ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2020
The Health Access Initiative: A Training and Technical Assistance Program to Improve Health Care for Sexual and Gender Minority Youth.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Enhancing routine HIV and STI testing among young men who have sex with men: primary outcomes of the get connected clinical randomized trial (ATN 139).BMC public health · 2024Trial
- Transgender and gender diverse persons' sexually transmitted infection testing: a mixed methods study to understand primary care providers' training gaps and desires to promote sexual health equity.BMC health services research · 2026Article
- Patient-Provider Sexual Health Communications and PEP Awareness Among Young Cisgender Men Who Have Sex with Men.AIDS and behavior · 2026Article
- Understanding mental health and psychosocial support needs among marginalised communities in Uganda.BMC public health · 2026Article
- Systematic Review: Exploring the Effectiveness of Health Care Competency Training as a Means of Suicide Prevention in LGBTQ+ Youth.JAACAP open · 2026Review
- Investigating the Relationship Between Social Support and Health Care Barriers Among Sexually and Gender Diverse Young Adults in the United States.LGBT health · 2025Article
- LGBTQ+ Cultural Sensitivity Training for Mental Health Professionals in the USA.Archives of sexual behavior · 2025Article
- Adolescent Sexual Behavior, Contraceptive Use, and STI Testing during the COVID-19 Pandemic (January-June 2021).Journal of health care for the poor and underserved · 2025Article
- Improving the healthcare experiences of transgender and gender-diverse youths: A mixed-methods systematic review of interventions.International journal of transgender health · 2025Review
- Proximal and distal minority stressors and mental health among young gay and bisexual men and other men who have sex with men (GBMSM) in Kisumu, Kenya.American journal of community psychology · 2024Article
- Development of the Technical Assistance Engagement Scale: a modified Delphi study.Implementation science communications · 2024Article
- Mental Health Care Use among Adolescent Sexual Minority Males Before and During COVID-19.Psychology of sexual orientation and gender diversity · 2024Article
- "They're not feeling the love they need to feel": HIV stigma and other intersecting stigmas among Black gay and bisexual men and transgender women in House and Ball Communities.Journal of gay & lesbian mental health · 2024Article
- Community-Engaged Participatory Methods to Address Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Young People's Health Information Needs With a Resource Website: Participatory Design and Development Study.JMIR formative research · 2023Article
- Perspectives From Community-Based HIV Service Organization Leaders on Priorities in Serving Sexual and Gender Minority Populations.AIDS education and prevention : official publication of the International Society for AIDS Education · 2023Article
- Mapping LGBTQ+ Youth Resource Density Across Four High HIV Prevalence Corridors in the US.Sexuality research & social policy : journal of NSRC : SR & SP · 2023Article
- Explorations of the Role of Digital Technology in HIV-Related Implementation Research: Case Comparisons of Five Ending the HIV Epidemic Supplement Awards.Journal of acquired immune deficiency syndromes (1999) · 2022Article
- A scoping review of the evaluation and effectiveness of technical assistance.Implementation science communications · 2022Article
- The impact of stigma on HIV testing decisions for gay, bisexual, queer and other men who have sex with men: a qualitative study.BMC public health · 2022Article
- Impact of the COVID-19 Pandemic on Perceptions of Health and Well-Being Among Sexual and Gender Minority Adolescents and Emerging Adults.LGBT health · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
purposeThis article describes the Health Access Initiative (HAI), an intervention to improve the general and sexual health care experiences of sexual and gender minority youth (SGMY) by providing training and technical assistance to providers and staff. The training consisted of an online and in-person training, followed by site-specific technical assistance. We present the findings of a pilot evaluation of the program with 10 diverse clinics in Michigan.
methodsThis program was developed using community-based participatory research principles. Based on a framework of cultural humility, program activities are guided by the Situated Information-Motivation-Behavioral Skills Model. The mixed method program evaluation used training feedback surveys assessing program feasibility, acceptability, and effectiveness; pre/post surveys assessing knowledge, attitudes, and practices toward SGMY; and in-depth interviews with site liaisons assessing technical assistance and structural change.
resultsThe HAI is a highly feasible and acceptable intervention for providers and staff at a variety of health care sites serving adolescents and emerging adults. The results from 10 clinics that participated in the HAI indicate strong intervention efficacy, with significant and meaningful improvements seen in the knowledge of, attitudes toward, and practices with SGMY reported by providers and staff at 6-month follow-up compared with baseline, as well as in qualitative interviews with site liaisons.
conclusionsThe HAI is a promising intervention to improve the quality of primary and sexual health care provided to SGMY. Expanded implementation with continued evaluation is recommended. The HAI may also be adapted to address specific health needs of SGMY beyond sexual health.
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