Validation of the Clinicians ’ Cultural Sensitivity Survey for Use in Pediatric Primary Care Settings

AbstractIncorporating cultural sensitivity into healthcare settings is important to deliver high-quality and equitable care, particularly for marginalized communities who are non-White, non-English speaking, or immigrants. The Clinicians ’ Cultural Sensitivity Survey (CCSS) was developed as a patient‐reported survey assessing clinicians’ recognition of cultural factors affecting care quality for older Latino patients; however, this instrument has not been adapted for use in pediatric primary care. Our objective was to examine the validity and reliability of a modified CCSS that was adapted for use with parents of pediatric patients. A convenience sampling approach was used to identify eligible parents during well-child visits at an urban pediatric primary care clinic. Parents were administered the CCSS via electronic ta blet in a private location. We first conducted exploratory factor analyses (EFAs) to explore the dimensionality of survey responses in the adapted CCSS, and then conducted a series of confirmatory factor analyses (CFAs) using maximum likelihood estimation based on the results of the EFAs. Explorato ry and confirmatory factor analyses (N = 212 parent surveys) supported a three-factor structure assessing racial discrimination (\(\alpha\)=0.96), culturally-affirming practices (\(\alpha\)=0.86), and causal attribution of health problems (\(\alpha\)=0.85). In CFAs, the three-factor model also outperformed other potential factor structures in terms of fi...
Source: Journal of Immigrant and Minority Health - Category: International Medicine & Public Health Source Type: research