Development and Initial Testing of the Multidimensional Cultural Humility Scale

Gonzalez, Edith; Sperandio, Katharine R.; Mullen, Patrick R.; Tuazon, Victor E.

doi:10.1080/07481756.2020.1745648

Cited by 34 publications

(36 citation statements)

References 28 publications

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“…It would be valuable for future research to use additional measures of cultural competencies that are resistant to self-report bias such as implicit attitudes measures and use of vignettes, role plays, or observational methods. While no studies in this review measured cultural humility among trainees, a new scale was developed that could be used in future research, the Multidimensional Cultural Humility Scale (MCHS; Gonzalez et al, 2021). We encourage use of the MCHS and client-reported cultural humility scales, such as the Cultural Humility Scale (Hook et al, 2013) to determine the effectiveness of queer-affirming training in increasing mental health providers’ cultural humility.…”

Section: Discussionmentioning

confidence: 99%

Training mental health providers in queer-affirming care: A systematic review.

Bettergarcia¹,

Matsuno²,

Conover³

2021

Psychology of Sexual Orientation and Gender Diversity

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The effectiveness of training for mental health professionals to increase queer-affirming (e.g., lesbian, gay, bisexual, pansexual) cultural competencies has not been well established. Though there is an assumption that training generally works to increase or improve knowledge, attitudes, and skills, it is unclear what training format, content, and pedagogical approaches are effective. To explore the effectiveness of cultural competency training interventions for mental health professionals, a systematic review of peer-reviewed empirical articles in English published between 2000 and 2020 was conducted. Studies were selected for inclusion if the article was empirical, evaluated a training or education related to working with queer clients, and participants were mental health providers or graduate level trainees. Independent data extraction was conducted by using predefined thematic content areas, including information about the research method, training content, training format, measures, outcomes, and recommendations. Data was reviewed for 13 studies and training duration varied from 1 hr to 1 year. Most studies measured knowledge, and some measured attitudes, skills, and self-efficacy. There is some evidence that queer cultural competency training helps to improve self-reported knowledge, attitudes, and skills for mental health professionals. However, given several limitations, including a lack of studies and various methodological challenges, clear conclusions cannot be made about the effectiveness of queer cultural competency training for mental health professionals, more broadly. Public Significance StatementEvidence-based queer-affirming training for mental health professionals is needed and a systematic review of this literature provides an overview of the current research. Training in this area tends to increase self-reported cultural competency, however, more research and rigorous methods are needed to continue testing the effectiveness of such training.

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Section: Discussionmentioning

confidence: 99%

Training mental health providers in queer-affirming care: A systematic review.

Bettergarcia¹,

Matsuno²,

Conover³

2021

Psychology of Sexual Orientation and Gender Diversity

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“…34 Though "organizational support" has been evidenced as a distinguished and critical factor in the measurement of cultural competence, it is not widely validated in existing healthcare provider bias and stigma-related assessments. [35][36][37][38][39]…”

Section: Discussionmentioning

confidence: 99%

“…1,6,33,34 Existing reliable assessments for examining provider bias mainly rely on self-report measures with only a few contextualizing the practitioner within the workplace to include structural and systematic factors. [35][36][37][38][39] Health Inequities and Disparities Resulting from Stigma and Bias Numerous studies have how a longstanding history of systemic racism has in uenced health disparities. 40,41 The American Heart Association has linked poor cardiovascular health to self-reported experiences of racism, and literature has documented poor health outcomes for Black women compared to White women in many areas, including but not limited to pre/post-natal, mental health, and pain outcomes.…”

Section: Discussionmentioning

confidence: 99%

Methods for evaluating external facilitation as a strategy to nationally implement a novel stigma-reduction training tool for healthcare providers

