Recently Completed Studies

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Restore Study

From 2017 to 2021, Restore tested the first sexual and urinary rehabilitation program for gay and bisexual prostate cancer survivors. The Principal Investigator was Dr. B.R. Simon Rosser, and the study was funded by the NCI. (Grant Number R01CA218657)

The Restore StudyDescription
GoalsThe aims of Restore were to were to test three different methods to recruit gay, bisexual, and other sexually-minoritized men into cancer studies. 
How the
study was carried out

Three recruitment strategies were tested:

  1. Online sites- cancer support, sex/dating, and social sites
  2. Clinic recruitment- LGBTQ+-serving and urology clinics
  3. Community recruitment- advertising through LGBTQ+ community service organizations
Key results
  1. Researchers recruited large numbers of gay, bisexual, and sexually-minoritized men into cancer studies through online strategies.
  2.  There were differences in when people dropped out of the study across the recruitment source.
  3. Out of the online recruitment sources, online sex/dating apps had the highest success.
  4. Although clinic recruitment was the cheapest recruitment site, they cost a lot of time and less in recruitment.
  5. People from cancer support sites typically focused on cancer/cancer treatment recovery. People from dating apps were typically younger and more sexually active.
  6. No matter which website or app was used to find the men, their health results at the end were almost the same.
  7. Despite concerns about keeping people in online studies, most people staying in the study for at least six months.
Important takeawaysThe study found that more research on using electronic medical record information about sexual orientation and gender identity to recruit people for cancer studies. In addition, online and offline recruitment strategies should be compared for recruiting communities that are hard to reach.
Publications
  • Rosser, B.R.S., Merengwa, E., Capistrant, B.D., Iantaffi, A., Killian, G., Kohli, N.,  Konety, B.R., Mitteldorf, D., West, W. (2016)  Prostate cancer in gay, bisexual, and other men who have sex with men: A review.  LGBT Health, 3(1):32-41.
  • Rosser, B.R.S., Capistrant, B., Torres, B., Konety, B., Merengwa, E., Mitteldorf, D., & West, W. (2016). The effects of radical prostatectomy on gay and bisexual men's sexual functioning and behavior: Qualitative results from the Restore study. Sexual and Relationship Therapy, 31(4): 432-445.
  • Rosser, B.R.S., Capistrant, B.D. Torres, B., Konety, B.R., Merengwa E., Mitteldorf D., West, W. (2016). The effects of radical prostatectomy on gay and bisexual men’s mental health, sexual identity and relationships: Qualitative results from the Restore study. Journal of Sexual and Relationship Therapy, 31(4):446-461
  • Capistrant, B.D., Torres B., Merengwa, E., West, W.G., Mitteldorf, D., Rosser, B.R.S. (2016). Caregiving and social support for gay and bisexual men with prostate cancer. Psycho-Oncology, 25(11): 1329-1336.
  • Rosser, B.R.S. & Capistrant, B.D. (2016). Online versus traditional methods to recruit older gay and bisexual men treated for prostate cancer: Findings from the Restore study. Journal of Medical Internet Research, 2(2), e9.
  • Rosser, B.R.S., Hunt, S., Capistrant, B.D., Kohli, N., Konety, B.R., Mitteldorf, D., Ross, M.W., Talley, K.M., West, W. (2017). Understanding prostate cancer in gay, bisexual, and other men who have sex with men and transgender women: A review of the literature.  In J. Ussher, J. Perz, B.R.S. Rosser (eds). Gay and Bisexual Men Living with Prostate Cancer: From Diagnosis to Recovery. New York, NY: Harrington Park Press.
  • Rosser, B. R. S., Kohli, N., Lesher, L, Capistrant, B.D., Dewit, J., Kilian, G., Konety, B.R., Merengwa, E., Mitteldorf, D., West, W. (2017). What gay and bisexual men treated for prostate cancer are offered and attempt asJ. Urology Practice sexual rehabilitation for prostate cancer: Results from the Restore study. , 5(3): 187-191
