*Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV)©

 

"Differences challenge assumptions."

Anne Wilson Schaef

ABOUT THE IAPCC-SV©

 

 

Application:

The IAPCC-SV© is designed to measure the level of cultural competence among undergraduate students in the health professions.

 

Description:

The IAPCC-SV© is a pencil/paper self-assessment tool that measures the level of cultural competence among undergraduate students.  It consists of 20 items that measure the five cultural constructs of desire, awareness, knowledge, skill and encounters.  The IAPCC-SV© uses a 4-point likert scale reflecting the response categories of strongly agree, agree, disagree, strongly disagree.  Completion time is approximately 10 -15 minutes.  Scores range from 20-80 and indicate whether a student is operating at a level of cultural proficiency, cultural competence, cultural awareness or cultural incompetence.  Higher scores depict a higher level of cultural competence.

 

Development of the Instrument:

The IAPCC-SV© was developed in 2007 by Dr. Campinha-Bacote.  It is based on the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Revised (IAPCC-R©) (link).  Researchers using the IAPCC-R© noted that the reliability of this tool was slightly lower when used with students.  Vito, Roszkowski, & Wieland (2005) noted in a study of 695 undergraduate student nurses that the IAPCC-R© could be further revised resulting in a higher reliability of this tool.  The IAPCC-SV© is a result of modifying the response format of the IAPCC-R© to reflect only responses of strongly agree, agree, disagree, strongly disagree and modifying and deleting selected questions on the IAPCC-R©.

 

Obtaining the IAPCC-SV©:

The IAPCC-SV© is available for review and personal use only by purchasing the book, “The Process of Cultural Competence in the Delivery of Healthcare Services: The Journey Continues, 5th Edition (2007), authored by Campinha-Bacote.  There are additional requirements and a fee associated with use of the IAPCC-SV© beyond personal self-assessment (see Permission To Use IAPCC-SV© and Cost of Using IAPCC-SV©).

 

Permission To Use IAPCC-SV©:

The IAPCC-SV© is copyrighted and formal permission and a fee is required before the tool can be used.  To obtain permission to use the IAPCC- SV©, please mail (no fax/email) your request to Dr. Josepha Campinha-Bacote at 11108 Huntwicke Place, Cincinnati; Ohio 45241.  In your request, please include the title of your project, purpose, target population, specific time frame of use (specific dates), method of administration (personal hand-administered or non-hand-administered), study design (i.e. one-time testing or pre/post test design) and a money order (US Dollars only) or check  (US Dollars and drawn from a US Bank) for fees associated with your method of administration (see Cost of Using IAPCC-SV©).  Dr. Campinha-Bacote will return a letter granting permission to use the tool, articulate specific terms regarding use of the tool and include the number of tools if being used in a hand-administered pencil/paper format or internal/external mailings.  Only one copy of the tool will be provided if the request is for online/electronic administration or to be translated.  You can utilize this copy for conversion into an electronic format or to translate it into another language for the designated time granted.

 

Permission To Translate IAPCC-SV©: A formal letter of request is required to translate the IAPCC-SV© into another language, with the understanding that: 1) there will only be one copy of the IAPCC-SV© that will be sent for translation when permission is granted and the researcher must pay, in advance, for the number of translated copies that will be used in the study; 2) there must be psychometric rigor in translating each of the items on the IAPCC-SV© to its original meaning; 3) the translated copy must be sent to Dr. Campinha-Bacote; 4) the name of the tool and Dr. Campinha-Bacote’s name as the author of the tool is to be put on all translated versions exactly as it appears on the English version; 5) Dr. Campinha-Bacote will retain the copyright ownership of all translated versions of the IAPCC- SV©; and 6) the translated version of the IAPCC-SV© is for a one-time use and any further/future use of the translated version in any studies, publications, presentations or any other use, cannot be done without first seeking and obtaining written permission from Dr. Campinha-Bacote.

 

Cost of Using IAPCC-SV©:

There is a fee of $8.00 per tool when personally hand-administered in a pencil/paper format for research studies, grants, projects or in any onsite pencil/paper distribution to a group of subjects/participants.  In this hand-administered format the IAPCC-SV© is to be personally hand-distributed to each subject/participant and then personally collected immediately following the subjects'/participants' completion of the IAPCC-SV©.  For example, if you are assessing 20 subjects/participants in a hand-administered format the cost would be $160 plus shipping and handling.  Please note that the fee is for the number of tools distributed to complete the study; not necessarily the number of subjects/ participants in the study.  Therefore, if you are conducting a pre/post test design with 20 subjects and testing the subjects/participants before and after an intervention, such as an educational program, you will need to double the amount of tools  (40 tools) as the number of participants and the cost would be $320 plus shipping and handling.  There is a fee of $20 fee per subject access when non-hand-administered  electronically or an internal or external mailing in such formats as an online secure format for a training program, in-service educational program, academic course or continuing education offering; an external postal mailing offsite or internal mailing distribution or any form of administration that is not personally hand-administered to each subject/participant and then personally collected immediately following the subjects'/ participants' completion of the IAPCC-SV©.  Fees associated with this tool are for a one-time use per aggregate distribution in one study and not for unlimited use.  Permission is required for further use of the IAPCC-SV© in any additional projects related or unrelated to its initial use.  Please use an order form when purchasing the IAPCC-SV© (order form)

 

 

STUDIES USING THE IAPCC-SV AND REPORTED RELIABILITY/VALIDITY Of THE IAPCC-SV©

 

Wilson, S. (2011).  A Comparison of Nursing Student's Levels of Knowledge: Cultural Competence in Providing Care Public versus Private Colleges. Contact: godwill40@cox.net

The purpose of this quantitative study was to compare nursing students' knowledge in providing culturally competent care in public versus private colleges. Data were collected from a convenience sample of 60 nursing students in the last quarter/semester of two associate degree nursing programs located in a Midwestern state. Cronbach alpha for the total item scale was .793.

