Perceived Effectiveness of Training Modalities in Improving LGB Cultural Competency Among Mental Health Providers
Loading...
Authors
Casey, Cassidy
Issue Date
2026-02
Type
Dissertation
Language
en
Keywords
cultural competency , LGB , mental health , Healthcare Innovation & Delivery
Alternative Title
Abstract
The problem addressed in this study was that LGB individuals continue to report negative experiences in mental health care, such as encountering stigma or discrimination (Cronin et al., 2021; Ferlatte et al., 2019), and these experiences have been associated with a lack of LGB cultural competence among providers (Esteban et al., 2023; Yu et al., 2023). The purpose of this quantitative, exploratory study was to examine the relationship between mental health providers’ self-perceived effectiveness of various training modalities and providers’ self-reported LGB cultural competency. Guided by Kirkpatrick’s Model of Training Evaluation, this study focused on providers’ reactions to training and self-reported behavior in practice. A cross-sectional online survey was completed by 166 participants. Participants reported the primary LGB cultural competency training modality they experienced (i.e., formal education, experiential workshops, or online modules), rated the perceived effectiveness of that training on a 7-point Likert scale, and completed the Sexual Orientation Counselor Competency Scale and the Marlowe-Crowne Social Desirability Scale. Data were analyzed using a one-way ANOVA and a hierarchical multiple regression. Results indicated no statistically significant differences in perceived training effectiveness across modalities. Results also indicated that perceived training effectiveness, as well as prior training experience and years in practice, were significant positive predictors of LGB cultural competency. The findings suggest that LGB cultural competency development may be a cumulative process influenced by professional experience and repeated exposure to training, regardless of the specific modality used, and providers may benefit from prioritizing training that they perceive to be effective. Future research should examine if specific training components shape perceived effectiveness and evaluate whether these perceptions relate to measurable improvements in provider behavior and client outcomes.