  • West, W.G., Rosser, B.R.S., Capistrant, B.D. Torres, B., Konety, B.R., Mitteldorf D., Ross, M.W., Talley, C. (2017). The effects of radiation therapy for prostate cancer on gay and bisexual men’s mental health, sexual functioning and behavior, sexual identity and relationships: Qualitative results from the Restore study.  In J. Ussher, J. Perz, B.R.S. Rosser (eds). Gay and Bisexual Men Living with Prostate Cancer: From Diagnosis to Recovery. New York, NY: Harrington Park Press.
  • Rosser, B. R. S., Kohli, N., Lesher, L, Capistrant, B.D., Dewit, J., Kilian, G., Konety, B.R., Merengwa, E., Mitteldorf, D., West, W. (2017).  What gay and bisexual prostate cancer patients want in a sexual rehabilitation program for prostate cancer: Results of the Restore needs assessment. J. Urology Practice, 5(3):192-197.
  • Rosser, B.R.S., West, W., Konety, B.R. (2017) A shared decision-making approach to assessing prostate cancer risk: A gay diary case study. In J. Ussher, J. Perz, B.R.S. Rosser (eds). Gay and Bisexual Men Living with Prostate Cancer: From Diagnosis to Recovery. New York, NY: Harrington Park Press.
  • Capistrant BD, Lesher L, Kohli N, Merengwa E, Konety B, Mitteldorf D, West W, Rosser, BRS. Social support and Health Related Quality of Life among gay and bisexual men with prostate cancer. Oncology Nursing Forum, 45(4): 439-455.
  • Dewitt, J., Capistrant, B., Kohli, N., Rosser, B.R.S., Mitteldorf, D., Merengwa, E. West, W. (2018) Addressing participant validity in small Internet survey samples: The Restore Prostate Cancer study. JMIR Research Protocols, 7(4): e96 .
  • Rosser, B. R. S., Kohli, N., Polter, E.J., Lesher, L, Capistrant, B.D., Konety, B.R., Mitteldorf, D., West, W., Dewitt, J., Killian, G. (2020). The sexual functioning of gay and bisexual men following prostate cancer treatment: Results from the Restore study. Archives of Sexual Behavior, 49(5):1589-1600.
  • Rosser, B.R.S., Hunt, S., Capistrant, B.D., Kohli, N., Konety, B.R., Mitteldorf, D., Ross, M.W., Talley, K.M., West, W. (2019). Understanding prostate cancer in gay, bisexual, and other men who have sex with men and transgender women: A review of the literature. Current Sexual Health Reports, 11, 430-441.
  • Rosser, B.R.S., Konety, B.R., Capistrant, B.D., Kapoor, A., Polter, E. (2020). The reliability of Gleason scores in studies of gay, bisexual and other men who have sex with men prostate cancer survivors. Urology Practice, 7: 224-227.
  • Polter, E., Wheldon, C., Rosser, B.R.S., Kohli, N., Capistrant, B.D., Kapoor, A., Konety, B.R., Mitteldorf, MD., Ross, M.W., Terveen, L., West, W., Wright, M. (2019). Health-Related Quality of Life by HIV status in gay and bisexual prostate cancer survivors: Findings from the Restore study. Psycho-Oncology, 28(12), 2351-2357.
  • Wright, MW., Rosser, B.R.S., Shreiner, P., Polter, E. (2019) The influence of companion animals on quality of life of gay and bisexual men diagnosed with prostate cancer. International Journal of Environmental Research and Public Health, 16(22):4457-4463.
  • Rosser, B.R.S., Rider, G.N., Kapoor, A., Talley, K.M.C., Haggart, R., Kohli, N., Konety, B.R., Mitteldorf, D., Polter, E.J., Ross, M.W., West, W., Wheldon, C., Morgan, M. (2021) What every urologist and oncologist should know about treating sexual and gender minority prostate cancer patients: Translating research findings into clinical practice. Translational Andrology and Urology, 10(7):3208-3225. doi: 10.21037/tau-20-1052. PMID: 34430423; PMCID: PMC8350223.
  • West, W., Torres, B., Mitteldorf, D., Capistrant, B.D. Konety, B.R., Polter, E., Rosser, B.R.S. (2021). The challenge of coming out to providers by gay and bisexual men with prostate cancer: Qualitative results from the Restore study, International Journal of Sexual Health, 33(3): 426-438.
