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Purpose <p>Measures assessing the efficacy of cultural training in residency programs are needed. Two promising measures are the <i>Cross-Cultural Care Survey</i> (CCCS) and the <i>Health Beliefs Attitudes Survey</i> (HBAS). The current study aims to confirm the surveys’ original theoretical constructs with general surgery residents.</p> Methods <p>Residents at 8 academic general surgery programs were administered the cultural dexterity curriculum—Provider Awareness and Cultural dexterity Toolkit for Surgeons (PACTS) (a cultural training initiative to improve patient care). Those who gave consent completed a survey online via an email link. From July to December 2019, recruitment and baseline assessments were conducted with data collection ending June 2022. PACTS-pertinent items were added prior to administration. Confirmatory factor analyses were conducted to determine if empirical factors support theoretical constructs.</p> Results <p>A total of 406 residents gave consent with 315 actual participants (78%). Data from 315 residents were analyzed. Results showed 3 factors aligning with the original 2 CCCS factors of Preparedness and Skillfulness and a third factor for PACTS items. Each factor demonstrated good reliability with Cronbach alphas of 0.865, 0.894, and 0.846, respectively. For the HBAS, 4 original theoretical constructs (Opinion, Belief, Context, Quality) and 3 new PACTS constructs (Informed Consent, Pain, and Limited English Proficiency) demonstrated acceptable Cronbach’s alpha ranging from 0.547 to 0.839.</p> Conclusions <p>For the CCCS, theoretical constructs for Preparedness and Skillfulness subscales and original items were generally supported. For the HBAS, while some items demonstrated a strong relationship to a specified theoretical construct, others were more weakly related.</p>

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Gathering validity evidence for the Cross-Cultural Care Survey (CCCS) and Health Beliefs Attitudes Survey (HBAS) among surgical trainees

  • 期刊论文

  • 发表日期：

    2025年9月9日

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  • Maria B. J. Chun,
  • Emil R. Petrusa,
  • Hyeong Jun Ahn,
  • Yu-Jen Chen,
  • Gezzer Ortega,
  • Emma Reidy,
  • L. D. Britt,
  • Adil Haider,
  • David T. Harrington,
  • Pamela A. Lipsett,
  • John T. Mullen,
  • Douglas S. Smink,
  • Sandra M. Swoboda,
  • Alexander R. Green,
  • Benjamin G. Allar,
  • Rachel B. Atkinson,
  • Jeenn Barreiro-Rosado,
  • L. D. Britt,
  • Molly A. Brittain,
  • Katharine Caldwell,
  • Annie Chen,
  • Maria B. J. Chun,
  • Brittany M. Dacier,
  • Caroline Demko,
  • Alexander R. Green,
  • Adil H. Haider,
  • David T. Harrington,
  • Tara S. Kent,
  • Olubode A. Olufajo,
  • Pamela A. Lipsett,
  • Kenneth A. Lynch,
  • John T. Mullen,
  • Gezzer Ortega,
  • Emil Petrusa,
  • Emma Reidy,
  • Christina Sheu,
  • Douglas S. Smink,
  • Sandra M. Swoboda,
  • Lori L. Wilson,
  • Paul E. Wise,
  • Jorge Zárate Rodriguez

摘要

Purpose

Measures assessing the efficacy of cultural training in residency programs are needed. Two promising measures are the Cross-Cultural Care Survey (CCCS) and the Health Beliefs Attitudes Survey (HBAS). The current study aims to confirm the surveys’ original theoretical constructs with general surgery residents.

Methods

Residents at 8 academic general surgery programs were administered the cultural dexterity curriculum—Provider Awareness and Cultural dexterity Toolkit for Surgeons (PACTS) (a cultural training initiative to improve patient care). Those who gave consent completed a survey online via an email link. From July to December 2019, recruitment and baseline assessments were conducted with data collection ending June 2022. PACTS-pertinent items were added prior to administration. Confirmatory factor analyses were conducted to determine if empirical factors support theoretical constructs.

Results

A total of 406 residents gave consent with 315 actual participants (78%). Data from 315 residents were analyzed. Results showed 3 factors aligning with the original 2 CCCS factors of Preparedness and Skillfulness and a third factor for PACTS items. Each factor demonstrated good reliability with Cronbach alphas of 0.865, 0.894, and 0.846, respectively. For the HBAS, 4 original theoretical constructs (Opinion, Belief, Context, Quality) and 3 new PACTS constructs (Informed Consent, Pain, and Limited English Proficiency) demonstrated acceptable Cronbach’s alpha ranging from 0.547 to 0.839.

Conclusions

For the CCCS, theoretical constructs for Preparedness and Skillfulness subscales and original items were generally supported. For the HBAS, while some items demonstrated a strong relationship to a specified theoretical construct, others were more weakly related.