Okere, S., Gleeson, P., Melzer, B., Olson, S. and Mitchell, K. (2011). Psychometric Testing and the Effects of a Cultural Competence Education Module on the Cultural Competence of Student Physical Therapists: A Pilot Study. Contact: kmitchell@twu.edu; Pgleeson@twu.edu

The purpose of this study was to document the internal consistency and test re-test reliability of the IAPCC-SV for student physical therapists. In addition, the effect of a cultural competence education module on the cultural competence of student physical therapists as measured by the IAPCC-SV was conducted. Thirty-nine (39) student physical therapists in their first semester of their physical therapist education participated in this study.  Participants completed the IAPCC-SV, Time 1 (test), and again the following week, Time 2 (re-test/pre-test) prior to any cultural competence education. Subjects then participated in a cultural competence education module and completed the IAPCC-SV, Time 3 (post-test). Results revealed that the IAPCC-SV demonstrated good internal consistency with a Cronbach's Alpha of .75 and good test-re-test reliability (ICC(2,) of .870.  This study provides support for the use of the IAPCC-SV to measure cultural competence of student physical therapists.

Marie, J. (2010).  Influence of an Overseas Clinical Placement on the Acquisition of Cultural Competence in Chiropractic Students. Murdoch University, Australia. Contact: J.Maire@murdoch.edu.au

The purpose of this study was to assess the level of cultural competence in twenty-two students in their 5th  year of a chiropractic course in Perth Australia participated in a voluntary clinical placement in Siliguri India using the IAPCC-SV immediately prior to their placement. Nineteen students from the same cohort who did not participate in the placement served as controls. A post-test survey was administered to both groups within two weeks of their return to Australia. There was no significant difference in the Level of Cultural Competence score, nor any of the subscale scores between experimental and control groups before the intervention. After the overseas placement, the overall level of Cultural Competence increased by 14% (P < 0.05) in the experimental group, while the control group showed no change. Of note, the Overseas born participants scored significantly higher on the Overall Level of Competence than did the Australian-born participants (5%) although it is questionable whether this is an important difference. Both groups (overseas-born and Australian-born) increased their level of competence by the same degree following the intervention.

Hsiu-Chin, C. (2010).  Through Service Learning to Develop Cultural Competence Among Nursing Students. Utah Valley University. Orem, UT. Contact: CHENHS@uvu.edu

The purpose of this study was to understand cultural competence of nursing students and to enhance their cultural competence through service learning in a  community.  The IAPCC-SV was used in a pre/post test quasi-experimental study design with 26 nursing students in their last semester of an Associate Degree in Nursing program. Results indicated that the reliability for pretest data for the total score was an alpha of .66 and the alpha of the posttest data for the total score was .76.  Alpha reliabilities for each subscale of the IAPCC-SV in the pre/ post testing demonstrated a wide range of variability. 

Young, S. (2009). Assessment of Cultural Diversity Training: An Experiment for Hawaii Nursing Students. Medical University of South Carolina.

This experimental study examined the effectiveness of an experimental educational intervention consisting of a presentation on cultural diversity and competence. The IAPCC-SV was given to 46 nursing students in a Hawaii-based nursing program.  In analyzing the data, the IAPCC-SV revealed a Reliability Coefficient Cronbach's alpha of .84.

 

Fitzgerald, E., Cronin, S., and Campinha-Bacote. (2008). Psychometric Testing of a Proposed Student Version of the Tool, “Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Revised

The purpose of this study was to provide nurse educators with a reliable and valid tool for assessing the level of cultural competence among student nurses. The IAPCC-SV© was administered to 91 undergraduate nursing students in a BSN program at a private university in the mid western part of the USA. Reliability testing  revealed a Cronbach's alpha of .783.  Construct validity was addressed, in that the IAPCC-SV© is based on the five constructs of Campinha-Bacote's theoretical model of cultural competence in healthcare delivery.  Content validity was established, in that the items on the IAPCC-SV© clearly reflect the review of the literature of cultural competence in healthcare delivery that identifies awareness/attitudes, skill and knowledge as domains of cultural competence.  Face and content validity was established by reviews of national experts in the field of transcultural healthcare. 

 

PUBLICATIONS USING THE IAPCC-R©

 

 

 

Escallier, L., Fullerton, J. and Messina, B. (2011).  Cultural Competence Outcomes Assessment: A Strategy and Model.  International Journal of Nurse Midwifery, 3(3), 35-42.

Fitzgerald, E., Cronin, S. and Campinha-Bacote, J. (2009).  Psychometric Testing of the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-Student Version (IAPCC-SV).  Journal of Theory Construction & Testing, 13(2), 64-68.

 

Abel, C., Silva, M., Desilets, A. and Durand, C. (2010). Integration of Cultural Competence Training into an Accelerated Doctor of Pharmacy

Curriculum.  Journal of the American Pharmacists Association, 50(2), 282.

 

 

 

 

*Duplication/Copying of IAPCC-SV©: Transcultural C.A.R.E. Associates has a policy preventing unauthorized use of tools.

 

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  Last Updated: November, 2011