  • Rosser, B.R.S., Polter, E.J., Chandiramani, N., Cahill, S., Wheldon, C. W., Konety, B.R., Ryan, C.J., Haggart, R., and Kapoor, A. (2021). The acceptability and feasibility of collecting sexual orientation and gender identity data in urology and oncology clinics. LGBT Health, 8(6):420-426.
  • Wheldon, C.W., Polter, E.J., Rosser, B.R.S., Kapoor, A., Talley, K.M.C., Haggart, R., Kohli, N., Konety, B.R., Mitteldorf, D., Ross, M.W., West, W., Wright, W. (2021). Pain and loss of pleasure in receptive anal sex for gay and bisexual men following prostate cancer treatment: Results from the Restore-1 study. Journal of Sex Research, 59(7):826-833.
  • Haggart, R., Polter, E., Ross, M.W., Kohli, N., Konety, B.R., Mitteldorf, D., West, W., Rosser, B.R.S. (2021) Comorbidity prevalence and association with worse quality of life in gay and bisexual men following prostate cancer treatment. Sexual Medicine, 19: 849-859.
  • Wells, D., Ross, M.W., Rosser, B.R.S., Polter, E., Capistrant, B.D., Haggart, R., Kohli, N., Konety, B.R., Mitteldorf, D., West, W., Wheldon, C. (2022). Sexual orientation and prostate cancer disclosure: Understanding “outness” as a situational or consistent phenomenon.  Patient Education and Counseling, 105(1): 2933-2037.
  • Ross, M.W., Rosser, B.R.S., Polter, E.J.. Haggart, R., Kohli, N., Konety, B.R., Mitteldorf, D., Talley, K.M.C., West, W. Wheldon, C.W., Wright, M. (2023). Experiences of discrimination in prostate cancer treatment: Results from the Restore-1 study of gay and bisexual patients. Stigma and Health, 8(1):85. 
  • Polter EJ, Kohli N, Rosser BRS, Talley KMC, Wheldon CW, Hoefer CJ, Wright M, Haggart R, Mitteldorf D, Kilian G, Konety BR, Ross MW, West W. (2022). Creation and psychometric validation of the Sexual Minorities and Prostate Cancer Scale (SMACS) in sexual minority patients - The Restore-2 study. Journal of Sexual Medicine, 19(3) 529-530.
  • Rosser, B.R.S., Wright, M., Hoefer, C., Polter, E.J., Haggart, R., Kilian, G., Kohli, N., Konety, B.R., Mitteldorf, D., Polter, E.J., Talley, K.M.C., Ross, M.W., West, W., Wheldon, C. (2022). Recruiting a hidden, difficult to reach population into cancer Studies: Results from the Restore-2 rehabilitation trial for gay and bisexual prostate cancer patients. Clinical Trials, 19(3):239-250 
  • Rosser, B.R.S., Polter, E.J., Talley, K.M.C., Wheldon, C., Haggart, R., Wright, M., West, W., Mitteldorf, D., Ross, M.W., Konety, B.R., Kohli, N. (2022) Health disparities of sexual minority patients following prostate cancer treatment: Results from the Restore-2 study. Frontiers in Oncology, 12:812117.
  • Rosser, B.R.S., Polter, E.J., Talley, K.M.C., Wheldon, C., Haggart, R., Wright, M., West, W., Mitteldorf, D., Ross, M.W., Konety, B.R., Kohli, N. (2023). Health disparities of sexual minority patients following prostate cancer treatment: Results from the Restore-2 study. In Quinn, G.P., Ussher, J., Perz, P. (Eds.) Cancer Prevention, Treatment and Survivorship in the LGBTQIA Community. Lausanne: Frontiers Media SA, 10-17.
  • Bates AJ, Rosser BRS, Polter EJ, Talley KMC, Wheldon CW, Haggart R, Wright M, West W, Mitteldorf D, Ross MW, Konety BR, Kohli N. (2022). Racial/ethnic differences in health-related quality of life among sexual minority prostate cancer survivors. Frontiers in Oncology, 12: 833197.
  • Bates AJ, Rosser BRS, Polter EJ, Talley KMC, Wheldon CW, Haggart R, Wright M, West W, Mitteldorf D, Ross MW, Konety BR, Kohli N. (2023). Racial/ethnic differences in health-related quality of life among sexual minority prostate cancer survivors. In Quinn, G.P., Ussher, J., Perz, P. (Eds.) Cancer Prevention, Treatment and Survivorship in the LGBTQIA Community. Lausanne: Frontiers Media SA, 28-37.
  • Wheldon, C., Polter, E., Rosser, B.R.S., Bates, A., Haggart, R., Wright, M., Mitteldorf, D., Ross, M.W., Konety, B.R., Kohli, N., Talley, K.M.C., West, W. (2021). Prevalence and risk factors for sexually transmitted infections in gay and bisexual prostate cancer survivors: Prevalence and risk factors. Frontiers in Oncology, 12, 832508..
