Evidence map›Paper›PMID 39501392›Full record

ArticleImplementation science communications2024

Implementing LGBTQ-affirmative cognitive-behavioral therapy: implementation strategies across five clinical trials.

Audrey Harkness, Zachary A Soulliard, Eric K Layland, Kriti Behari, Brooke G Rogers, Bharat Bharat, Steven A Safren, John E Pachankis

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Audrey HarknessSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA. aharkness@miami.edu.ORCID http://orcid.org/0000-0003-2290-9904
Zachary A SoulliardDepartment of Psychology, Miami University, Oxford, OH, USA.ORCID http://orcid.org/0000-0003-2281-3857
Eric K LaylandDepartment of Human Development and Family Sciences, University of Delaware, Newark, DE, USA.ORCID http://orcid.org/0000-0003-0641-408X
Kriti BehariDepartment of Psychology, Syracuse University, Syracuse, NY, USA.ORCID http://orcid.org/0000-0002-5751-266X
Brooke G RogersDepartment of Psychiatry, Chobanian & Avedisian School of Medicine Department of Psychiatry, Boston University, Boston Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8569-9556
Bharat BharatPsychology Department, University of Miami, Coral Gables, FL, USA.ORCID http://orcid.org/0000-0002-0714-7940
Steven A SafrenPsychology Department, University of Miami, Coral Gables, FL, USA.ORCID http://orcid.org/0000-0002-0121-0806
John E PachankisDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-2015-9225

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundLGBTQ-affirmative cognitive-behavioral therapy (CBT) is an evidence-based treatment for reducing transdiagnostic mental and behavioral health concerns among LGBTQ individuals. Preserving the effects of this intervention as it is translated into practice can maximize public health benefits. This study systematically identifies and evaluates implementation strategies for LGBTQ-affirmative CBT.

methodsFirst, we identified and operationalized implementation strategies used across five trials of LGBTQ-affirmative CBT using the Pragmatic Implementation Reporting Tool. Second, we evaluated the relative importance of these strategies via a quantitative assessment (N = 31 unique trial implementers). Survey responses were analyzed descriptively within each trial. Across all trials, we organized strategies as (1) high priority, (2) moderate priority, and (3) optional (if resources are available) for implementing LGBTQ-affirmative CBT.

resultsWithin each trial, we identified 20 or more implementation strategies that were used, many of which overlapped across trials. We identified nine high priority strategies (e.g., working with clients to engage them in LGBTQ-affirmative CBT), nine moderate priority strategies (e.g., conducting ongoing training in LGBTQ-affirmative CBT), and nine optional/resource dependent strategies (e.g., showing visual indicators of LGBTQ affirmation within the physical spaces where LGBTQ-affirmative CBT is delivered).

conclusionsLGBTQ-affirmative CBT is a complex intervention requiring a package of implementation strategies. Our findings provide guidance for implementers in settings with different levels of resources regarding the highest priority strategies that may be needed to preserve the effectiveness of LGBTQ-affirmative CBT as it is translated into real-world settings.

Indexed as

EffectivenessImplementation & disseminationMinority StressStigmaTranslational Research

Identifiers

PMID39501392
PMCPMC11539333

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.