge of Minority Stress Four-month Post-intervention	7.82 score on a scale Standard Error 0.24	—
Content Knowledge of Minority Stress Four-month Pre-intervention	—	7.15 score on a scale Standard Error 0.19
Content Knowledge of Minority Stress Immediate Pre-intervention	7.02 score on a scale Standard Error 0.19	7.04 score on a scale Standard Error 0.26
Content Knowledge of Minority Stress Immediate Post-intervention	8.05 score on a scale Standard Error 0.21	7.63 score on a scale Standard Error 0.34

SECONDARY outcome

Timeframe: Four-month Pre-intervention, Immediate Pre-intervention, Immediate Post-intervention, Four-month Post-intervention

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=61 Participants 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.	Waitlist Control Group n=60 Participants 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.
Content Knowledge of CBT/LGBTQ-Affirmative CBT Four-month Pre-intervention	—	5.48 score on a scale Standard Error 0.21
Content Knowledge of CBT/LGBTQ-Affirmative CBT Immediate Pre-intervention	5.36 score on a scale Standard Error 0.24	5.46 score on a scale Standard Error 0.26
Content Knowledge of CBT/LGBTQ-Affirmative CBT Immediate Post-intervention	6.77 score on a scale Standard Error 0.30	6.80 score on a scale Standard Error 0.32
Content Knowledge of CBT/LGBTQ-Affirmative CBT Four-month Post-intervention	6.48 score on a scale Standard Error 0.28	—

SECONDARY outcome

Timeframe: Immediate Post-intervention

Population: This outcome was collected only during the assessment immediately following the intervention for each group.

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.

Outcome measures

Outcome measures
Measure	Immediate Training Group n=52 Participants 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.	Waitlist Control Group n=44 Participants 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.
Acceptability of LGBTQ-affirmative CBT Training	31.10 score on a scale Standard Error 4.17	30.57 score on a scale Standard Error 5.16

Adverse Events

Immediate Training Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Waitlist Control Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Zachary Soulliard

Yale University School of Public Health

Phone: 646-344-4060

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place