245195 Validation and use of a new patient-centered culturally sensitive health care provider inventory

Tuesday, November 1, 2011: 8:30 AM

Khanh N. Nghiem, MS , Department of Psychology, University of Florida, Gainesville, FL
Allysha Robinson, MPH , Bloomberg School of Public Health, Dept. of Health, Behavior, Society, Johns Hopkins University, Baltimore, MD
Carolyn M. Tucker, PhD , Department of Psychology, University of Florida, Gainesville, FL
Whitney Wall, MPH , Department of Psychology, University of Florida, Gainesville, FL
Julia Roncoroni, BA , Department of Psychology, University of Florida, Gainesville, FL
Provider cultural sensitivity has been positively associated with patient satisfaction (Joffe et al., 2003), treatment adherence (Wilson et al., 2004), and health outcomes (Beach, et al., 2006). Despite the calls for patient-centered care and cultural competence research, there are few inventories for use by patients to evaluate their health care providers. The Tucker-Culturally Sensitive Health Care Provider Inventory Patient Form (T-CSHCPI-PF) is an inventory for patients to evaluate their providers' level of cultural sensitivity. The T-CSHCPI-PF is novel in that it assesses provider cultural sensitivity as defined by culturally diverse adult patients. The constructs of the T-CSHCPI-PF identify providers' behaviors and skills that enable their patients to feel comfortable, trusting, and respected during their health care experience. The purpose of the present study was to determine the factor structure, internal consistency, and reliability of the T-CSHCPI-PF using a sample of adult patients (N=1,681) from 67 health care sites (e.g., hospitals, community health centers, private practices) across the United States. The sample included 1,681 adults (530 men, 1,060 women, 90 undefined) of whom 21% were African American, 35% were White, 33% were Hispanic, and 11% were Asian American. Participants were recruited by trained community member data collectors at their health care sites. Participants anonymously completed the assessment battery and returned it to the data collector, and were compensated $15 via money order. The assessment battery included the T-CSHCPI-PF, the Patient Satisfaction Questionnaire Short Form (Marshall & Hays, 1994), and a demographic data information questionnaire. Exploratory and confirmatory factor analyses identified three factors: Sensitivity/Interpersonal Skill, Competence/Confidence, and Respect/Communication. These factors evidenced excellent internal consistency with high Cronbach's alphas (Sensitivity/Interpersonal Skill = .95, Competence/Confidence = .93, and Respect/Communication = .94). A Pearson correlation analysis indicated that each of these factors was highly correlated with the Patient Satisfaction Questionnaire Short Form subscales (p < .001). This suggests that the T-CSHCPI-PF is a highly valid measure. The T-CSHCPI-PF may be a useful inventory for obtaining patients' feedback on their providers' cultural sensitivity. Future applications of the T-CSHCPI-PF will be explored, including assessing the effectiveness of trainings to promote patient-centered cultural sensitivity among providers, and a clinical tool which will allow providers to customize their patients' health care by displaying the behaviors that they find most important. Thus, these future applications have important implications for addressing calls for assessments and training to promote cultural sensitivity in efforts to reduce health disparities.

Learning Areas:
Diversity and culture
Public health administration or related administration
Social and behavioral sciences

Learning Objectives:
1)Identify a new instrument designed to assess the patient perceived cultural sensitivity of health care providers. 2)Discuss applications of this instrument in addressing calls for culturally sensitive assessments and training in efforts to reduce health disparities

Keywords: Cultural Competency, Assessments

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I organize and evaluate community-based research interventions and research studies regarding health care access and culturally sensitive health care delivery.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.