Skip to main content
Log in

Evaluation of a Cross Cultural Curriculum: Changing Knowledge, Attitudes and Skills in Pediatric Residents

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Objectives The purpose of this study was to evaluate the effectiveness of six online modules, the Cross Cultural Case Stories, designed to teach healthcare professionals and trainees to provide culturally competent care to children with chronic respiratory conditions and their families. Modules increase provider awareness of the types of factors that may vary between cultures. This study assessed learner change in the three domains of knowledge, attitudes and self-reported skills. Improving on earlier studies, this evaluation included a control group for comparison. Methods Subjects comprised 66 first and second year pediatric residents at the University of Florida. Each module includes Objectives, Key Word definitions, Case Story, Lecture, Interactive Exercises and References. Intervention subjects completed an assessment tool before and after training. Control subjects completed the spaced assessments without completing the modules in-between. Results Within the intervention group there was a significant effect associated with the intervention. On average, participants within this group improved 1.67 points on the knowledge assessment (p < .01), 13.64 points on the attitudes self-assessment (p = .01) and 6.86 points on the skills assessment (p ≤ 0.01). When comparing between the intervention and control group significant differences were found in the post knowledge, post skills and post attitudes assessment, with the intervention group exceeding scores from the control group. Conclusions The Cross Cultural Cases provide an accessible, comprehensive and effective means for teaching healthcare and public health professionals and trainees. These cases can potentially provide training for students and practicing professionals from multiple medical and public health related disciplines.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Committee on Pediatric Workforce (2013). Enhancing Pediatric Workforce Diversity and Providing Culturally Effective Pediatric Care: Implications for Practice, Education and Policy Making. Pediatrics, 132, e1105–e1116.

    Article  Google Scholar 

  • American Academy of Pediatrics Committee on Pediatric Workforce. Ensuring culturally effective pediatric care: Implications for education and health policy. Pediatrics. 2004; 114 (6): 1677–1685.

    Article  Google Scholar 

  • American Association of Medical Colleges. Tool for Assessing Cultural Competence Training. Retrieved from December 5, 2015, from https://www.aamc.org/initiatives/tacct/

  • American College of Physicians. Cultural Proficiency: The Importance of Cultural Proficiency in Providing Effective Care for Diverse Populations. Philadelphia: American College of Physicians; 2014: Policy Paper. Retrieved from May 12, 2015, from http://www.aafp.org/about/policies/all/cultural-diverse-populations.html

  • Betancourt JR, Green AR, Carillo JE. Cultural competence in health care: Emerging frameworks and practical approaches. Field Report for the Commonwealth Fund. Retrieved from August 28, 2015, from http://www.commonwealthfund.org/publications/fund-reports/2002/oct/cultural-competence-in-health-care-emerging-frameworks-and-practical-approaches

  • Carter, M. M., Lewis, L. L., Sbrocco, T., Tanenbaum, R., Oswald, J. C., Sykora, W., Williams, P., & Hill, L. D. (2006). Cultural competency training for third-year clerkship students: effects of an interactive workshop on student attitudes. Journal of the National Medical Association, 98(11), 1772–1778.

    PubMed  PubMed Central  Google Scholar 

  • Cheng, T. L., Emmanuel, M. A., Levy, D. J., & Jenkins, R. R. (2015). Child Health Disparities: What Can a Clinician Do? Pediatrics, 136(5), 961–968. doi:10.1542/peds.2014-4126.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chin, J. L. (2000). Culturally competent healthcare. Public Health Reports, 115, 25–33.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd edn.). Hillsdale, NJ: Lawrence Earlbaum Associates.

    Google Scholar 

  • Crenshaw, K., Shewchuk, R. M., Qu, H., Staton, L. J., Bigby, J. A., Houston, T. K., Allison, J., & Estrada, C. (2011). What Should We Include in a Cultural Competence Curriculum? An emerging formative evaluation process to foster curriculum development. Academic Medicine, 86(3), 333–341.

    Article  PubMed  PubMed Central  Google Scholar 

  • Horvat, L., Horey, D., Romios, P., & Kis-Rigo, J. (2014). Cultural competence education for health professionals. Cochrane database of systematic reviews (Online), 5, CD009405. doi:10.1002/14651858.CD009405.pub2.

    Google Scholar 

  • Institute of Medicine. (2003). Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, D.C.: National Academy of Sciences

    Google Scholar 

  • Lieu, T. A., Finkelstein, J. A., Lozano, P., Capra, A. M., Chi, F. W., Jensvold, N., Quesenberry, C. P., & Farber, H. J. (2004). Cultural Competence Policies and Other Predictors of Asthma Care Quality for Medicaid-Insured Children. Pediatrics, 114, e102–e110.

    Article  PubMed  Google Scholar 

  • Lopez, L., Vranceanu, A. M., Cohen, A. P., Betancourt, J., & Weissman, J. S. (2008). Personal characteristics associated with resident physicians’ self preparedness to deliver cross cultural care. Journal of General Internal Medicine: Official Journal of the Society for Research and Education in Primary Care Internal Medicine, 23(12), 1953–1958.

    Article  Google Scholar 

  • Maldonado, M. E., Fried, E. D., DuBose, T. D., Nelson, C., & Breida, M. (2014). The role that graduate medical education must play in ensuring health equity and eliminating health care disparities. Annals of the American Thoracic Society, 11(4), 603–607. doi:10.1513/AnnalsATS.201402-068PS.

    Article  PubMed  Google Scholar 

  • Muzumdar, J. M., Holiday Goodman, M., Black, C., & Powers, M. (2010). Cultural competence knowledge and confidence after classroom activities. American Journal of Pharmaceutical Education, 74(8), 150.

    Article  PubMed  PubMed Central  Google Scholar 

  • Noble, C. C., Jensen, E., & Steffen, D. Moving the Needle: A Retrospective Pre- and Post-analysis of Improving Perceived Abilities Across 20 Leadership Skills. Maternal and Child Health Journal. 14(4), 642–648.

  • Palmer, R. C., Smason, R., Triantis, M., & Mullan, I. D. (2011). Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers. BMC Medical Education, 11, 59.

    Article  PubMed  PubMed Central  Google Scholar 

  • Staton, L. J., Estrada, C., Panda, M., Ortiz, D., & Roddy, D. (2013). A multimethod approach for cross-cultural training in an internal medicine residency program. Medical Education Online, 18, 20352. doi:10.3402/meo.v18i0.20352.

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the faculty of the national Pediatric Pulmonary Centers who assisted in the content development of the Cross Cultural Case Studies. The authors would also like to thank the University of Wisconsin Department of Instructional Technology for developing the templates used in this project. A list of contributing individuals can be found at http://support.mchtraining.net/national_ccce/developers.html. This project was funded in part by the Maternal and Child Health Bureau Grant #T72MC00002.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan Horky.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Horky, S., Andreola, J., Black, E. et al. Evaluation of a Cross Cultural Curriculum: Changing Knowledge, Attitudes and Skills in Pediatric Residents. Matern Child Health J 21, 1537–1543 (2017). https://doi.org/10.1007/s10995-017-2282-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-017-2282-3

Keywords

Navigation