Training healthcare professionals in LGBTI cultural competencies: Exploratory findings from the Health4LGBTI pilot project

Valeria Donisi, Francesco Amaddeo, Karolina Zakrzewska, Francesco Farinella, Ruth Davies, Lorenzo Gios, Nigel Sherriff, Laetitia Zeeman, Nick McGlynn, Kath Browne, Michal Pawlęga, Marcin Rodzinka, Nuno Pinto, Katrin Hugendubel, Cianan Russell, Caroline Costongs, Juliette Sanchez-Lambert, Massimo Mirandola, Magdalena Rosińska

    Research output: Contribution to journalArticlepeer-review


    Objectives: Lesbian, gay, bisexual, trans and intersex (LGBTI) people experience health inequalities and barriers to accessing healthcare at a greater rate than the general population. This paper aims to present the Health4LGBTI training course for healthcare workers and the results of its pilot implementation.
    Methods: Funded by the European Parliament, the training course was developed by a multidisciplinary team including LGBTI organisations as part of the Health4LGBTI Project. 110 healthcare professionals from diverse medical fields attended the pilot training in six European Member States. Knowledge and attitudes were compared on the basis of a pre-post evaluation design utilising an ad hoc questionnaire.
    Results: Knowledge scores increased after the training, irrespective of age and sexual orientation of participants. Attitudes scores generally improved, particularly in terms of inclusivity and a greater acknowledgement of LGBTI health needs and self-competence.
    Conclusion: The Health4LGBTI training course is both feasible and effective in training healthcare professionals and support staff to improve cultural competence and thereby promoting inclusive healthcare practice.
    Practice Implications: The Health4LGBTI training course can be implemented in different healthcare contexts. Piloting of the course provided an opportunity for healthcare professionals and for support staff to improve their knowledge of, and attitudes towards, LGBTI people.
    Original languageEnglish
    Pages (from-to)978-987
    Number of pages10
    JournalPatient Education and Counseling
    Issue number5
    Publication statusPublished - 16 Dec 2019

    Bibliographical note

    © 2019 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license


    • LGBTI health
    • healthcare professionals
    • inclusive attitudes
    • health inequalities
    • culutural competencies
    • training
    • doctor-patient
    • relationships
    • Health inequalities
    • Healthcare professionals
    • Doctor-patient relationship
    • Inclusive attitudes
    • Cultural competencies training


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