ArticleFrontiers in public health2025
Evaluating the long-term impact of a distance learning course on attitudes, skills, practices, and knowledge in gender-affirming healthcare among healthcare professionals in Italy.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Surgical and hormonal gender-affirming care: cross-domain determinants and artificial intelligence-enabled expansion.International journal for equity in health · 2026Review
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Transgender and gender-diverse (TGD) individuals face significant health disparities, often due to healthcare providers' (HCPs) insufficient training and awareness. Comprehensive educational interventions are essential to improve both cultural competence and medical knowledge. While previous evaluations of training programs have shown short-term benefits, evidence on long-term outcomes remains scarce. This study extends the findings of an earlier evaluation of a distance learning course on TGD healthcare, exploring the sustainability of its effects over time. Objectives: To assess changes in self-reported attitudes, skills, practices, and knowledge retention 6 months after course completion. Methods: A longitudinal design was used with assessments at baseline (T0), post-course (T1), and six-month follow-up (T2). Participants completed the Attitudes, Skills, and Practices Questionnaire (ASPQ) and a 10-item knowledge test at all time points. Paired Results: A total of 3,102 participants (17% of the original cohort) completed the follow-up. All self-reported skills and most attitudes improved significantly from baseline to follow-up ( Conclusion: This study highlights sustained improvements in self-reported attitudes, skills, and knowledge following a national TGD healthcare training, reinforcing its value in addressing health disparities. The findings underscore the need for structural support and integrated reinforcement to embed gender-affirming care into routine practice.
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