OBJECTIVES This randomized controlled trial examined whether an 11-week synchronous (i.e., real-time) online training in lesbian, gay, bisexual, transgender, queer, and other sexual or gender diverse (LGBTQ)-affirmative cognitive behavioral therapy (CBT) could lead to increased uptake of this practice at LGBTQ community centers across 20 U.S. states and internationally. METHOD A total of 121 mental health providers (Mage = 37.74; 78.5% LGBTQ; 60.3% non-Hispanic/Latinx White) were randomized to receive the 11-week training either immediately (n = 61) or after a 4-month wait (n = 60). At baseline and 4 and 8 months after baseline, participants self-reported their LGBTQ-affirmative competency, cultural humility, and knowledge of the minority stress theory and practice skills underlying LGBTQ-affirmative CBT. To objectively assess uptake of LGBTQ-affirmative CBT, participants demonstrated, through simulated practice, how they would respond to two video-based clinical vignettes. RESULTS Compared to wait-list, participants in the immediate training condition reported greater improvements in self-reported cultural competence (d = 1.24), minority stress knowledge (d = 0.78), LGBTQ-affirmative CBT knowledge (d = 0.78), and LGBTQ-affirmative CBT skills familiarity (d = 0.91) and use (d = 0.96); effects persisted 8 months postbaseline. Cultural humility showed no significant difference by condition (d = 0.07). In objectively coded assessments of simulated practice, participants in the training condition demonstrated greater uptake of LGBTQ-affirmative practice skills (d = 0.82). CONCLUSIONS Findings preliminarily suggest that mental health providers can be trained to deliver LGBTQ-affirmative CBT using the low-cost, efficient reach of online training. This training can help disseminate evidence-based mental health care to LGBTQ individuals and support its implementation across practice settings. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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LGBTQ 肯定性认知行为疗法培训：LGBTQ 社区中心的一项随机对照试验。

目的 这项随机对照试验检验了女同性恋、男同性恋、双性恋、跨性别者、酷儿和其他性或性别多样化 (LGBTQ) 肯定性认知行为治疗 (CBT) 的 11 周同步（即实时）在线培训是否可以导致美国 20 个州和国际上的 LGBTQ 社区中心更多地采用这种做法。方法 共有 121 名心理健康服务提供者（法师 = 37.74；78.5% LGBTQ；60.3% 非西班牙裔/拉丁裔白人）被随机分配立即接受为期 11 周的培训（n = 61）或等待 4 个月后接受为期 11 周的培训（n = 61）。 n = 60）。在基线以及基线后 4 个月和 8 个月时，参与者自我报告了他们的 LGBTQ 肯定能力、文化谦逊以及对少数群体压力理论的了解以及 LGBTQ 肯定 CBT 的实践技能。为了客观评估 LGBTQ 肯定性 CBT 的接受情况，参与者通过模拟实践展示了他们将如何应对两个基于视频的临床片段。结果 与候补名单相比，立即培训条件下的参与者在自我报告的文化能力（d = 1.24）、少数族裔压力知识（d = 0.78）、LGBTQ 肯定性 CBT 知识（d = 0.78）和 LGBTQ 方面有更大的改善-肯定 CBT 技能的熟悉程度 (d = 0.91) 和使用 (d = 0.96)；效果在基线后持续 8 个月。文化谦逊在不同条件下没有显着差异（d = 0.07）。在对模拟练习的客观编码评估中，训练条件下的参与者表现出对 LGBTQ 平权练习技能的更多吸收（d = 0.82）。结论 初步结果表明，心理健康服务提供者可以通过低成本、高效的在线培训来接受 LGBTQ 肯定性 CBT 培训。这种培训可以帮助向 LGBTQ 个体传播基于证据的心理健康护理，并支持其在实践环境中的实施。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。