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.

由于反 LGBTQ + 偏见或卫生保健工作者 (HCW) 的文化无能，LGBTQ + 人士经历了严重的健康不平等和医疗不信任。该计划评估检查了 LGBTQ + 人员分享个人和患者经历的讲故事事件是否改变了 HCW 对 LGBTQ + 患者的理解、信仰和实践。五次讲故事的活动于 2016 年至 2018 年在马里兰州巴尔的摩举行，每两年举行一次，通过活动后调查、活动期间的书面反思/笔记以及针对 LGBTQ + 艾滋病毒预防和治疗的全市护理合作组织中的 HCW 调查进行了评估参加和未参加讲故事活动的人。我们分析了调查以衡量理解上的差异，信仰和实践，并使用了对讲故事事件的书面反思/笔记的主题定性分析。416人参加了讲故事活动；124 (30 %) 人完成了事后调查，并收集了 449 份书面反思/笔记。56 名 HCW 完成了事后调查；49 (87.5 %) 强烈同意/同意他们更了解 LGBTQ + 患者。来自 43 份 HCW 书面反思/笔记的新兴主题包括提高理解和吸引 LGBTQ + 患者的新方法。在 HCW 调查受访者 (n = 111) 中，参加活动与 LGBTQ + 患者相关的信念 (p = 0.024) 和实践 (p = 0.000) 存在显着差异。讲故事的活动可以作为提高医护人员的理解、信念和实践的有效工具。这种策略最终可能有助于减少反 LGBTQ + 偏见，