The Impact of an Intergroup Dialogue Workshop on Culturally Competent Clinical Behaviors in Athletic Trainers

Abstract

ContextAthletic trainers (ATs) possess moderate levels of cultural knowledge and awareness but a lower capacity to demonstrate culturally competent clinical behaviors. Proven educational strategies for improving culturally responsive care have yet to emerge. Intergroup dialogue is a pedagogical approach that may bridge the knowledge-to-practice gap, promote equity, and enhance culturally competent patient care.ObjectiveTo determine the impact of an intergroup dialogue workshop on cultural knowledge and awareness and on clinical behaviors associated with cultural competence.DesignMixed-methods cross-sectional cohort.SettingIn-person workshop and survey with web-based survey follow-up.Patients or Other ParticipantsSixteen practicing ATs.Intervention(s)ATs participated in an intergroup dialogue workshop designed to improve cultural competence. Cultural awareness and sensitivity (CAS) and culturally competent behavioral intentions (CCB) were measured quantitatively using a modified Cultural Competence Assessment. Written survey responses recorded participants' workshop experiences and patterns of culturally competent clinical behaviors.Main Outcome Measure(s)A 2 × 3 analysis of variance with Tukey post hoc (P < .05) calculated differences in the CAS and CCB measurements over time (preworkshop, immediately postworkshop, 6 weeks postworkshop). Written responses were coded to identify common themes, type and frequency of behavior modifications.ResultsThe CAS scores were greater postworkshop when compared to preworkshop values (P = .010), with no further change 6 weeks postworkshop (P = 1.00). The CCB was significantly higher postworkshop (P < .001), and then returned to baseline values 6 weeks postworkshop. Qualitatively, however, there was evidence of sustained behavioral change 6 weeks postworkshop, with a majority (11, 69%) of participants reporting clinical behavior changes.ConclusionsOur results offer initial support for the efficacy of an intergroup dialogue workshop to promote culturally responsive clinical behaviors among ATs. This method may be used by AT educators, coordinators of clinical education, and practitioners to prepare current and future ATs with knowledge and skills to be culturally competent practitioners.