  • Wheldon, C., Polter, E., Rosser, B.R.S., Bates, A., Haggart, R., Wright, M., Mitteldorf, D., Ross, M.W., Konety, B.R., Kohli, N., Talley, K.M.C., West, W. (2023). Prevalence and risk factors for sexually transmitted infections in gay and bisexual prostate cancer survivors: Prevalence and risk factors. In Quinn, G.P., Ussher, J., Perz, P. (Eds.) Cancer Prevention, Treatment and Survivorship in the LGBTQIA Community. Lausanne: Frontiers Media SA, 28-37.
  • Tatum, A., Rosser, B. R. S., Wheldon, C. W., Torres, M. B., Bates, A. J., Haggart, R., Konety, B., R., Middeldorf, D., Polter, E. J., Ross, M. W., Talley, K. M. C., West, W., Wright, M. M., & Zhang, Z. (2023). The effects of prostate cancer treatment on role-in-sex in gay and bisexual men: Mixed methods results from the Restore-1 and Restore-2 studies. The Journal of Sex Research, 60(5), 752-761. https://doi.org/10.1080/00224499.2022.2128027 
  • Talley, K.M.C., Polter, E., Rosser, B.R.S., Wheldon, C.W., Haggart, R., Konety, B.R., Wright, M., Middledorf, D., Ross, M.W., West, W., Kohli, N. (2023). Urinary and bowel symptoms among gay and bisexual prostate cancer survivors and their associations with quality of life. Urologic Nursing, 43(1):14-40.
    Talley, K.M.C., Wright, M., Bates, A., Kohli, N., Konety, B.R., Mitteldorf, D.  Ross, M.W., West, W., Wheldon, C.W., Rosser, B.R.S. (2022) Change in urinary incontinence over two years among gay and bisexual prostate cancer survivors enrolled in an online rehabilitation program for urinary and sexual dysfunction. Abstracts of the International Continence Society 2022 Meeting, October. Journal of Continence, 282: abstract, 409.
  • Haggart, R.C., Bates, A., Rosser, B.R.S., Polter, E., Kapoor, A., Talley, K.M.C., Wright, M., Konety, B.R. Self-reported Gleason scores in studies of sexual minority prostate cancer survivors: Results of a survey revision.  AUA News, in press.
  • Wheldon, C.W., Bates, A., Polter, E.J., Rosser, B.R.S., Kapoor, A., Talley, K.M.C., Haggart, R., Kohli, N., Konety, B.R., Mitteldorf, D., Ross, M.W., West, W.,Wright, M. (2023) Unrecognized sexual dysfunction in gay and  bisexual men after prostate cancer treatment: The antecedents and impact of anodyspareunia. Journal of Sexual Medicine, 20(4):515-524. 
  • Bates, A.J., Ross, M.W. Rosser, B.R.S., Polter, E.J., Wheldon, C.W., Talley, K.M.C., Haggart, R., Wright, M., Mitteldorf, D., West, W., Konety, B.R.  (2023) Discrimination against sexual minority patients in prostate cancer treatment: Results from the Restore-2 study. Stigma & Health, Jul 20.
  • Bates, A.J., Mitteldorf, D., Rosser, B.R.S., Ross, M.W., Wheldon, C.W., Polter, E.J., Talley, K.M.C., Haggart, R., Wright, M., West, W., Konety, B.R. (2025). Military experience and health-related quality of life among gay and bisexual prostate cancer survivors: Results from the Restore-2 study. Military Medicine, 171:357-363.
  • Rosser, B.R.S., Kohli, N., Bates, A.J., Talley, K.M.C., Wright, M.M., Polter, E.J., Wheldon, C.W., Haggart, R., Dickstein, D., Ross, M.W., Zhang, Z., West, W., Konety, B. R. Evaluation of a sexual and urinary rehabilitation program tailored for sexual minority prostate cancer patients:  Results of the Restore-2 randomized controlled trial. Journal of Cancer Survivorship, in press.
  • Daniel Dickstein, Alex Bates, Christopher Wheldon, Ryan Haggart, Kristine Talley, and Deborah Marshall ll, B.R. Simon Rosser. Treatment Choice and Sexual Health Outcomes in Gay and Bisexual Men with Prostate Cancer, Prostate Cancer and Prostatic Diseases, in press.  
  • Zhang, Z., Kohli, N., Lock, E.F., Rosser, B.R.S. (2026) Assessing heterogeneous treatment effects in Bayesian growth mixture mediation models. Journal of Educational and Behavioral Statistics, in press.
Products

