Learning Outcomes of Diverse Oncology Professionals After the TEAM Cultural Competency Training

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Learning Outcomes of Diverse Oncology Professionals After the TEAM Cultural Competency Training Mandi L. Pratt-Chapman 1,2 Accepted: 02 September 2020 # The Author(s) 2020

Abstract Racial, ethnic, sexual, and gender minorities are more likely to report challenges with oncology provider communication and quality of care. The Together-Equitable-Accessible-Meaningful (TEAM) training was developed to improve health equity across cancer care organizations by guiding teams of interprofessional learners through planning and implementation of quality improvements to advance equitable, accessible, and patient-centered cancer care. This study compared changes to self-reported cultural competence as measured by the Cultural Competency Assessment (CCA); Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS); and Interprofessional Socialization and Valuing Scale (ISVS). The primary aim of the study was to assess changes to self-reported cultural competence; the secondary aim was to examine changes to interprofessional valuation from baseline to post-intervention. Results indicated statistically significant improvements in selfreported Cultural Competency Behaviors (p = .055), a subscale of the CCA, and Attitudinal Awareness toward sexual and gender minorities (p = .046), a subscale of the LGBT-DOCSS, using p < .10 as statistically significant. These subscale results drove statistically significant improvements for their respective composite scales. No other statistically significant results were found. This study suggests that cultural competency training among interprofessional oncology health care professionals can be effective. Given the growing diversity within the USA, additional opportunities for cultural competency training are needed. Keywords Cultural competency training . LGBTQI . Racial and ethnic minorities . Health care professional education . Evaluation . Communication

Background Racial, ethnic, sexual, and gender minorities in the USA are likely to encounter few oncology health care professionals who share their lived experiences: while Black and Latino Americans comprise 13% and 18% of the US population, respectively [1], the oncology workforce is disproportionately White (52%) with few Black (3%) or Hispanic (5%) physicians [1, 2]. Minorities are more likely to report poor provider communication, lower quality of care, and lower self-efficacy [3–5]. Sexual and gender minorities experience greater risk factors for some cancers and are more likely to report negative

* Mandi L. Pratt-Chapman [email protected] 1

The George Washington University School of Medicine and Health Sciences, Washington, DC, USA

2

The GW Cancer Center, The George Washington University, 2600 Virginia Ave, #324, Washington, DC 20037, USA

experiences with health care providers, fear of discrimination, low levels of trust in the provider, breach of confidentiality, invasive and inappropriate questioning, and unmet needs [6–9]. The purpose of this study was to assess the effectiveness of a novel, hybrid onl