About this trial
Older sexual and gender minority (SGM) patients are at risk for receiving inequitable end-of-life care; those with Alzheimer's disease and related dementias (ADRD) are at particularly high risk. Failure to collect and integrate sexual orientation and gender identity (SOGI) data to identify patients' informal support systems may have adverse health consequences for SGM older adults, particularly for those dependent on informal caregivers to provide in-home support and assist with activities of daily living. The goal of this K01 is develop a novel training for hospice staff in person-centered communication that includes SOGI data collection to promote authentic end-of-life care for SGM patients and their caregivers.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
English speaking
18 years and above
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
SGM Communication Intervention
BehavioralEvaluate the feasibility and acceptability of the SGM communication intervention by hospice staff. I will pilot test the training with hospice staff to refine the content and delivery of the training. Outcomes in the pilot clinical trial will include feasibility, acceptability, and staff satisfaction with training.
Treatment groups
Trial outcomes
Primary outcomes
Barriers and facilitators to communicating with SGM older adults and perceptions and preferences for asking/disclosing SOGI
Evaluating barriers and facilitators to creating an affirming environment where SGM patients and their caregiver feel included and safe to disclose; perceptions and preferences for asking for/disclosing SOGI.
Content of training
Iteratively develop content areas with a focus on facilitating conversations with patients who are different than you.
Delivery of content
Determine acceptable, replicable, and scalability of content.
Feasibility and assessment of training
Evaluate feasibility of training intervention through simulation with standardized patients and hospice staff. Including evaluating content and delivery of the training and assess delivery of training, feasibility, comfort and confidence the training, incorporation into practice, and evaluation of content.
Secondary outcomes
Sources of bias and stigma
Identify sources of stigma (anticipated, internalized, and experienced) and sources of bias (e.g. community, hospice staff, culture, policies).
Ongoing engagement around SOGI-informed care
Evaluate means for ongoing engagement of the SGM community for ongoing, authentic, training delivery.
Accessibility
Evaluate accessibility of training intervention ussing simulation with standardized patients and hospice staff, pilot test the training to refine the content and delivery of the training and assess accessibility and satisfaction with training.
Sponsors and contacts
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