 

A PDF brochure of the results from the Restore-2 Study.

ORCA Study

From 2020 to 2024, the  ORopharyngeal CAncer (ORCA) study investigated screening and detection of ORopharyngeal CAncer in gay and bisexual men. The Principal Investigator was Dr. Michael Ross, and the study was funded by the NCI. (Grant Number R01CA25344)

The ORCA StudyDescription
GoalsThe aims of ORCA were to explore attitudes from medical providers and dental practitioners about HPV screening, learn about beliefs from sexual minority men about oropharyngeal cancer and HPV, and test a self-screening tool through oropharyngeal "selfies."
How the
study was carried out

The study had three parts:

  1. Medical and dental teams from health centers focused on Gay, Bisexual, and other Men who have sex with Men (GBM) were interviewed about oropharyngeal cancer screenings and their guidelines.
  2. GBM in the U.S. were surveyed about knowledge and beliefs about oropharyngeal cancer, HPV vaccines, and oropharyngeal cancer screening.
  3. GBM were asked to take oral “selfies” with a cell phone and send them to the study providers to check the selfies' quality. 
Key results
  1. Health providers did not fit oropharyngeal cancer screenings and exams for GBM. However, HIV and LGBTQ+ focused healthcare providers more work with HPV-related oropharyngeal cancers in GBM.
  2. GBM typically considered risks for HPV-oropharyngeal cancers based on their lifetime number of cisgender male partners and oral sex behaviors.
  3. For the first oral selfies, one-third of participants sent quality selfies for assessment. After watching an educational video about taking oral selfies, more quality selfies were sent.
Important takeaways
  1. ORCA was the first study to share detailed GBM's oral sex behaviors crossing many different age groups.
  2. Future studies should review guidelines for identifying oropharyngeal cancer, check the acceptability of screening in GBM communities, and look into addressing the unmet needs of GBM in healthcare.
  3. Oral selfies are a potential screening tool for identifying signs of oropharyngeal cancer
SupplementThe ORCA study received a supplement (Grant Number R01CA253244-S) that found innovative ways for men who have sex with men (MSM) to access human papillomavirus (HPV) vaccination, oral, and anal screening in Tanzania.  The supplement measured anal HPV in MSM, and offered HPV vaccination, including assessing the ability to provide second and third doses of vaccine. In addition, methods of providing vaccination in Tanzania, where being MSM is criminalized, were explored.
Publications
  • Ross, M. W., Bennis, S. L., Nichols, C. M., Zoschke, I. N., Wilkerson, J. M., Rosser, B. R. S., Stull, C. L., Nyitray, A. G., Flash, C., & Khariwala, S. S. (2023). Oral/oropharyngeal "selfies" in gay and bisexual men: A pilot study exploring oropharyngeal screening for HPV-related possible malignancies. Frontiers in Public Health, 11, 1233274. https://doi.org/10.3389/fpubh.2023.1233274 
  • Ross, M. W., Bennis, S. L., Zoschke, N., Rosser, B. R. S., Stull, C. L., Nyitray, A. G., Khariwala, S. S., Nichols, M., Flash, C., & Wilkerson, M. (2023). Screening for HPV-Related Oropharyngeal Cancer in Gay and Bisexual Men: Acceptability and Predicting Possible Use of "Oral Selfies" by Smartphone as a Secondary Prevention Approach. Venereology (Basel, Switzerland), 2(4), 180–193. https://doi.org/10.3390/venereology2040016 
  • Zoschke, I. N., Bennis, S. L., Wilkerson, J. M., Stull, C. L., Nyitray, A. G., Khariwala, S. S., Nichols, C. M., Rosser, B. R. S., Flash, C., & Ross, M. W. (2023). HPV-related oropharyngeal cancer early detection in gay and bisexual men is an "orphan" practice: A qualitative analysis among healthcare providers. Frontiers in Public Health, 11, 1165107. https://doi.org/10.3389/fpubh.2023.1165107 
  • Stull, C., Bennis, S. L., Rosser, B. R. S., Wilkerson, J. M., Zoschke, I. N., Jiang, Z., Nyitray, A. G., Khariwala, S. S., & Ross, M. W. (2024). Correlates of human papillomavirus vaccination intent for oropharyngeal cancer prevention among gay and bisexual men living in the United States. Journal of the American Dental Association (1939), 155(1), 26–38.e1. https://doi.org/10.1016/j.adaj.2023.09.016 
  • Bennis, S. L., Rohloff, C. T., Zhang, Z., Kohli, N., Zoschke, I. N., Rosser, B. R. S., Nyitray, A. G., Wilkerson, J. M., Stull, C. L., Khariwala, S. S., & Ross, M. W. (2024). Sexual Behavior and Perceived Risk for Oropharyngeal Cancer Among Men Who Have Sex With Men: A Psychometric Scale Validation. Sexually Transmitted Diseases, 51(4), 289–294. https://doi.org/10.1097/OLQ.0000000000001923 
  • Ross, M. W., Khariwala, S. S., Bennis, S. L., Zoschke, I. N., Rosser, B. R. S., Nyitray, A. G., Nichols, C. M., Flash, C., Wilkerson, J. M., & Stull, C. L. (2024). Using Low-cost Videoscopes to Obtain Accurate Video "Oral Selfies" as Screening for HPV-associated Oropharyngeal Cancer: A New Screening Technology?. Cancer Screening and Prevention, 3(2), 125–129. https://doi.org/10.14218/csp.2024.00005 
  • Zoschke, I. N., Bennis, S. L., Tang, Y., Wilkerson, J. M., Stull, C. L., Nyitray, A. G., Khariwala, S. S., Nichols, C. M., Rosser, B. R. S., Flash, C. A., & Ross, M. W. (2025). The influence of tobacco use, hazardous drinking, and other risk factors on HPV-associated oropharyngeal cancer risk and screening perceptions among gay and bisexual men: A cross-sectional study. BMC Oral Health, 25(1), 462. https://doi.org/10.1186/s12903-025-05774-0

