IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v90y2022ics0149718921000744.html
   My bibliography  Save this article

Storytelling to improve healthcare worker understanding, beliefs, and practices related to LGBTQ + patients: A program evaluation

Author

Listed:
  • Long, Amanda
  • Jennings, Jacky
  • Bademosi, Kehinde
  • Chandran, Aruna
  • Sawyer, Simone
  • Schumacher, Christina
  • Greenbaum, Adena
  • Fields, Errol L.

Abstract

LGBTQ + persons experience significant health inequities and medical distrust resulting from anti-LGBTQ + bias or cultural incompetence from health care workers (HCW). This program evaluation examined whether storytelling events where LGBTQ + persons shared personal and patient experiences changed HCW understanding, beliefs, and practices related to LGBTQ + patients. Five storytelling events, held biannually in Baltimore, Maryland from 2016 to 2018, were evaluated using post-event surveys, written reflections/notes during the event, and a survey of HCW in a citywide care collaborative focused on HIV prevention and treatment for LGBTQ + persons that did and did not attend a storytelling event. We analyzed surveys to measure differences in understanding, beliefs and practices and used thematic qualitative analysis of written reflections/notes from the storytelling events. 416 persons attended storytelling events; 124(30 %) completed post-event surveys and 449 written reflections/notes were collected. 56 HCW completed post-event surveys; 49(87.5 %) strongly agreed/agreed they better understood LGBTQ + patients. Emergent themes from the 43 HCW written reflections/notes included improved understanding and new approaches for engaging LGBTQ + patients. Among HCW survey respondents (n = 111), attending an event was associated with significant differences in beliefs (p = 0.024) and practices (p = 0.000) related to LGBTQ + patients. Storytelling events may serve as effective tools for increasing HCW’s understanding, beliefs and practices. This strategy may ultimately help decrease anti-LGBTQ + bias, reduce medical distrust and lower barriers to HIV prevention/treatment for LGBTQ + persons.

