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Exploring The Impact of Acceptance and Commitment Based Cultural Humility Training on Standardized Patient
Kian Assemi1, Anayansi Lombardero2, Donna M West3
1Reno Behavior Analysis Program, University of Nevada, 1664 N, Virginia Street, Reno, NV, 89557-0296, USA. kassemi@nevada.unr.edu.
Journal of Clinical Psychology in Medical Settings
|July 9, 2024
Summary
This study shows that a cultural humility intervention improved medical students' ability to respond to patient microaggressions, as measured by one scale. Further research is needed to refine assessment tools for cultural humility training.
Area of Science:
- Health Sciences
- Medical Education
- Psychology
Background:
- Culturally humble interactions are crucial for healthcare professionals.
- Assessing cultural humility is key to improving training.
- Previous research established a foundation for this study.
Purpose of the Study:
- To implement and assess an evidence-based cultural humility intervention for medical students.
- To improve medical students' culturally humble responses to standardized patients reporting microaggressions.
- To evaluate the effectiveness of the intervention using direct behavioral observation.
Main Methods:
- An evidence-based cultural humility intervention, based on Acceptance and Commitment Training, was implemented.
- Medical students' interactions with standardized patients (SPs) reporting microaggressions were assessed.
- Direct behavioral observation using two measurement scales (ARISE and Responsiveness to Racial Challenges Scale) was employed in a pre-post design.
Main Results:
- Statistically significant improvements were observed in culturally humble responses on the ARISE scale.
- No significant improvements were found on the Responsiveness to Racial Challenges Scale.
- Further analysis explored a potential ceiling effect on the scale that did not show improvement.
Conclusions:
- The intervention demonstrated partial success in enhancing medical students' culturally humble responses.
- The findings suggest the need for further refinement of assessment tools for cultural humility.
- Implications for future research in medical education and cultural humility training are discussed.
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