THP-1

From 2021 to 2020, "Training for Health Professionals" (THP) is the world's first scientifically rigorous study of a sexual health curriculum for medical, nursing, and midwifery students at Muhimbili University of Health and Allied Sciences (MUHAS) in Tanzania. The Principal Investigators were Dr. B.R. Simon Rosser and Dr. Dickson Mkoka, and the study was funded by the NICHD. (Grant Number R01HD092655)

GoalsThe aims of THP-1 were to see if an Afrocentric sexual health course for medical and nursing students in Tanzania improve their knowledge, feelings, and practical skills for providing sexual health care.
How the
study was carried out

A four-day-curriculum was given to eligible midwifery, nursing, and medical students at MUHAS. The curriculum, written in English and Kiswahili, covered common sexual health topics in Tanzanian clinics. The topics included:

  • Sexual health across the lifespan
  • LGBTQ+ communities
  • Sexual violence
  • Clinical skills training
  • Ethics and policy writing
  • Community resources

After the intervention, the study's results were measured through changes in sexual health knowledge, attitudes, counseling skills, and beliefs.

Key results
  1. The sexual health curriculum helped improve the participants' knowledge of and confidence towards addressing sexual health concerns.
  2. Participants' beliefs and attitudes towards sexual health concerns became more open-minded.
  3. Most participants agreed that the intervention worked well and was culturally-appropriate.
Important takeawaysA tailored sexual health curriculum was effective at improving knowledge, attitudes, and confidence in providing sexual health care within health professional students in Tanzania.
SupplementThe THP study received a supplement (Grant Number R01HD092655-S1) for adapting the THP sexual health curricula across Muslim and Christian-majority health universities.
Publications
  • Ross, M.W., Leshabari, S., Rosser, B.R.S., Trent, M., Mgopa, L., Wadley, J. Kohli, N., Agardh, A. (2018). Evaluation of an assessment instrument for a sexual health curriculum for nurses and midwifery students in Tanzania: The Sexual Health Education Professionals Scale (SHEPS). Journal of Applied Nursing Research, 40:152-156. 
  • Rosser, B.R.S., Mgopa, L., Leshabari, S., Ross, M.W., Gadiel Lukumay, G., Massae, A., Mkonyi, E., Mohammed, I., Mushy, S.E. Mwakawanga, D., Trent, M. Wadley, J. (2020). Legal and ethical considerations in delivery of sexual health care in Tanzania. African Journal of Health, Nursing and Midwifery, 3(7), 84-102. 
  • Rosser, B.R.S., Maticka-Tyndale, E., Ross, M.W. (2021). Ethical challenges in international and global research. In S. Panicker & B. Stanley (eds). Handbook of Research Ethics in Psychological Science. Washington, DC: American Psychological Association.
  • Mgopa LR, Rosser, BRS, Ross, MW, Gadiel Lukumay, G, Mohammed, I,  Massae, A, Leshabari, S, Mkonyi, E, Mushy, S, Mwakawanga, D, Trent, M, Wadley, J, Bonilla, ZE. (2021). Cultural and clinical challenges in sexual health care provision to men who have sex with men in Tanzania: A qualitative study of health professionals’ experiences and health students’ perspectives. BMC Pubic Health, 21:676. 
  • Mgopa L.R, Gadiel G.L, Mushy S.E., Mkony E, Leshabari S, Massae A, Mwakawanga D.L, Mohammed I, Ross M.W, Trent M, Wadley J, Bonilla Z.E., Rosser B.R.S, (2022). Perceptions of sexual health care provision in Tanzania. A key informant qualitative study. Journal of Sexuality Research and Social Policy, 19: 849-859. 
  • Mgopa L.R, Rosser B.R.S, Ross M.W, Mohamed I, Gadiel G, Massae A, Mushy S, Mkonyi E, Mwakawanga D.L, Trent M, Wadley J, Bonilla Z.E, Leshabari S. Clinical care of victims of interpersonal violence and rape in Tanzania: A qualitative investigation. International Journal of Women’s Health, 13:727-741.
