Evidence map›Paper›PMID 39773808›Full record

SynthesisBMJ open2025

Impact of education and training on LGBT-specific health issues for healthcare students and professionals: a systematic review of comparative studies.

Sarah Damery, Adekemi Oluwayemisi Sekoni, Ameeta Retzer, Ifeoma Okafor, Bibiane Manga-Atangana, Rachel Posaner, Nicola Kay Gale, Kate Jolly

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah DameryInstitute for Applied Health Research, University of Birmingham, Birmingham, UK s.l.damery@bham.ac.uk.ORCID http://orcid.org/0000-0003-3681-8608
Adekemi Oluwayemisi SekoniDepartment of Community Health and Primary Care, University of Lagos, Akoka, Nigeria.
Ameeta RetzerInstitute for Applied Health Research, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-4156-8386
Ifeoma OkaforDepartment of Community Health and Primary Care, University of Lagos, Akoka, Nigeria.
Bibiane Manga-AtanganaSIFA Fireside, Birmingham, UK.
Rachel PosanerHealth Services Management Centre Knowledge and Evidence Service, University of Birmingham, Birmingham, UK.
Nicola Kay GaleSchool of Social Policy and Society, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-5295-8841
Kate JollyInstitute for Applied Health Research, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-6224-2115

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTraining/education is increasingly used to improve healthcare professionals' knowledge, attitudes and clinical skills about lesbian, gay, bisexual and transgender (LGBT) health, but few reviews have assessed their effectiveness. This review describes the impact of training about LGBT healthcare for healthcare professionals on participants' knowledge, attitudes and clinical practice.

designSystematic review of intervention studies with contemporaneous comparators. DATA SOURCES: Medline, CINAHL (Cumulated Index in Nursing and Alllied Health Literature), PsycINFO, Social Sciences Citation Index, Education Resources Information Center, Cochrane Library, University of York CRD, PROSPERO and Ethos e-thesis database were searched from 15/12/2015 to 29/11/2023 to update a review published in 2017. ELIGIBILITY CRITERIA: Interventional studies of training/education for healthcare professionals or students about LGBT-specific health issues, compared with standard or no training/education. Outcomes were changes in participants' knowledge, attitudes or clinical practice regarding LGBT health. DATA EXTRACTION AND SYNTHESIS: Reviewer pairs independently screened titles/abstracts and full texts. Data were extracted by one reviewer and checked by a second (population, training content, development, delivery, duration/intensity and outcomes). The National Institutes of Health tool for controlled intervention studies assessed study quality. Synthesis was descriptive.

results11 734 citations were screened, and 10 studies were included. 8/10 were published since 2019. Study quality was poor (8/10) or fair (2/10), and all were conducted in high-income countries. Four focused on transgender care. All studies used multi-component approaches, with topics covering terminology, lived experience, LGBT-specific health, sexuality and sexual history taking. Training duration ranged from 40 min to 50+ hours. Five studies included LGBT individuals in training development and/or delivery. 7/7 studies assessing attitudes, 2/4 studies assessing knowledge and 4/6 studies assessing skills/practice (actual or intended) reported statistically significant improvements.

conclusionsMulti-component healthcare professional training on LGBT health can significantly improve participants' knowledge, attitudes and skills. However, there was substantial heterogeneity in training content, delivery and duration, and most studies were of poor quality. PROSPERO REGISTRATION NUMBER: CRD42023414431 (26/06/2023).

Indexed as

Health Knowledge, Attitudes, PracticeHealth PersonnelSexual and Gender MinoritiesAttitude of Health PersonnelClinical CompetenceHumansHealth EquityMEDICAL EDUCATION & TRAININGSexual and Gender MinoritiesSystematic Review

Identifiers

PMID39773808
PMCPMC11749658

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.