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Cited by 60Cultural Competency in Health CareInnovations in Medical EducationCounseling Practices and Supervision

How Do Clinicians Prefer Cultural Competence Training? Findings from the DSM-5 Cultural Formulation Interview Field Trial

Open access
Aggarwal, Neil Krishan, Lam, Peter, Castillo, Enrico G., Weiss, Mitchell G., Diaz, Esperanza, Alarcón, Renato D., van Dijk, Rob, Rohlof, Hans +16 more·2016·Academic Psychiatry
DOI 10.1007/s40596-015-0429-3PMC PMC4826320
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Abstract

ObjectiveThis study’s objective is to analyze training methods clinicians reported as most and least helpful during the DSM-5 Cultural Formulation Interview field trial, reasons why, and associations between demographic characteristics and method preferences.MethodThe authors used mixed methods to analyze interviews from 75 clinicians in five continents on their training preferences after a standardized training session and clinicians’ first administration of the Cultural Formulation Interview. Content analysis identified most and least helpful educational methods by reason. Bivariate and logistic regression analysis compared clinician characteristics to method preferences.ResultsMost frequently, clinicians named case-based behavioral simulations as “most helpful” and video as “least helpful” training methods. Bivariate and logistic regression models, first unadjusted and then clustered by country, found that each additional year of a clinician’s age was associated with a preference for behavioral simulations: OR = 1.05 (95 % CI: 1.01–1.10; p = 0.025).ConclusionsMost clinicians preferred active behavioral simulations in cultural competence training, and this effect was most pronounced among older clinicians. Effective training may be best accomplished through a combination of reviewing written guidelines, video demonstration, and behavioral simulations. Future work can examine the impact of clinician training satisfaction on patient symptoms and quality of life.

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  • Older, more experienced clinicians tended to prefer active rather than passive learning techniques.

    “The authors concluded that CFI training might best be accomplished through a combination of written guideline review, video demonstration, and behavioral simulations but that older, more experienced clinicians tended to prefer active rather than passive learning techniques.”

    From Update on the Cultural Formulation Interview (2020) · cites this paper as [26]

    The Results section reports that older clinicians were more likely to prefer an active training method, and the Abstract’s Conclusions support the proposed combination of guidelines, video, and simulations. But age was the only significant clinician characteristic in the analysis; the paper does not establish the same preference for clinicians with more years of clinical experience. Page numbers were not available in the indexed passages. (LLM, conf=0.90)

    Experimental — accuracy not yet measured

  • Video presentations were deemed to be less helpful because they did not demonstrate how to work with uncooperative patients.

    “Video presentations were deemed to be less helpful Focus Vol. 18, No. 1, Winter 2020 focus.psychiatryonline.org43 because they did not demonstrate how to work with uncooperative patients.”

    From Update on the Cultural Formulation Interview (2020) · cites this paper as [26]

  • Respondents felt that mock interviews helped them to learn how to ask the CFI questions and resolve their doubts about the interview.

    “Respondents felt that mock interviews helped them to learn how to ask the CFI questions and resolve their doubts about the interview.”

    From Update on the Cultural Formulation Interview (2020) · cites this paper as [26]

  • Most clinicians preferred active behavioral simulations, such as role-play mock interviews.

    “Most of the clinicians preferred active behavioral simulations, such as role-play mock interviews.”

    From Update on the Cultural Formulation Interview (2020) · cites this paper as [26]

  • CFI training might best be accomplished through a combination of written guideline review, video demonstration, and behavioral simulations.

    “The authors concluded that CFI training might best be accomplished through a combination of written guideline review, video demonstration, and behavioral simulations but that older, more experienced clinicians tended to prefer active rather than passive learning techniques.”

    From Update on the Cultural Formulation Interview (2020) · cites this paper as [26]

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Research works printed but not linked: 2

  1. [14]American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) 1994 Arlington, VA American Psychiatric Publishing, Inc.
  2. [32]Beidas RS Edmunds JM Marcus SC Kendall PC Training and consultation to promote implementation of an empirically supported treatment: A randomized trial Psychiatr Serv 2012 63 660 665 22549401 PMC3432154

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Authors
Aggarwal, N. K., Lam, P., Castillo, E. G., Weiss, M. G., Diaz, E., Alarcón, R. D., van Dijk, R., Rohlof, H., Ndetei, D. M., Scalco, M., Aguilar-Gaxiola, S., Bassiri, K., Deshpande, S., Groen, S., Jadhav, S., Kirmayer, L. J., Paralikar, V., Westermeyer, J., Santos, F., Vega-Dienstmaier, J., Anez, L., Boiler, M., Nicasio, A. V., & Lewis-Fernández, R.
Affiliations
  • Columbia University (US)
  • New York State Psychiatric Institute (US)
  • Swiss Tropical and Public Health Institute (CH)
  • Mayo Clinic (US)
  • Foundation Centrum '45 (NL)
  • University of Nairobi (KE)
  • Richmond Area Multi-Services (US)
  • Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital (IN)
  • University College London (GB)
  • McGill University (CA)
  • University of Minnesota (US)
  • University of Toronto (CA)
  • Yale University (US)
  • University of Central Florida (US)
Corresponding author
Aggarwal, Neil Krishan
ORCID
Venue
Academic Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2015-10-08
Volume
40
Issue
4
Pages
584-591
ISSN
  • 1042-9670 (ISSN-L)
  • 1545-7230
DOI
10.1007/s40596-015-0429-3
PMC
PMC4826320
OpenAlex
W1947449774
Semantic Scholar
1627c3bd8e9b4c03dc4fabc01ef11d8a9d2fa896
Cited by
60
References
37
Citations by year
2026: 5 · 2025: 3 · 2024: 10 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 10 · 2019: 4 · 2018: 6 · 2017: 4 · 2016: 3
FWCI
14.34
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Academic Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (acceptedVersion)
  • Journal of International Crisis and Risk Communication Research (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • University of Nairobi Research Archive (University of Nairobi) (submittedVersion)
Funders
  • American Psychiatric Publishing
  • Department of Psychiatry, Columbia University
  • National Institute of Mental Health (K23MH102334)
Topics
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Keywords
cultural competence training, Cultural Formulation Interview, DSM-5, behavioral simulation, video-based training, cross-cultural psychiatry, training satisfaction
MeSH terms
Attitude of Health Personnel, Education, Medical, Continuing, Humans, Interview, Psychological, Psychiatry, Logistic Models, Diagnostic and Statistical Manual of Mental Disorders, Cultural Competency

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