ArticleEuropean journal of midwifery2025
The ATHENA Study: Evaluating the impact of an educational intervention on Greek midwives' knowledge and attitudes toward LGBTQ+ reproductive and perinatal care.
Article in European journal of midwifery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionInclusive reproductive and perinatal midwifery care for LGBTQ+ individuals requires adequate knowledge and positive attitudes. This study evaluated the impact of a structured educational intervention on Greek midwives' short- and long-term knowledge, and attitudes toward LGBTQ+ individuals and related health issues.
methodsA longitudinal pre- and post-intervention study was conducted within the ATHENA Study in Greece. Seventy midwives attended a 3-hour, small-group session combining lecture, case-based discussion, and group dialogue on inclusive and gender-affirming care. Knowledge and attitude scores (reflecting attitudes toward LGBTQ+ individuals and patients) were assessed at baseline, post-intervention, and follow-up at 6 months, using the Greek PKSGMH survey. Analyses used Friedman's test with Bonferroni correction (p<0.05).
resultsData from 70 midwives (mean age 42.1 years, 97.1% women) were analyzed. Most were heterosexual (87.1%), married (62.9%), and had LGBTQ+ acquaintances (75.7%); only 18.6% had prior training. Post-intervention attitude scores toward gay men and lesbians decreased significantly (p=0.016 and p=0.011), indicating more positive attitudes, with improvements sustained at 6 months (p>0.999). Attitudes toward transgender people improved (p=0.034), remaining stable (p>0.999). Total and patient specific attitude scores decreased post-intervention (p=0.003 and p<0.001), sustained at follow-up (p>0.999). Knowledge scores increased (p=0.048 and p<0.001) and remained higher at 6 months (p=0.011 and p<0.001). Affirmative practice scores improved post-intervention (p=0.043) but not long-term (p=0.189).
conclusionsA brief educational intervention significantly improved midwives' knowledge and attitudes toward LGBTQ+ individuals, with most effects sustained for six months. Embedding LGBTQ+-inclusive education in midwifery programs is essential for equitable reproductive and perinatal care.
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