Development and testing of a bespoke cultural intervention to support healthcare professionals with patients from a diverse background

Deshmukh, Ashwini and Roberts, Lisa and Adebajo, Adewale and Kamal, Atiya and Armitage, Christopher J and Evison, Felicity and Bunting, Helen and Dubey, Shirish and Moorthy, Arumugam and Reehal, Joti and Dogra, Nisha and Kumar, Kanta (2023) Development and testing of a bespoke cultural intervention to support healthcare professionals with patients from a diverse background. Rheumatology, 63 (5). pp. 1352-1358. ISSN 1462-0324

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Abstract

Objective
Development and test of a culturally sensitive intervention for rheumatology healthcare professionals (HCPs).

Methods
Using a before and after study design, 15 HCPs were recruited to undertake the bespoke intervention from four National Health Service sites across England, in areas serving a diverse population. The intervention was evaluated using two validated outcomes: (i) Patient Reported Physician Cultural Competency (PRPCC); and (ii) Patient Enablement Instrument (PEI), measuring patients’ perceptions of their overall healthcare delivery. Additionally, HCPs completed the COM-B questionnaire for capability (C), opportunity (O) and motivation (M) to perform behaviour (B), measuring behaviour change.

Results
Two hundred patients were recruited before HCPs undertook the intervention (cohort 1), and 200 were recruited after (cohort 2) from 15 HCPs; after exclusions 178 patients remained in cohort 1 and 186 in cohort 2. Sixty percent of patients identified as white in both recruited cohorts, compared with 29% and 33% of patients (cohorts 1 and 2, respectively) who identified as being of South Asian origin. After the intervention, the COM-B scores indicated that HCPs felt more skilled and equipped for consultations. No significant differences were noted in the average overall cultural competency score between the two cohorts in white patients (57.3 vs 56.8, P = 0.8), however in the South Asian cohort there was a statistically significant improvement in mean scores (64.1 vs 56.7, P = 0.014). Overall, the enablement score also showed a statistically significant improvement following intervention (7.3 vs 4.3, P < 0.001) in the white patients and in the South Asian patients (8.0 vs 2.2, P < 0.001).

Conclusion
This novel study provides evidence for improving cultural competency and patient enablement in rheumatology settings.

Item Type: Article
Identification Number: https://doi.org/10.1093/rheumatology/kead383
Dates:
DateEvent
2 July 2023Accepted
28 July 2023Published Online
Uncontrolled Keywords: ethnicity, education, cultural competency, clinical outcomes
Subjects: CAH04 - psychology > CAH04-01 - psychology > CAH04-01-01 - psychology (non-specific)
Divisions: Faculty of Business, Law and Social Sciences > School of Social Sciences > Dept. Psychology
Depositing User: Gemma Tonks
Date Deposited: 10 May 2024 13:30
Last Modified: 10 May 2024 13:30
URI: https://www.open-access.bcu.ac.uk/id/eprint/15487

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