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A skills-based course for culturally competent diabetes care was developed and tested in a controlled trial among primary physicians serving Medicaid patients. Physicians completing the course reported higher cultural humility-related nonjudgmental attitudes/behaviors and greater likelihood of eliciting patient diabetes beliefs and treatment preferences, while aggregate scores and some subscales showed no change or decreased self-awareness.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cultural-competence-education-for-practicing-physicians-lessons-in-cultural-humility-nonjudgmental-behaviors-and-health-beliefs-elicitation/501570/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cultural-competence-education-for-practicing-physicians-lessons-in-cultural-humility-nonjudgmental-behaviors-and-health-beliefs-elicitation/501570.png","ImageObject",300,407,{"name":92,"@type":93},"SANS","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What training intervention was tested in the study?","Question",{"text":113,"@type":114},"A skills-based course focused on culturally competent diabetes care was developed and delivered to primary physicians for evaluation in a controlled trial.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Did the training change overall cultural competence scores?",{"text":118,"@type":114},"No significant difference was found on the total Cultural Competence Assessment Tool score between the intervention and control groups.",{"name":120,"@type":111,"acceptedAnswer":121},"Which specific outcomes improved after the training?",{"text":122,"@type":114},"The intervention group showed significant positive differences in nonjudgmental attitudes/behaviors and in the future likelihood of eliciting patients’ beliefs about diabetes and treatment preferences.",{"name":124,"@type":111,"acceptedAnswer":125},"Were there any negative or mixed effects?",{"text":126,"@type":114},"Yes. A significant negative difference was reported on the subscale measuring cultural self-awareness, indicating lower scores in the intervention group versus 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M.KUTOB,MD,MPH;JoHN BORMANIS,PHD;MARJORIE CRAGO,PHD;JoHN M.HARRIS,JR.,MD,MBA;JANET SENF,PHD;CATHERINE M.SHISSLAK,PHD  \nIntroduction:Although numerous studies have examined cultural competence training,debate still exists aboutefficacious approaches to this training.Furthermore,litle focus has been placed on training and evaluating prac-ticing physicians.  \nMethods:A skills-based course on culturally competent diabetes care was developed and subsequently testedin a controlled trial of primary physicians caring for patients enrolled in one state's Medicaid program.We hy-pothesized that physicians completing the course would show higher levels of self-reported cultural competenceas measured by a Cultural Competence Assessment Tool(CCAT)than those in the control group.Diferences inCCAT subscale scores were also compared.  \nResults:Ninety physicians completed the study,with 41 in the control and 49 in the intervention group.Most werefemale (66%),with an average age of 44,and 12 years in practice.There were no significant diferences on totalCCAT score(212.7±26.7 for control versus 2172±28.6 for intervention,p=.444)or subscales measuring culturalknowledge.There were significant positive diferences on the subscales measuring physicians'nonjudgmentalatitudes/behaviors(subscale score 2.38±0.46 for control versus 2.69±0.52 for intervention,p=.004)and futurelikelihood of eliciting patients'beliefs about diabetes and treatment preferences(3.11±0.53 for control versus  \n3.37±0.45 for intervention,p=.014).There was,however,a significant negative difference on the subscalemeasuring cultural self-awareness (3.48±0.36 for control versus 3.26±0.48 for intervention,p=.018).  \nDiscussion:A predominantly skills-based approach to training physicians did not change aggregate measuresof cultural competence,but did affect key atitudes and behaviors,which may better reflect the goals of culturalcompetence training.  \nKey Words:cultural competency;diabetes mellitus,type 2;patient-physician relations;continuing medical edu-cation  \nDisclosures:The authors report this research was supported by a grant fromthe National Institute of Diabetes and Digestive and Kidney Diseases(R41DK62569)and by the Arizona Area Health Education Centers'Clinical Out-comes and Comparative Effectiveness Research Fellowship.  \nDr:Kutob:Assistant Professor,Department of Family &CommunityMedicine,College of Medicine,University of Arizona;Dr:Bormanis:Inde-pendent Healthcare Consultant,Tucson,Arizona;Dr:Crago:Research As-sociate (retired),Department of Family &Community Medicine,Collegeof Medicine,University of Arizona;Dr:Harris:Director,Office of Con-tinuing Medical Education,College of Medicine,University of Arizona;Dr:Senf:Professor Emeritus,Department of Family &CommunityMedicine,College of Medicine,University of Arizona;Dr:Shisslak:Profes-sor,Department of Family &Community Medicine,College of Medicine,University of Arizona.  \nCorrespondence:Randa M.Kutob,College of Medicine,University of Ari-zona,PO Box 245052,Arizona Health Sciences Center,Tucson,Arizona85724;e-mail:rkutob@email.arizona.edu.  \n# Introduction\n\nAmong the most troubling trends in health disparities isthat diabetes care indicators continue to worsen for minor-ity populations.African Americans,American Indians,andHispanics/Latinos have higher rates of diabetes,diabetescomplications,and mortality than White,non-Hispanics.2-5The prevalence of diabetes among Mexican Americans is  \n1.7 times higher,³and US Latinos also have higher ratesof renal disease and retinopathy.African Americans have2 to 4 times higher rates of renal disease,blindness,andamputations.⁴Adequate control of blood glucose can prevent  \ndiabetes complications,⁶but environmental,socioeconomic,and provider-and patient-related barriers can make this dif-ficult to achieve.  \ngroups and general concepts of cross","cbCainaQsnwW09Zw","https://ap.wps.com/l/cbCainaQsnwW09Zw","pdf",8358130,11,"English","# Introduction\n## Cultural disparities in diabetes care\n## Rationale for cultural competence training in practice\n## Patient-provider relationship and outcomes\n## Gaps in continuing medical education evidence","[{\"question\":\"What training intervention was tested in the study?\",\"answer\":\"A skills-based course focused on culturally competent diabetes care was developed and delivered to primary physicians for evaluation in a controlled trial.\"},{\"question\":\"Did the training change overall cultural competence scores?\",\"answer\":\"No significant difference was found on the total Cultural Competence Assessment Tool score between the intervention and control groups.\"},{\"question\":\"Which specific outcomes improved after the training?\",\"answer\":\"The intervention group showed significant positive differences in nonjudgmental attitudes/behaviors and in the future likelihood of eliciting patients’ beliefs about diabetes and treatment preferences.\"},{\"question\":\"Were there any negative or mixed effects?\",\"answer\":\"Yes. A significant negative difference was reported on the subscale measuring cultural self-awareness, indicating lower scores in the intervention group versus control.\"}]","Cultural Competence Education for Practicing Physicians - Lessons in Cultural Humility, Nonjudgmental Behaviors, and Health Beliefs Elicitation | PDF",1791020760,28]