This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and the application to health science education of the Cultural Competency Self-Assessment Questionnaire–Service Provider Version (CCSAQ-SP), and (2) a copy of the CCSAQ-SP instrument and the scoring instructions developed by James L. Mason and WA Bellevue via the Research and Training Center on Family Support and Children's Mental Health, and the The National Fathers' Network.
The CCSAQ-SP is a self-administered instrument with 79 items, divided into seven validated subscales of: Knowledge of Communities, Personal Involvement, Resources and Linkages, Staffing, Service Delivery and Practices, Organization and Policy Procedures, and Reaching out to Communities. The response options are presented along several different 4-point Likert-type scales from which mean subscale scores and a total scale score can be calculated. Higher scores indicate higher individual cultural competency. Select items from the CCSAQ-SP have demonstrated efficacy among medical students in applicable studies. The original development of the CCSAQ dictates reliability and validity among mental health care and service professionals. Although a meta-analysis of cultural competence instruments concluded that the CCSAQ is a valid and reliable measure compared with others, it is important to note the lack of external peer-reviewed studies confirming these results. While the CCSAQ shows promise in determining cultural competency among service providers, many steps must be taken to ensure that the instrument is reliable across populations. Future external validation studies should be validated with several different populations of service providers in regions of novel underserved populations, including rural populations. Constructs should also be measured longitudinally to determine the test-retest reliability of the measure. Finally, future research should conduct exploratory factor analyses to confirm internal structure, and validate the CCSAQ-SP among novel groups of service providers.
- To describe the purpose and basic properties of the Cultural Competence Self-Assessment Questionnaire–Service Provider Version (CCSAQ-SP), including number of items and scales, and psychometric properties;
- To describe the application of the CCSAQ-SP to the field of health sciences education;
- To evaluate the relative strengths and weaknesses of the CCSAQ-SP; and
- To provide the CCSAQ-SP and supplemental materials to aid in its administration.
- Mason JL. Cultural competence self-assessment questionnaire: A manual for users. Portland: Portland State University, Research and Training Center on Family Support and Children’s Mental Health; 1995.
- The National Fathers’ Network. Cultural competence self-assessment questionnaire: Service provider version. In: Equal partners: African American fathers and systems of health care: Discussion and resource guide. Bellevue; 1996. p. 19-28.
- Mason JL. Organizational characteristics and predicting cultural competence in human service delivery systems. Dissertation, Portland State University. Ann Arbor: ProQuest/UMI, 2000. (Publication No. AAT 9999857.)
- Berger LK, Zane N, Hwang WC. Therapist ethnicity and treatment orientation differences in multicultural counseling competencies. Asian Am J Psychol. 2014; 5(1): 53-65. http://psycnet.apa.org/?&fa=main.doiLanding&doi=10.1037/a0036178.
- Dunaway KE, Morrow JA, Porter BE. Development and validation of the cultural competence of program evaluators (CCPE) self-report scale. Am J Eval. 2012; 33(4):496-514. http://aje.sagepub.com/content/33/4/496.
- Godkin, MA, Savageau JA. The effect of a global multiculturalism track on cultural competence of preclinical medical students. Fam Med 2001; 33(3):178-86.
- Mirsu-Paun A, Tucker CM, Hardt NS. Medical students’ self-evaluations of their patient-centered cultural sensitivity: implications for cultural sensitivity/competence training. J Natl Med Assoc. 2012; 104(1-2):38-45.
- Teasley ML. Perceived levels of cultural competence through social work education and professional development for urban social workers. J Soc Work Ed. 2005; 41(1):85-98. http://www.tandfonline.com/doi/abs/10.5175/JSWE.2005.200300351#.Vb_S5PlVhBc.
- Kumas-Tan Z, Beagan B, Loppie C, MacLeod A, Frank, B. Measures of cultural competence: Examining hidden assumptions. Acad Med. 2007; 82(6):548-57. http://www.biomedcentral.com/1472-6920/14/216.
- Dunning D, Heath C, Suls JM. Flawed self-assessment: implications for health, education, and the workplace. Psychol Sci Public Interest. 2004; 5(3):69-106. http://www.ncbi.nlm.nih.gov/pubmed/26158995.
- Diller JV. Cultural Diversity: A Primer for the Human Services (5th ed.). Independence, KY: Cengage; 2014.
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