Bauer Alexandria G, Balaraman Amudha, Gilmore Ayanna
Rutgers University-New Brunswick, 607 Allison Road, Piscataway, NJ, 08854, USA.
The New School for Social Research, 6 E 16 St, New York, NY, 10003, USA.
J Behav Health Serv Res. 2025 Jun 18. doi: 10.1007/s11414-025-09953-3.
Cultural humility is an important provider-level strategy for improving engagement and retention in mental health care. Yet, little research has used theoretical frameworks to examine beliefs and intentions to practice with cultural humility among mental health providers. The current study aimed to fill this gap by using the Theory of Planned Behavior (TPB) to qualitatively explore beliefs, norms, and attitudes regarding cultural humility practice among a sample of 16 professional mental health providers. Participants were predominately women (89.5%), with an average age of 38 years old (SD = 7.98). Participants completed a 30- to 60-min online interview. Thematic analysis was used to examine patterns and identify overarching themes within TPB constructs of behavioral, normative, and control beliefs. Themes within behavioral beliefs reflected improved practice, particularly for working with clients from marginalized groups. However, there was uncertainty in navigating cultural humility practice and concerns about potentially altering the client relationship. Referents for normative beliefs were clinical agencies, professional organizations, university training programs, and supervisors and mentors. Within control beliefs, themes for facilitators and barriers centered around lack of support from mental health systems, personal limitations and strengths, and professional development. This study furthers understanding of mental health providers' attitudes and intentions to practice with cultural humility, as well as underscoring the nuances of when and how these practices are used. This research can help to address barriers and promote cultural humility practice among mental health providers across multiple fields.
文化谦逊是提高精神卫生保健服务参与度和留存率的一项重要的提供者层面的策略。然而，很少有研究运用理论框架来考察精神卫生服务提供者在实践中秉持文化谦逊的信念和意图。本研究旨在通过运用计划行为理论（TPB）来定性探索16名专业精神卫生服务提供者样本中关于文化谦逊实践的信念、规范和态度，以填补这一空白。参与者主要为女性（89.5%），平均年龄38岁（标准差=7.98）。参与者完成了一次30至60分钟的在线访谈。采用主题分析法来考察行为、规范和控制信念的TPB结构中的模式并确定总体主题。行为信念中的主题反映出实践的改善，特别是在与边缘化群体的客户合作方面。然而，在践行文化谦逊方面存在不确定性，并且担心可能会改变与客户的关系。规范信念的参照对象是临床机构、专业组织、大学培训项目以及督导和导师。在控制信念方面，促进因素和障碍的主题围绕精神卫生系统缺乏支持、个人局限和优势以及专业发展展开。本研究进一步加深了对精神卫生服务提供者践行文化谦逊的态度和意图的理解，同时也强调了这些实践在何时以及如何运用方面的细微差别。这项研究有助于解决障碍，并促进多个领域的精神卫生服务提供者践行文化谦逊。