Suggested Citation

  • Long, Amanda & Jennings, Jacky & Bademosi, Kehinde & Chandran, Aruna & Sawyer, Simone & Schumacher, Christina & Greenbaum, Adena & Fields, Errol L., 2022. "Storytelling to improve healthcare worker understanding, beliefs, and practices related to LGBTQ + patients: A program evaluation," Evaluation and Program Planning, Elsevier, vol. 90(C).
    • Handle: RePEc:eee:epplan:v:90:y:2022:i:c:s0149718921000744
    DOI: 10.1016/j.evalprogplan.2021.101979
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718921000744
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2021.101979?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Poteat, Tonia & German, Danielle & Kerrigan, Deanna, 2013. "Managing uncertainty: A grounded theory of stigma in transgender health care encounters," Social Science & Medicine, Elsevier, vol. 84(C), pages 22-29.
    2. Eaton, L.A. & Driffin, D.D. & Kegler, C. & Smith, H. & Conway-Washington, C. & White, D. & Cherry, C., 2015. "The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 75-82.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Linander, Ida & Alm, Erika & Hammarström, Anne & Harryson, Lisa, 2017. "Negotiating the (bio)medical gaze – Experiences of trans-specific healthcare in Sweden," Social Science & Medicine, Elsevier, vol. 174(C), pages 9-16.
    2. Bhattacharya, Shamayeta & Ghosh, Debarchana, 2020. "Studying physical and mental health status among hijra, kothi and transgender community in Kolkata, India," Social Science & Medicine, Elsevier, vol. 265(C).
    3. Naima Mohammadi, 2018. "Life experiences of sexual minorities in Iran: limitations, adaptations and challenges," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(2), pages 719-737, March.
    4. Mark Henrickson & Meaghan Fisher, 2016. "‘Treating Africans differently’: using skin colour as proxy for HIV risk," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1941-1949, July.
    5. Randi Beth Singer & Amy K Johnson & Natasha Crooks & Douglas Bruce & Linda Wesp & Alexa Karczmar & Lucy Mkandawire-Valhmu & Susan Sherman, 2021. "“Feeling Safe, Feeling Seen, Feeling Free”: Combating stigma and creating culturally safe care for sex workers in Chicago," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-15, June.
    6. Salabarría-Peña, Yamir & Douglas, Chelsea & Brantley, Meredith & Johnson, Amy K., 2022. "Informing the future of PrEP navigation: Findings from a five-site cluster evaluation," Evaluation and Program Planning, Elsevier, vol. 90(C).
    7. Phillips II, Gregory & McCuskey, David J. & Felt, Dylan & Raman, Anand B. & Hayford, Christina S. & Pickett, Jim & Shenkman, Julia & Lindeman, Peter T. & Mustanski, Brian, 2020. "Geospatial perspectives on health: The PrEP4Love campaign and the role of local context in health promotion messaging," Social Science & Medicine, Elsevier, vol. 265(C).
    8. Yusen Zhai & Kyesha M. Isadore & Lauren Parker & Jeremy Sandberg, 2023. "Responding to the HIV Health Literacy Needs of Clients in Substance Use Treatment: The Role of Universal PrEP Education in HIV Health and Prevention," IJERPH, MDPI, vol. 20(19), pages 1-19, October.
    9. Woodgate, Roberta L. & Zurba, Melanie & Tennent, Pauline & Cochrane, Carla & Payne, Mike & Mignone, Javier, 2017. "“People try and label me as someone I'm not”: The social ecology of Indigenous people living with HIV, stigma, and discrimination in Manitoba, Canada," Social Science & Medicine, Elsevier, vol. 194(C), pages 17-24.
    10. Yen-Ju Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2021. "Explicit and Intrinsic Intention to Receive COVID-19 Vaccination among Heterosexuals and Sexual Minorities in Taiwan," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    11. Vaitses Fontanari, Anna Martha & Zanella, Gabriel Ibarra & Feijó, Marina & Churchill, Siobhan & Rodrigues Lobato, Maria Inês & Costa, Angelo Brandelli, 2019. "HIV-related care for transgender people: A systematic review of studies from around the world," Social Science & Medicine, Elsevier, vol. 230(C), pages 280-294.
    12. White Hughto, Jaclyn M. & Reisner, Sari L. & Pachankis, John E., 2015. "Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions," Social Science & Medicine, Elsevier, vol. 147(C), pages 222-231.
    13. Frye, Victoria & Paige, Mark Q. & Gordon, Steven & Matthews, David & Musgrave, Geneva & Kornegay, Mark & Greene, Emily & Phelan, Jo C. & Koblin, Beryl A. & Taylor-Akutagawa, Vaughn, 2017. "Developing a community-level anti-HIV/AIDS stigma and homophobia intervention in new York city: The project CHHANGE model," Evaluation and Program Planning, Elsevier, vol. 63(C), pages 45-53.
    14. Nicole A. Francisco, 2021. "Bodies in Confinement: Negotiating Queer, Gender Nonconforming, and Transwomen’s Gender and Sexuality behind Bars," Laws, MDPI, vol. 10(2), pages 1-17, June.
    15. Salabarría-Peña, Yamir & Robinson, William T., 2022. "Going beyond performance measures in HIV-prevention: A funder-recipient expedition," Evaluation and Program Planning, Elsevier, vol. 90(C).
    16. shuster, stef m., 2019. "Performing informed consent in transgender medicine," Social Science & Medicine, Elsevier, vol. 226(C), pages 190-197.
    17. Mullard, Jordan C.R. & Kawalek, Jessica & Parkin, Amy & Rayner, Clare & Mir, Ghazala & Sivan, Manoj & Greenhalgh, Trisha, 2023. "Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review," Social Science & Medicine, Elsevier, vol. 320(C).
    18. Primdahl, Nina Langer & Tellerup, Maria Olejaz, 2023. "The politics of classification: Discursive tensions in the Danish political debate on trans identity and diagnosis in the years 2007–2016," Social Science & Medicine, Elsevier, vol. 333(C).
    19. Åsa Nilsson & Lisa Skär & Siv Söderberg, 2015. "Nurses' views of shortcomings in patent care encounters in one hospital in Sweden," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(19-20), pages 2807-2814, October.
    20. Ryan Combs & Monica Wendel & T. Gonzales, 2018. "Considering transgender and gender nonconforming people in health communication campaigns," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-6, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:90:y:2022:i:c:s0149718921000744. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.