  • Mushy S.E., Gadiel Lukumay, G., Mgopa L.R, Bonilla, Z.E., Rosser, B.R.S., Massae, A., Mkonyi, E., Mohammed, I., Mwakawanga, D., Trent, M., Wadley, J. Ross, M.W., Leshabari, S. (2021). The management of masturbation as a sexual health problem by health professionals and students in Dar es Salaam, Tanzania: A qualitative focus group study. J. Sexual Medicine, 18(10):1690-1697. 
  • Mwakawanga, D.L., Mkonyi, E., Mushy, S.E, Trent, M., Rosser, B.R.S., Bonilla, Z.E. Massae, A., Mgopa, L.,.  Gadiel, G., Mohammed, I, Leshabari, S., Ross, M.W., Wadley, J. Would you offer a contraception to a 14-year Old Girl? Perspectives of Midwifery, Nursing, and Medical Students and Professionals in Dar es Salaam, Tanzania. BMC Reproductive Health, 18(245) 1-11. 
  • Mkonyi, E, Mwakawanga, D.L., Rosser, B.R.S., Bonilla, Z.E. Mgopa, L,.  Gadiel, G. Massae, A,,  Mohammed, I, Mushy, S.E, Ross, M.W., Trent, M., Wadley, J., Leshabari, S. (2022) The healthcare management of child sexual abuse in Tanzania: Results from a focus group study of midwifery, nursing and medical providers and students. Child Abuse and Neglect, 121, 105268.
  • Lukumay, G.G., Mgopa L.R, Mushy S.E, Rosser, B.R.S., Massae, A.F., Mkonyi, Mohammed, I., Mwakawanga D.L,  Trent M, Wadley J, Ross, M.W., Bonilla, Z., Leshabari, S.  (2023). Community myths and misconceptions about sexual health promotion: Stakeholders’ views from a qualitative study in Dar es salaam, Tanzania. Plos One, 18(2): e0264706. https://doi.org/10.1371/journal.pone.0264706. 
  • Rosser, B.R.S., Mkoka, D.A., Rohloff, C.,  Mgopa L.R., Ross, M.W., Lukumay, G.G., Mohammed, I., Massawe, A.F., Mkonyi, E., Mushy, S.E., Mwakawanga, D.L., Kohli, N., Trent, M., Wadley, J. Bonilla, Z.E. (2022). Tailoring a sexual health curriculum to the sexual health challenges seen by midwifery, nursing and medical providers and students in Tanzania. African Journal of Primary Health Care and Family Medicine. 14 (1): a3434.
  • Mkonyi, E., Mwakawanga, D.L., Rosser, B.R.S., . Bonilla, Z.E., Lukumay, G.G., Mohammed, I., Mushy, S.E., Mgopa, L.R., Ross, M.W., Massawe, A. F., Trent, M., Wadley, J. (2022). Management of Childhood Sexual Abuse by Healthcare Professionals in Dar es Salaam, Tanzania. Abstracts of the 25th Congress of the World Association for Sexual Health (WAS) and SASHSA (South African Sexual Health Association). International Journal of Sexual Health, 34(sup 1): A143.
  • Rosser, B.R.S., Mkoka, D.A., Lukumay, G.G., Mgopa, L.R., Trent, M., Ross, M.W., Kohli, N., Massawe, A.F., Mkonyi, E., Mushy, S,.E., Mwakawanga, D.L., Rolhoff, C., Wadley, J., Bonilla, Z.E. (2021). Development of an African-centric sexual health curriculum for midwifery, nursing and medical students and providers in Tanzania. Abstracts of the 25th Congress of the World Association for Sexual Health (WAS) and SASHSA (South African Sexual Health Association). International Journal of Sexual Health, 34(sup 1): A316.
  • Ross, M.W., Leshabari, S., Rolhoff, C., Mkoka, D.A., Lukumay, G.G., Mgopa, L.R., Trent, M., Kohli, N., Massae, A.F., Mkonyi, E., Mushy, S.E.,  Mwakawanga, D.L., Wadley, J., Bonilla, J.E., Mohammed, I., Rosser, B. R.S. (2021). Evaluating the sexual health education for professionals scale in a pilot course for health care professions: a Tanzanian trial. Abstracts of the 25th Congress of the World Association for Sexual Health (WAS) and SASHSA (South African Sexual Health Association). International Journal of Sexual Health, 34(sup 1): A326.
  • Mkonyi, E., Silla, N., Rohloff, C., Lukumay, G., Ross, M., Kohli, N., Mgopa, L., Massae, A., Mohammed, I., Mushy, S., Mwakawanga, D., Rosser, B. R., & Trent, M. (2023). Not Lost in Translation: The Use of Standardized Patients Technology among Health Professional Students in Tanzania. East African Journal of Health and Science, 6(1), 149-161. 
