Revising the Tool for Assessing Cultural Competence Training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus

Article English OPEN
Lie, Désirée A. ; Boker, John ; Crandall, Sonia ; DeGannes, Christopher N. ; Elliott, Donna ; Henderson, Paula ; Kodjo, Cheryl ; Seng, Lynn (2009)

Background: The 67-item TACCT currently used for needs assessment has potential for evaluating evolving cultural competence (CC) curricula. Purpose: To validate a shortened, more practical TACCT measure. Methods: The 67-item TACCT was administered to students and course directors at US schools. Course directors and students reported which of 67 TACCT items were taught. Intraclass correlation coefficients (ICC) examined faculty-student agreement. Under-addressed content was identified. A new and shortened TACCT configuration was proposed and validated with expert educator input. Results: Across-school faculty and student response rates ranged from 75% to 100%. Aggregate ICC was 0.90 (95% CI: 0.84, 0.94) for the 67-item TACCT, demonstrating faculty-student agreement. Experts agreed on reduction from 67 to 42 items and domain revision from five to six domains to match under-addressed content. Item analysis showed high internal consistency for all 6 new domains and the total revised 42-item TACCT. Conclusions: A shorter, more practical TACCT measure is valid and reliable and focuses on underaddressed CC content. Use for curricular evaluation is suggested. Keywords: cultural competence, curriculum tool, evaluation, validation
  • References (5)

    Agency for Healthcare Research and Quality. National Healthcare Disparities Report. Rockville (MD): U.S. department of Health and Human Services; 2003.

    Alexander M, Grumbach K, Remy L, Rowell R, Massie BM. Congestive heart failure hospitalizations and survival in California: patterns according to race/ethnicity. Am Heart J. 1999;137(5):919- 27.

    Kagawa-Singer M, Kassim-Lakha S. A strategy to reduce cross-cultural miscommunication and increase the likelihood of improving health outcomes. Acad Med. 2003;78(6):577-87.

    American Medical Association Council on Medical Education. H-295.897 Enhancing the cultural competence of physicians [Internet]. Chicago: American Medical Association; c1995-2007 [cited 2008 January]. Available from: http:// n=browse&doc=policyfiles/HnE/H-295.897.

  • Metrics
    No metrics available