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Cultural Adaptations in Clinical InteractiONs (CoACtION): a multi-site comparative study to assess what cultural adaptations are made by clinicians in different settings

Cultural Adaptations in Clinical InteractiONs (CoACtION): a multi-site comparative study to assess what cultural adaptations are made by clinicians in different settings
Cultural Adaptations in Clinical InteractiONs (CoACtION): a multi-site comparative study to assess what cultural adaptations are made by clinicians in different settings

Culture influences models of mental illness, help-seeking behaviours and outcomes of interventions. Cultural competency training has been developed to improve clinician practice in addressing these issues. The study aims to identify to what extent culturally competent and informed interactions are used by clinicians in England and how patients experience these interaction. Clinicians and non-white western patients were recruited to complete a questionnaire on culturally adapted practice in 25 areas of England. Clinicians are much more likely to rate their practice as clinically competent whereas patients were more likely to disagree that services were completely culturally competent. Length of time working as clinicians, receipt of specific cultural competence training and a higher percentage of caseload from non-white western backgrounds all increased clinician’s perception that their practice was culturally competent. Clinicians recognised the importance of cultural competency but the disparity between their assessment of whether they achieved this and that of patients must be addressed. Ethics approval was obtained via proportionate review from the London–Central Research Ethics Committee (REC Ref no: 17/LO/1962). Study registration: UK Clinical Research Network Portfolio: 36744.

cultural adaptations, cultural competency, Mental Health
0954-0261
Rathod, Shanaya
b4dddbe5-e4aa-4069-bd03-20cd6332639c
Graves, Elizabeth
b2590552-7032-4a1d-a605-7e5e12d608ac
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Thorne, Kerensa
7d2236d7-9ad1-4fb3-a70d-3e61359c49e2
Naeem, Farooq
80d6a6fa-33f4-4803-94a5-05e5b7eea9dd
Phiri, Peter
bdcad679-98c5-47c5-a7ad-15865f1e880e
Rathod, Shanaya
b4dddbe5-e4aa-4069-bd03-20cd6332639c
Graves, Elizabeth
b2590552-7032-4a1d-a605-7e5e12d608ac
Kingdon, David
14cdc422-10b4-4b2d-88ec-24fde5f4329b
Thorne, Kerensa
7d2236d7-9ad1-4fb3-a70d-3e61359c49e2
Naeem, Farooq
80d6a6fa-33f4-4803-94a5-05e5b7eea9dd
Phiri, Peter
bdcad679-98c5-47c5-a7ad-15865f1e880e

Rathod, Shanaya, Graves, Elizabeth, Kingdon, David, Thorne, Kerensa, Naeem, Farooq and Phiri, Peter (2020) Cultural Adaptations in Clinical InteractiONs (CoACtION): a multi-site comparative study to assess what cultural adaptations are made by clinicians in different settings. International Review of Psychiatry. (doi:10.1080/09540261.2020.1750818).

Record type: Article

Abstract

Culture influences models of mental illness, help-seeking behaviours and outcomes of interventions. Cultural competency training has been developed to improve clinician practice in addressing these issues. The study aims to identify to what extent culturally competent and informed interactions are used by clinicians in England and how patients experience these interaction. Clinicians and non-white western patients were recruited to complete a questionnaire on culturally adapted practice in 25 areas of England. Clinicians are much more likely to rate their practice as clinically competent whereas patients were more likely to disagree that services were completely culturally competent. Length of time working as clinicians, receipt of specific cultural competence training and a higher percentage of caseload from non-white western backgrounds all increased clinician’s perception that their practice was culturally competent. Clinicians recognised the importance of cultural competency but the disparity between their assessment of whether they achieved this and that of patients must be addressed. Ethics approval was obtained via proportionate review from the London–Central Research Ethics Committee (REC Ref no: 17/LO/1962). Study registration: UK Clinical Research Network Portfolio: 36744.

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Cultural Adaptations in Clinical InteractiONs final - Accepted Manuscript
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More information

Accepted/In Press date: 30 March 2020
e-pub ahead of print date: 5 May 2020
Keywords: cultural adaptations, cultural competency, Mental Health

Identifiers

Local EPrints ID: 441890
URI: http://eprints.soton.ac.uk/id/eprint/441890
ISSN: 0954-0261
PURE UUID: fece1662-d515-4b71-af44-57e3eab6119a

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Date deposited: 01 Jul 2020 16:31
Last modified: 18 Mar 2024 05:26

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Contributors

Author: Shanaya Rathod
Author: Elizabeth Graves
Author: David Kingdon
Author: Kerensa Thorne
Author: Farooq Naeem
Author: Peter Phiri

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