TY - JOUR
T1 - How do clinicians prefer cultural competence training? Findings from the DSM-5 cultural formulation interview field trial
AU - Aggarwal, Neil Krishan
AU - Lam, Peter
AU - Castillo, Enrico G.
AU - Weiss, Mitchell G.
AU - Diaz, Esperanza
AU - Alarcón, Renato D.
AU - Van Dijk, Rob
AU - Rohlof, Hans
AU - Ndetei, David M.
AU - Scalco, Monica
AU - Aguilar-Gaxiola, Sergio
AU - Bassiri, Kavoos
AU - Deshpande, Smita
AU - Groen, Simon
AU - Jadhav, Sushrut
AU - Kirmayer, Laurence J.
AU - Paralikar, Vasudeo
AU - Westermeyer, Joseph
AU - Santos, Filipa
AU - Vega-Dienstmaier, Johann
AU - Anez, Luis
AU - Boiler, Marit
AU - Nicasio, Andel V.
AU - Lewis-Fernández, Roberto
N1 - Publisher Copyright:
© 2015 Academic Psychiatry.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Objective: This study's objective is to analyze training methods clinicians reported as most and least helpful during the DSM-5 Cultural Formulation Interview field trial, reasons why, and associations between demographic characteristics and method preferences. Method: The authors used mixed methods to analyze interviews from 75 clinicians in five continents on their training preferences after a standardized training session and clinicians' first administration of the Cultural Formulation Interview. Content analysis identified most and least helpful educational methods by reason. Bivariate and logistic regression analysis compared clinician characteristics to method preferences. Results: Most frequently, clinicians named case-based behavioral simulations as "most helpful" and video as "least helpful" training methods. Bivariate and logistic regression models, first unadjusted and then clustered by country, found that each additional year of a clinician's age was associated with a preference for behavioral simulations: OR = 1.05 (95 % CI: 1.01-1.10; p = 0.025). Conclusions: Most clinicians preferred active behavioral simulations in cultural competence training, and this effect was most pronounced among older clinicians. Effective training may be best accomplished through a combination of reviewing written guidelines, video demonstration, and behavioral simulations. Future work can examine the impact of clinician training satisfaction on patient symptoms and quality of life.
AB - Objective: This study's objective is to analyze training methods clinicians reported as most and least helpful during the DSM-5 Cultural Formulation Interview field trial, reasons why, and associations between demographic characteristics and method preferences. Method: The authors used mixed methods to analyze interviews from 75 clinicians in five continents on their training preferences after a standardized training session and clinicians' first administration of the Cultural Formulation Interview. Content analysis identified most and least helpful educational methods by reason. Bivariate and logistic regression analysis compared clinician characteristics to method preferences. Results: Most frequently, clinicians named case-based behavioral simulations as "most helpful" and video as "least helpful" training methods. Bivariate and logistic regression models, first unadjusted and then clustered by country, found that each additional year of a clinician's age was associated with a preference for behavioral simulations: OR = 1.05 (95 % CI: 1.01-1.10; p = 0.025). Conclusions: Most clinicians preferred active behavioral simulations in cultural competence training, and this effect was most pronounced among older clinicians. Effective training may be best accomplished through a combination of reviewing written guidelines, video demonstration, and behavioral simulations. Future work can examine the impact of clinician training satisfaction on patient symptoms and quality of life.
KW - Academic training
KW - Cultural formulation interview
KW - Cultural psychiatry
KW - DSM-5
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U2 - 10.1007/s40596-015-0429-3
DO - 10.1007/s40596-015-0429-3
M3 - Article
C2 - 26449983
AN - SCOPUS:84978127544
SN - 1042-9670
VL - 40
SP - 584
EP - 591
JO - Academic Psychiatry
JF - Academic Psychiatry
IS - 4
ER -