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Introduction <p>Limited training among healthcare providers represents a significant barrier to equitable access to health services for lesbian, gay, bisexual, and transgender (LGBT) individuals in Mexico. To develop effective training programs, it is essential to assess providers’ competencies using culturally appropriate tools. This study aimed to translate, culturally adapt, and evaluate psychometric properties of the Mexican version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS-MX).</p> Methods <p>The study followed a two-phase approach. First, the original English version was translated and culturally adapted with feedback from an expert panel. In the second phase, 410 healthcare providers completed the adapted scale between September and October 2024. Psychometric properties were evaluated through confirmatory factor analysis (CFA) alongside multi-group measurement invariance and reliability testing.</p> Results <p>Although the initial CFA indicated poor model fit, subsequent modifications improved the model’s performance. The revised model displayed satisfactory fit indices (CFI = 0.960, RMSEA = 0.05, SRMR = 0.0674), supporting a three-factor structure: Basic&#xa0;Knowledge, Attitudinal Awareness, and Clinical Preparedness. Reliability coefficients were within acceptable ranges (<i>α</i> = .74 overall). Invariance analysis confirmed the scale’s applicability across groups with and without sexual and gender minorities&#xa0;-health care training.</p> Conclusions <p>The LGBT-DOCSS-MX demonstrated good internal consistency and factorial validity, retaining the original three-factor structure. It can serve as both a research and clinical tool to assess competencies among healthcare providers.</p> <p>Policy Implications</p> <p>Findings underscore the importance of integrating validated instruments like the LGBT-DOCSS-MX into health education curricula to ensure equitable, competent care for LGBT individuals. Widespread adoption of this tool could drive policy changes in healthcare provider training and improve health outcomes for marginalized groups.</p>

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Psychometric validation of the Mexican version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS-MX) among healthcare professionals in Mexico

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月13日

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  • Centli Guillén-Díaz-Barriga,
  • Dulce María Díaz-Sosa,
  • E. Hamid Vega-Ramírez,
  • Isaías Vicente Lugo-González

摘要

Introduction

Limited training among healthcare providers represents a significant barrier to equitable access to health services for lesbian, gay, bisexual, and transgender (LGBT) individuals in Mexico. To develop effective training programs, it is essential to assess providers’ competencies using culturally appropriate tools. This study aimed to translate, culturally adapt, and evaluate psychometric properties of the Mexican version of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS-MX).

Methods

The study followed a two-phase approach. First, the original English version was translated and culturally adapted with feedback from an expert panel. In the second phase, 410 healthcare providers completed the adapted scale between September and October 2024. Psychometric properties were evaluated through confirmatory factor analysis (CFA) alongside multi-group measurement invariance and reliability testing.

Results

Although the initial CFA indicated poor model fit, subsequent modifications improved the model’s performance. The revised model displayed satisfactory fit indices (CFI = 0.960, RMSEA = 0.05, SRMR = 0.0674), supporting a three-factor structure: Basic Knowledge, Attitudinal Awareness, and Clinical Preparedness. Reliability coefficients were within acceptable ranges (α = .74 overall). Invariance analysis confirmed the scale’s applicability across groups with and without sexual and gender minorities -health care training.

Conclusions

The LGBT-DOCSS-MX demonstrated good internal consistency and factorial validity, retaining the original three-factor structure. It can serve as both a research and clinical tool to assess competencies among healthcare providers.

Policy Implications

Findings underscore the importance of integrating validated instruments like the LGBT-DOCSS-MX into health education curricula to ensure equitable, competent care for LGBT individuals. Widespread adoption of this tool could drive policy changes in healthcare provider training and improve health outcomes for marginalized groups.