Wasmuth

Belkiewitz

Bravata

et al. 2022

Preprint

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Background. Identity Development Evolution and Sharing (IDEAS) is a theatre-based intervention for reducing healthcare provider stigma. IDEAS films are created by: collecting narratives from people who have experienced discrimination and healthcare inequity; partnering with professional playwrights to create theatrical scripts that maintain the words of the narratives while arranging them into compelling storylines involving several interviews; and hiring professional actors to perform and record scenes. IDEAS implementation requires a moderator to establish a respectful learning environment, play the filmed performance, set ground rules for discussion, and moderate a discussion between healthcare providers who viewed the film and invited panelists who are members of the minoritized population being discussed. IDEAS’ impact on provider stigma is measured via pre/post Acceptance and Action Questionnaire – Stigma (AAQ-S) data collected from participating providers. The objectives of this manuscript are to: provide narrative review of how provider stigma may lead to healthcare inequity and health disparities; describe the conceptual frameworks underpinning the IDEAS intervention; and outline methods for IDEAS implementation and implementation evaluation. Methods. This manuscript describes a hybrid type 3 design study protocol that uses the Consolidated Framework for Implementation Research (CFIR) to evaluate external facilitation, used as an implementation strategy to expand the reach of IDEAS. CFIR is also used to assess the impact of characteristics of the intervention and implementation climate on implementation success. Implementation success is defined by intervention feasibility and acceptability as well as self-efficacy of internal facilitators. This manuscript details the protocol for collection and evaluation of implementation data alongside that of effectiveness data. The manuscript provides new information about the use of configurational analysis, which uses Boolean algebra to analyze pathways to implementation success considering each variable, within and across diverse clinical sites across the United States. Discussion. The significance of this protocol is that it outlines important information for future hybrid type 3 designs wishing to incorporate configurational analyses and/or studies using behavioral or atypical, complex, innovative interventions. The current lack of evidence supporting occupational justice-focused interventions and the strong evidence of stigma influencing health inequities underscore the necessity for the IDEAS intervention.

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“…Prior to the scenario, the residents were prompted to complete a pre-simulation survey (Appendix A). The survey consisted of 15 questions from the Multidimensional Cultural Humility Scale (MCHS) [ 12 ]. The questions were derived from five components of Foronda et al: cultural humility, including questions about openness, self-awareness, ego-less, supportive interactions, and self-reflection and critique [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

Integrating Cultural Humility Into Infant Safe Sleep Counseling: A Pediatric Resident Simulation

Moore¹,

Hecht²,

Sui³

et al. 2021

Cureus

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Introduction: Co-sleeping with infants is a common practice across cultures, but pediatricians may struggle to engage in patient-centered conversations about infant sleep practices with non-native English-speaking families. Cultural humility is a critical skill to utilize when engaging in cross-cultural conversations. We designed a simulation for pediatric residents to counsel on safe sleep and enhance skills in self-perceived cultural humility and preparedness when caring for diverse patient populations.Methods: We created a simulation for the second year and senior pediatric residents at a large academic institution focused on a co-sleeping parent and infant from the Burmese community. The Multidimensional Cultural Humility Scale (MCHS) was administered prior to and after the simulation. We also included additional questions regarding changes in knowledge and preparation in engaging in co-sleeping conversations across cultures.Results: Fifty-seven residents participated. Overall, the mean score of the MCHS significantly increased after the simulation, indicating an increase in self-perceived cultural humility. All participants felt more prepared to have conversations about co-sleeping and to engage in difficult conversations with diverse patient populations, and all learned valuable skills to improve care for future patients. Comments regarding the scenario noted an appreciation for learning more about the Burmese population and understanding new approaches to safe sleep counseling. Discussion: After this simulated scenario, residents reported increased self-perceived cultural humility, preparedness in counseling on co-sleeping, and skills to engage in difficult conversations with diverse patient populations. Topics such as cultural humility can be incorporated into simulation-based medical education to help improve the care of diverse patient populations.

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Development and Initial Testing of the Multidimensional Cultural Humility Scale

Cited by 34 publications

References 28 publications

Training mental health providers in queer-affirming care: A systematic review.

Training mental health providers in queer-affirming care: A systematic review.

Methods for evaluating external facilitation as a strategy to nationally implement a novel stigma-reduction training tool for healthcare providers

Integrating Cultural Humility Into Infant Safe Sleep Counseling: A Pediatric Resident Simulation

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Development and Initial Testing of the Multidimensional Cultural Humility Scale

Cited by 34 publications

References 28 publications

Training mental health providers in queer-affirming care: A systematic review.

Training mental health providers in queer-affirming care: A systematic review.

Methods for evaluating external facilitation as a strategy to nationally implement a novel stigma-reduction training tool for healthcare providers ​

Integrating Cultural Humility Into Infant Safe Sleep Counseling: A Pediatric Resident Simulation

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Product

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Methods for evaluating external facilitation as a strategy to nationally implement a novel stigma-reduction training tool for healthcare providers