Minnesota Inclusive LTSS for LGBTQ Seniors (MILLS)

University of Minnesota (UMN)

Status: Enrolling

Conditions: Alzheimer Disease; Dementia

Treatments: Other: Training to Serve (TTS) in person training; Other: Training to Serve online training (eTTS)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05530590

5R01AG075734 (U.S. NIH Grant/Contract)

STUDY00014177

Details and patient eligibility

About

This study is designed to help improve the care of sexual and gender minority (SGM) with Alzheimer's Disease and Alzheimer's Disease Related Dementia (AD/ADRD) in long-term services and supports (LTSS) by training the state's LTSS workforce in SGM culturally responsive care. The randomized controlled trial will rigorously test the effects of an in person versus an online training program on improving SGM culturally responsive care with a waitlist control.

Full description

The study involves conducting a 3-arm, stratified (management/staff), group (agency) randomized controlled trial (RCT) of the in-person vs. online intervention vs. waitlist control on organizational factors (i.e., environment and policy) and on staff knowledge, attitudes, and skills.

Enrollment: 760 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• licensure in Minnesota to provide nursing and/or as a housing with services establishment
• Willingness to undertake a policy and environment review at baseline and 6 months later
• having at least 5 managers/ supervisors and 5 staff.

Exclusion criteria

• Participants who cannot speak and read English

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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760 participants in 3 patient groups

Training to Serve (TTS) in person training

Experimental group

Description:

Participants are provided access to the pretest one week before the training. On the day of training, when the trainers arrive, participants have a final opportunity to complete the baseline survey before the intervention. Tablets will be available to complete pre- and post- surveys. The training for management takes 3-4 hours, and for staff, one hour. For consistency and feasibility, both trainings are conducted by the same trainers at the same visit. Immediately after the intervention, participants complete the post-intervention seminar evaluation assessing knowledge and attitudes/comfort in serving SGM clients.

Treatment:

Other: Training to Serve (TTS) in person training

Training to Serve online training (eTTS)

Experimental group

Description:

Participants are provided a unique identifier to access the online website. The opening page welcomes them to the study, then directs them to the chunked consent materials and baseline survey. As soon as they have completed this, they receive access to the intervention, which for management is expected to take 1-2 hours and for staff, 30-45 minutes (i.e., the online equivalent of 3-4 and 1 hour, respectively). After completion of the required modules, participants receive access to the optional modules as well as the posttest survey to evaluate the training. Once the post-test is complete, they are thanked for their involvement and informed they will receive an e-mail to access a follow-up survey in six months' time.

Treatment:

Other: Training to Serve online training (eTTS)

Waitlist control

No Intervention group

Description:

Participants complete the baseline survey, then they receive a note thanking them for completing all activities and informing them the intervention will be available in 6 months' time.