Mills Stacia, Xiao Anna Q, Wolitzky-Taylor Kate, Lim Russell, Lu Francis G
Los Angeles County + University of Southern California.
University of Southern California.
Transcult Psychiatry. 2017 Apr;54(2):179-191. doi: 10.1177/1363461517700812. Epub 2017 Mar 30.
The objective of this study was to assess whether a 1-hour didactic session on the DSM-5 Cultural Formulation Interview (CFI) improves the cultural competence of general psychiatry residents. The main hypothesis was that teaching adult psychiatry residents a 1-hour session on the CFI would improve cultural competence. The exploratory hypothesis was that trainees with more experience in cultural diversity would have a greater increase in cultural competency scores. Psychiatry residents at a metropolitan, county hospital completed demographics and preintervention questionnaires, were exposed to a 1-hour session on the CFI, and were given a postintervention questionnaire. The questionnaire was an adapted version of the validated Cultural Competence Assessment Tool . Paired samples t tests compared pre- to posttest change. Hierarchical linear regression assessed whether pretraining characteristics predicted posttest scores. The mean change of total pre- and posttest scores was significant ( p = .002), as was the mean change in subscales Nonverbal Communications ( p < .001) and Cultural Knowledge ( p = .002). Demographic characteristics did not predict higher posttest scores (when covarying for pretest scores). Psychiatry residents' cultural competence scores improved irrespective of previous experience in cultural diversity. More research is needed to further explore the implications of the improved scores in clinical practice.
本研究的目的是评估关于《精神疾病诊断与统计手册》第五版文化定式访谈（CFI）的1小时教学课程是否能提高普通精神病学住院医师的文化能力。主要假设是，对成年精神病学住院医师进行1小时的CFI教学课程将提高文化能力。探索性假设是，在文化多样性方面有更多经验的受训者在文化能力得分上的提高会更大。一家大都市县医院的精神病学住院医师完成了人口统计学和干预前问卷，参加了1小时的CFI教学课程，并在课程后填写了问卷。该问卷是经过验证的文化能力评估工具的改编版。配对样本t检验比较了干预前后的变化。分层线性回归评估了培训前的特征是否能预测测试后的分数。测试前和测试后总分的平均变化具有显著性（p = 0.002），非言语沟通（p < 0.001）和文化知识（p = 0.002）子量表的平均变化也是如此。人口统计学特征并不能预测更高的测试后分数（在对测试前分数进行协变量调整时）。无论之前在文化多样性方面的经验如何，精神病学住院医师的文化能力得分均有所提高。需要更多的研究来进一步探索得分提高在临床实践中的意义。
