Development and testing of a bespoke cultural intervention to support healthcare professionals with patients from a diverse background

Rheumatology (Oxford)Published Before and after study

Authors' conclusion

This novel study provides evidence for improving cultural competency and patient enablement in rheumatology settings.

Study context

Population
Patients of 15 rheumatology healthcare professionals (HCPs) at four NHS sites across England serving a diverse population178 and 186 analysed
Participants
200 vs 200
Comparison
Patients seen after vs before HCPs undertook a bespoke cultural intervention
  • Cohort 1n = 200reference
  • Cohort 2n = 200
Outcome
Patient Reported Physician Cultural Competency (PRPCC) and Patient Enablement Instrument (PEI)
Methodological detailsmulticentre (four NHS sites across England)
  • Multicentre (four NHS sites across England)

Main finding

As reported in the abstract

Average overall cultural competency score (PRPCC)

White patients: no significant difference between cohorts

57.3 vs 56.8

P = 0.8

South Asian patients: statistically significant improvement in mean scores

64.1 vs 56.7

P = 0.014

Further findings

Enablement score (Patient Enablement Instrument (PEI))

White patients: statistically significant improvement following intervention
7.3 vs 4.3, P < 0.001
South Asian patients: statistically significant improvement following intervention
8.0 vs 2.2, P < 0.001

HCP COM-B scores · after the intervention

HCPs felt more skilled and equipped for consultations

Original publication

Development and testing of a bespoke cultural intervention to support healthcare professionals with patients from a diverse background. Rheumatology (Oxford). Published 28 July 2023. doi:10.1093/rheumatology/kead383

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