In their shoes: multimodal training using virtual reality to improve knowledge and confidence in caring for LGBTQ+ older adults.

Abstract

LGBTQ+ older adults experience health disparities disproportionately and face age, sexual identity, and gender identity discrimination, yet education is lacking amongst health care professionals. Virtual reality (VR) is a potential tool to combat prejudice and unrecognized bias in clinicians, which is imperative for improving care for marginalized populations. We implemented a multimodal workshop on the care of LGBTQ+ older adults using case-based learning (Aquifer Geriatrics), VR simulation (Embodied Labs), and a discussion with LGBTQ+ Veteran Care Coordinators. A retrospective pre and post survey was collected to ascertain the workshop's effect on learner confidence and knowledge of caring for this population, along with the effectiveness of VR in medical education. Responses were measured on a Likert scale of 1-10, with improvement measured by comparing the increase in scores before and after training. The post survey included an open-ended prompt regarding intent to use learning. The workshop was held 3 times with 33 survey respondents. Results indicated significantly increased knowledge/confidence in all areas. Free text data analysis identified ways respondents intended to apply the learning in everyday work. These findings suggest this workshop was considered an effective teaching strategy that improved confidence and knowledge, and channeled empathy for this underrepresented population.