(194) TrueNorth SHAReTraining: A Scalable Model for Building Provider Capacity in Sexual Health Care

Introduction Sexual dysfunction is a common and distressing consequence of prostate cancer treatment, yet many patients and their partners struggle to find adequate support before, during and after treatment. A persistent gap in care is the lack of provider training, with clinicians reporting limited formal education and insufficient knowledge to confidently address sexual health concerns in prostate cancer care. The TrueNorth Sexual Health and Rehabilitation eTraining (SHAReTraining) program was developed to address this gap. Guided by the Knowledge-to-Action framework, the 12-week, expert-led program integrates current evidence with practical skill development to strengthen provider knowledge, confidence, and leadership in sexual rehabilitation. A core component involves a Site Champion Leadership Project, in which participants design and implement a self-directed initiative to develop or enhance sexual health services within their host institutions. Objective To evaluate the effectiveness of the TrueNorth Sexual Health and Rehabilitation eTraining (SHAReTraining) program on provider knowledge, confidence, and leadership in delivering sexual health care for prostate cancer patients and their partners. Methods This study used a mixed-methods approach to assess changes in provider knowledge, confidence, and program implementation following participation in the SHAReTraining program. A pre-post knowledge assessment was developed to measure objective learning. Additionally, a retrospective post-then-pre–survey evaluated perceived change across eight domains of sexual health care, with four items assessing knowledge and four assessing confidence. Quantitative data were analyzed using descriptive statistics and paired t-tests to assess change across measures. Content analysis was applied to course satisfaction surveys and Site Champion Leadership Projects to identify key themes and explore how the program influenced leadership development and implementation of sexual health initiatives. Results A total of 91 health care providers have participated in SHAReTraining to date. Objective knowledge scores increased significantly from pre-post training (73.7% ± 16.3 to 86.6% ± 7.8; t (18) =3.37, p=0.003, Cohen’s d=0.77). Across the eight domains of sexual health care, participants reported significant improvements (p<0.001 for all comparisons) in both perceived knowledge (Cohen’s d=1.54-1.71) and perceived confidence (Cohen’s d=1.44-1.63). Satisfaction surveys reported 98.2% satisfaction, with participants highlighting the value of combining theory with practical application to enhance self-efficacy. Reported implementation of Site Championship Leadership Projects demonstrated translation of learning into practice through initiatives such as psychosexual education sessions for patients and partners, implementation of sexual health conversation tools, development of partner-specific and LGBTQ+ resources, and initiation of funded sexual health positions. Conclusions SHAReTraining effectively enhances provider knowledge, confidence, and leadership in delivering sexual health care for men with prostate cancer. The program represents a scalable model for building capacity in oncosexology and advancing patient-centered sexual rehabilitation services. Future work will expand the program to include female sexual health and adapt its framework for broader oncology populations. Disclosure No