School of Medicine and Health Sciences, Department of Medicine, The George Washington University, Washington, DC, USA.
The GW Cancer Center, 2600 Virginia Ave, Washington, DC, #300, USA.
J Cancer Educ. 2023 Apr;38(2):419-425. doi: 10.1007/s13187-022-02134-2. Epub 2022 Jan 10.
To alleviate health disparities experienced by sexual and gender minority (SGM) patients, cancer care professionals need further education on the needs of SGM cancer patients and their loved ones and caregivers. The Together-Equitable-Accessible-Meaningful (TEAM) Training to Improve Cancer Care for SGM Patients (TEAM SGM) was developed and piloted to address this need. This study reports healthcare professional learner outcomes from the TEAM SGM pilot intervention. The TEAM SGM Training pilot consisted of 2.5 h of content from the original online self-paced TEAM Training plus 12 1-h Zoom sessions on specialized topics in addition to readings and activities. Participants (n = 28), representing seven cancer service organizations from six states in the USA, were recruited through newsletter listservs and social media. All participants (n = 28) completed the pre-test and twenty-two participants completed the post-test. Using five factors confirmed in a separate Confirmatory Factor Analysis, paired t-tests of TEAM SGM participant pre- and post-test data were conducted. Statistically significant improvements were found in four of five factors: Environmental Cues (t(21) = 2.56, p = .018), Knowledge (t(21) = 2.15, p = .043), Clinical Preparedness (t(7) = 3.89, p = .006), Clinical Behaviors (t(21) = 2.48, p = .022). The Attitudes factor was not significantly improved from pre-intervention to post-intervention likely due to strong affirming attitudes toward SGM patients at baseline. TEAM SGM is a feasible, effective training to build capacity in SGM-affirming care for cancer care providers.
为了缓解性少数群体（SGM）患者所经历的健康差距，癌症护理专业人员需要进一步了解 SGM 癌症患者及其亲人与照护者的需求。为此，开发并试点了“通过培训提升癌症护理服务以满足 SGM 患者需求（TEAM SGM）”。本研究报告了来自 TEAM SGM 试点干预的医疗保健专业学习者的成果。TEAM SGM 培训试点包含 2.5 小时来自原始在线自我指导 TEAM 培训的内容，以及关于专门主题的 12 个 1 小时的 Zoom 会议，此外还有阅读材料和活动。参与者（n=28）来自美国六个州的七个癌症服务组织，通过新闻通讯列表和社交媒体招募。所有参与者（n=28）都完成了前测，22 名参与者完成了后测。使用在单独的验证性因素分析中确认的五个因素，对 TEAM SGM 参与者的前测和后测数据进行了配对 t 检验。在五个因素中的四个因素中发现了统计学上的显著改善：环境线索（t(21)=2.56，p=0.018）、知识（t(21)=2.15，p=0.043）、临床准备（t(7)=3.89，p=0.006）、临床行为（t(21)=2.48，p=0.022）。由于基线时对 SGM 患者的态度已经很肯定，因此态度因素在干预前后没有显著改善。TEAM SGM 是一种可行且有效的培训，可增强癌症护理提供者对 SGM 患者的肯定护理能力。
