Kutob Randa M, Senf Janet H, Harris John M
Department of Family and Community Medicine, University of Arizona, USA.
Fam Med. 2009 Mar;41(3):167-74.
Increased cultural competence is a tool in the fight to eliminate health disparities in people with diabetes. However, questions remain regarding the best cultural competence teaching, evaluation, and dissemination methods. An Internet-based approach requires less facilitator time and provides greater ease of dissemination. We developed and tested a skills-focused, Internet-based course on cultural competence in the context of type 2 diabetes.
To test the effectiveness of the course, a randomized controlled trial was conducted on a national sample of 122 family medicine residents. The primary outcome was measured by changes in score on the Cultural Competence Assessment Tool (CCAT), a new self-assessment tool developed for this study.
Total CCAT score increased significantly after the completion of the Internet course for 58 residents in the experimental group (83.55 before the course, 192.09 after the course) but did not change for the 64 residents in the control group (177.58 at baseline, 177.84 at end of study). On multivariate analysis, the only significant predictor of total CCAT score change was having taken the online course.
A skills-based course on cultural competence, delivered via the Internet, is an effective educational strategy. It has potential for dissemination of standardized content.
提高文化能力是消除糖尿病患者健康差距斗争中的一项工具。然而，关于最佳的文化能力教学、评估和传播方法仍存在问题。基于互联网的方法所需的协调员时间较少，且传播更容易。我们开发并测试了一门以技能为重点、基于互联网的2型糖尿病文化能力课程。
为测试该课程的有效性，对122名家庭医学住院医师的全国样本进行了一项随机对照试验。主要结局通过文化能力评估工具（CCAT）的得分变化来衡量，CCAT是为本研究开发的一种新的自我评估工具。
实验组的58名住院医师完成互联网课程后，CCAT总分显著提高（课程前为83.55，课程后为192.09），而对照组的64名住院医师则没有变化（基线时为177.58，研究结束时为177.84）。多变量分析显示，CCAT总分变化的唯一显著预测因素是参加了在线课程。
通过互联网提供的以技能为基础的文化能力课程是一种有效的教育策略。它具有传播标准化内容的潜力。
