Improving Culturally Appropriate Care Using a Community-Based Participatory Research Approach: Evaluation of a Multicomponent Cultural Competency Training Program, Arkansas, 2015–2016

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  McElfish, Pearl Anna ; Long, Christopher R. ; Rowland, Brett ; Moore, Sarah ; Wilmoth, Ralph ; Ayers, Britni
• Description:
  Introduction
  
  The United States continues to become more racially and ethnically diverse, and racial/ethnic minority communities encounter sociocultural barriers to quality health care, including implicit racial/ethnic bias among health care providers. In response, health care organizations are developing and implementing cultural competency curricula. Using a community-based participatory research (CBPR) approach, we developed and evaluated a cultural competency training program to improve the delivery of culturally appropriate care in Marshallese and Hispanic communities.
  
  Methods
  
  We used a mixed-methods evaluation approach based on the Kirkpatrick model of training evaluation. We collected quantitative evaluation data immediately after each training session (March 19, 2015–November 30, 2016) and qualitative data about implementation at 2 points: immediately after each session and 6 months after training. Individuals and organizational units provided qualitative data.
  
  Results
  
  We delivered 1,250 units of in-person training at 25 organizations. Participants reported high levels of changes in knowledge (91.2%), competence (86.6%), and performance (87.2%) as a result of the cultural competency training. Organizations reported making policy and environmental changes.
  
  Conclusion
  
  Initial outcomes demonstrate the value of developing and implementing cultural competency training programs using a CBPR approach. Additional research is needed to determine the effect on long-term patient outcomes.
  
  
• Subjects:
  Community-Based Participatory Research Cultural Competency Culturally Competent Care Ethnicity Female Health Knowledge, Attitudes, Practice Health Personnel Humans Male Minority Groups
• Source:
  Prev Chronic Dis. 14.
• DOI:
  http://dx.doi.org/10.5888/pcd14.170014
• ISSN:
  1545-1151
• Pubmed ID:
  28771402
• Pubmed Central ID:
  PMC5542547
• Document Type:
  Journal Article
• Funding:
  U58 DP005545/DP/NCCDPHP CDC HHS/United States ; UL1 TR000039/TR/NCATS NIH HHS/United States
• Place as Subject:
  Arkansas
• Location:
  North America
• Volume:
  14
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:db6e6e7991bb071627e2358e0036bbe93c7c985d0fa662892cc9b19a3d295856dd23c2e36047f838184bc0e38ef5676cacdcfde8e53151e162f568e765afb12e
• Download URL:
  https://stacks.cdc.gov/view/cdc/47761/cdc_47761_DS1.pdf
• File Type:
  [PDF - 335.29 KB ]