Intervention for Medical Student to Promote Cervical Cancer Screening Among Latinx Transmasculine Individuals (CC-Trained)

Ponce Medical School Foundation

Status: Not yet enrolling

Conditions: Cervical Cancer Screening; Clinical Competence; Medical Education

Treatments: Behavioral: Disaster Preparedness Course; Behavioral: Cervical Cancer Trans Inclusive Education (CC-TRAINED) Module

Study type: Interventional

Funder types: Other; Industry; NIH

Identifiers

NCT06844097

2308159535R001

2U54CA163071-11 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The team aims to test the effectiveness of an intervention to increase gender-affirming cervical cancer prevention behaviors targeted at medical students studying in Puerto Rico and Florida. The team expects that after exposure to the intervention, relative to the control group, participants in the experimental condition will manifest more favorable changes in knowledge, attitudes, and behaviors of adequate care towards Latinx transmasculine and non-binary people.

Full description

Transmen (TM) and non-binary individuals (NB; individuals assigned female sex at birth who identify as a man, male, or another diverse non-binary gender identity on the masculine spectrum) are at higher risk of screening-detectable cancers. Latinx TM-NB (LTM-NB) are at a higher risk for cervical cancer (CC) as they intersect two health disparity populations with high risk for this type of cancer (gender identity and ethnic minorities). Despite CC being highly preventable, LTM-NB individuals have been found to have lower rates of CC screening than cisgender female patients (persons who are not transgender). Unfortunately, findings from the team's previous funded studies with LTM-NB individuals in Puerto Rico (PR) and Florida evidence that providers lack knowledge regarding LTM-NB individual's healthcare needs, have negative stigmatizing attitudes, and manifest discriminatory behaviors in clinical interactions with LTM-NB individuals; which greatly limits their ability for engaging in recommended education and prevention guidelines of care for CC screening and prevention. In light of this, the research team (community stakeholders from PR and Mainland US, researchers, and providers) has developed a brief online intervention to improve medical students' competencies for cervical cancer education and screening promotion among LTM-NB individuals.

The proposed study aims to: 1) Test the effectiveness of the intervention in increasing medical students' knowledge, attitudes, and skills for providing healthcare to LTM-NB. , 2) Determine the acceptability, appropriateness, and feasibility of implementing the interventions in real-world medical educational settings.

While the team has preliminary data regarding the efficacy of the intervention, this pilot is proposing a rigorous study design: Aim 1 will measure the magnitude of effect of the intervention, and Aim 2 measures the implementation. This study will address cervical cancer disparities among LTM-NB individuals. The impact of this study will reveal new effective interventions and implementation strategies. The translational implications of this work will result in providing medical schools with a cross-cultural tool to train students on cervical cancer prevention for LTM-NB individuals.

Enrollment: 60 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Medical student currently in third year of medical school training

Exclusion criteria

• Do not speak English

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Cervical Cancer Trans Inclusive Education (CC-TRAINED) Module

Experimental group

Description:

Participants assigned to the experimental condition will receive the CC-TRAINED intervention.

Treatment:

Behavioral: Cervical Cancer Trans Inclusive Education (CC-TRAINED) Module

Disaster Preparedness Course

Other group

Description:

Participants randomized to the control condition will receive a Disaster Preparedness Course, addressing the basics of natural disaster preparedness

Treatment:

Behavioral: Disaster Preparedness Course