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An Acceptance and Commitment Training (ACT) Framework for Teaching Cultural Humility: A Guide for Translating ACT
Anayansi Lombardero1, Kian S Assemi2, Negar N Jacobs3
1Department of Psychiatry and Behavioral Sciences, University of Nevada, Reno, School of Medicine, 5190 Neil Road Suite 215/MS0354, Reno, NV, 89502-0354, USA. alombardero@med.unr.edu.
Journal of Clinical Psychology in Medical Settings
|September 2, 2022
Summary
This study trained medical students using Acceptance and Commitment Training (ACT) for cultural humility. The training improved students' attitudes, knowledge, and beliefs when working with diverse patient populations.
Area of Science:
- Medical Education
- Cultural Competency
- Psychological Flexibility
Background:
- Physicians require enhanced skills to effectively serve diverse patient populations.
- Cultural humility is crucial for equitable patient care.
- Existing medical education may not adequately address cultural humility.
Purpose of the Study:
- To evaluate the impact of Acceptance and Commitment Training (ACT) modules on cultural humility in medical students.
- To improve medical students' attitudes, knowledge, and beliefs regarding diverse patient care.
- To enhance psychological flexibility and cultural humility through online interactive modules.
Main Methods:
- Developed online interactive modules integrating ACT skills for cultural humility.
- Taught modules to 4th-year medical students in an elective Medical Spanish course.
- Analyzed pre- and post-module data using paired samples t-tests and Wilcoxon signed-rank tests.
Main Results:
- Significant increases in cultural humility and psychological flexibility observed.
- Participants showed improved attitudes, knowledge, and beliefs toward diverse ethnicities.
- High satisfaction and social validity ratings for the cultural humility modules.
Conclusions:
- ACT-based cultural humility training effectively enhances medical students' competence with diverse populations.
- The developed curriculum offers a scalable framework for diversity, equity, and inclusion education in medical schools.
- This approach promotes culturally humble care and improves patient outcomes.
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