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  • Mkonyi, E., Trent, M., Mwakawanga, D., Massae, A., Ross, M., Bonilla, Z., Mohammed, I., Lukumay, G., Mushy, S., Mgopa, L., Wadley, J., Mkoka, D., & Rosser, B. R. (2023). Evaluating the History-Taking Process of Sexual Reproductive Health Problems in Tanzania: Lessons from a Study of Health Students and Practitioners. East African Journal of Health and Science, 6(1), 133-148. https://doi.org/10.37284/eajhs.6.1.1239.
  • Massae, A., Mgopa, L., Bonilla, Z.E., Mohammed, I., Mushy S.E., Gadiel, G., Rosser, B.R.S., Mkonyi, E., Mwakawanga, D., Ross, M.W., Leshabari, S., Wadley, J., Trent, M. (2024). Addressing sexual health concerns in Tanzania: Perceived barriers among midwifery, nursing and medical students and providers in the Training for Health Professionals study. Culture, Health and Sexuality, 26(9) 1217-1231.
  • Mkonyi, E., Trent, M., Mwakawanga, D., Massae, A., Ross, M., Bonilla, Z., Mohammed, I., Lukumay, G., Mushy, S., Mgopa, L., Wadley, J., Mkoka, D., & Rosser, B. R. (2024). Male Erectile Dysfunction Problems in Healthcare Facilities in Dar-es-Salaam, Tanzania. East African Journal of Health and Science, 7(1), 46-59. https://doi.org/10.37284/eajhs.7.1.1728
  • Mwakawanga, D.L, Massae, A.F., Lukumay, G.G., Mushy, S.E., Mkoka, D.A., Kohli, N., Mgopa, L.R., Rohloff, C.T., Mkonyi, E., Trent, M., Ross, M.W., Rosser, B.R.S., Connor, J. (2024). The need for, acceptability and feasibility of a curriculum to train nursing and medical students in the sexual health care of patients with female genital mutilation/circumcision in Tanzania: A Mixed-methods study. BMC Women’s Health, 24. Open access. 
  • Mushy, S.E., Mkoka, D.A., Lukumay, G.G., Massae, A.F., Mark, K., Rohloff, C.T., Mgopa, L.R., Mwakawanga, D.L., Kohli, N., Ross, M.W., Trent, M., Athuman, K., Rosser, B.R.S.  The need for and acceptability of a cancer training course for medical and nursing students in Tanzania: a convergent mixed methods study. BMC Med Educ 24, 614 (2024). https://doi.org/10.1186/s12909-024-05497-w
  • Lukumay, G.G., Trent, M. Mushy, S.E., Mgopa, L.R., Rosser, B.R.S., Mkoka, D.A., Kohli, N., Rohloff, C.T., Mkonyi, E., Massawe, A.F., Mwakawanga, D.L., Ross, M.W. (2024). Sexual health communication and history taking: Inter-rater reliability of standardized patients and faculty ratings in Dar es Salaam, Tanzania. BMC Education, in press.
  • Mushy, S.E., Lukumay, G.G., Massae, A.F., Mkoka, D.A., Rohloff, C.T., Kohli, N., Mgopa, L.R., Mwakawanga, D.L., Mkonyi, E., Ross, M.W. and Trent, M., (2025). Knowledge of Mandatory Reporting Laws and Recording of Clients’ Abuse Data: Effects of a Sexual Health Curriculum Training for Health Students in Tanzania. Journal of Child Sexual Abuse, 34(1):103-122.
  • Mkoka, D. A., Ross, M. W., Mkonyi, E., Trent, M., Lukumay, G. G., Kohli, N., Mgopa, L. R., Rohloff, C. T., Mwakawanga, D. L., Mohammed, I., Mushy, S. E., Massae, A. F., Zhang, Z., & Rosser, B. R. S. (2025). Evaluation of an Afrocentric Sexual Health Education Curriculum for Medical, Nursing and Midwifery Students in Tanzania. East African Journal of Health and Science, 8(1). https://doi.org/https://doi.org/10.37284/2707-3920 
  • Rosser, B.R.S., Mkoka, D.A., Trent, M., Kohli, N., Mgopa L.R., Rohloff, C.T., Mkonyi, E., Ross, M.W., Mushy, S.E., Mohammed, I., Massae, A.F., Zhang, Z., Mwakawanga, D.L., Lukumay, G.G. (2025). Effects of an Afrocentric sexual health education curriculum for medical, nursing and midwifery students in Tanzania: A single blinded randomized controlled phase 3 trial. Archives of Sexual Behavior, in press.
  • Mark, K.P., Mushy, S.E., Puchner-Hardman, M., Mgopa, L.R., Lukumay, G.G., Rosser, B.R.S., Massawe, A.F., Mwakawanga, D.L., Chikwala, V.Z., Sumari, E.I., Lyimo, A.A., Kilian, K., Trent, M.E., Ross, M.W., Löfgren, C., Connor, J.J., Mfinanga, R.F., Mkoka, D.A. (2025). Needs assessment of training midwifery, nursing, and medical students in sexual and reproductive health care for people with disabilities in Tanzania. Disability & Health Journal, in press.