Does cultural competency training matter? A national study of anti-gay bias among cancer care professionals.


PURPOSE:This study examined whether higher levels of self-reported cultural competency training were associated with less anti-gay bias among a cancer healthcare provider sample (n = 404) recruited in January 2017. METHODS:A factorial analysis of variance (ANOVA) was performed to examine anti-gay bias across professional role, sex and level of cultural competency training using the Index of Attitudes on Homosexuality (IAH). RESULTS:Females, F(1, 396) = 8.861, p = 0.003, ηp2 = 0.022, and those who reported higher levels of cultural training, F(1, 396) = 6.136, p = 0.014, ηp2 = 0.015 had lower mean IAH composite scores than men or those with lower levels of training, respectively. Females reported statistically significantly lower mean scores than males for Avoidance, F(1, 396) = 14.105, p < 0.001, ηp2 = 0.034. However, those with more cultural training, reported statistically significantly lower mean scores than those with less training for the Approach, F(1, 396) = 5.402, p = 0.021, ηp2 = 0.013, and Acceptance, F(1, 396) = 6.699, p = 0.010, ηp2 = 0.017 factors, regardless of sex assigned at birth. CONCLUSION:Findings suggest that cultural competency training may moderate some aspects of anti-gay bias. PRACTICE IMPLICATIONS:Cultural competency training may be one important strategy to improve care for sexual minority patients.


Patient Educ Couns


Pratt-Chapman ML




Has Abstract


2020-12-25 00:00:00








  • Recognizing decision needs: first step for collaborative deliberation in dementia care networks.

    abstract:OBJECTIVE:This study describes the process elements of decision-making for dementia, in order to enrich a model to facilitate shared decision-making for professionals working with people with dementia and their informal caregivers. METHODS:We performed a qualitative study based on secondary analysis of 117 interviews ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Groen van de Ven L,Smits C,Elwyn G,Span M,Jukema J,Eefsting J,Vernooij-Dassen M

    更新日期:2017-07-01 00:00:00

  • Measuring patient activation: The utility of the Patient Activation Measure within a UK context-Results from four exemplar studies and potential future applications.

    abstract:OBJECTIVE:Patient activation can be measured using the Patient Activation Measure (PAM) developed by Hibbard et al., however, little is known about the uses of the PAM in research and in practice. This study aims to explore its differing utility in four UK exemplar sites. METHODS:Data from four exemplars in a range of...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Roberts NJ,Kidd L,Dougall N,Patel IS,McNarry S,Nixon C

    更新日期:2016-10-01 00:00:00

  • What do medical trainees think is so difficult about communicating with patients?

    abstract:OBJECTIVE:To identify the communication skills medical trainees perceive themselves to avoid or use during initial clinical encounters and the areas of communication learning need they identify. METHODS:446 2nd year undergraduate medical students were invited to take part in the study. Details of four encounters with ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Peters S,Young K,McCracken C

    更新日期:2011-11-01 00:00:00

  • Connecting with patients and instilling realism in an era of emerging communication possibilities: a review on palliative care communication heading to telecare practice.

    abstract:OBJECTIVE:Appropriate palliative care communication is pivotal to optimizing the quality of life in dying patients and their families. This review aims at describing communication patterns in palliative care and discussing potential relations between communication patterns and upcoming telecare in the practice of palli...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: van Gurp J,Hasselaar J,van Leeuwen E,Hoek P,Vissers K,van Selm M

    更新日期:2013-12-01 00:00:00

  • A pragmatic randomized controlled trial of the Flinders Program of chronic condition management in community health care services.

    abstract:OBJECTIVES:To evaluate the Flinders Program in improving self-management in common chronic conditions. To examine properties of the Partners in Health scale (PIH). METHODS:Participants were randomized to usual care or Flinders Program plus usual care. Self-management competency, quality of life, and other outcomes wer...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Battersby M,Harris M,Smith D,Reed R,Woodman R

    更新日期:2015-11-01 00:00:00

  • Death talk: Basic linguistic rules and communication in perinatal and paediatric end-of-life discussions.

    abstract:OBJECTIVE:This paper considers clinician/parent communication difficulties noted by parents involved in end-of-life decision-making in the light of linguistic theory. METHODS:Grice's Cooperative Principle and associated maxims, which enable effective communication, are examined in relation to communication deficiencie...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Xafis V,Watkins A,Wilkinson D

    更新日期:2016-04-01 00:00:00

  • Self-referrals to the A&E department during out-of-hours: patients' motives and characteristics.

    abstract:OBJECTIVE:To determine self-referrals' motives to visit the accident & emergency departments (AED) and to compare their characteristics to patients contacting the GP cooperative. METHODS:Postal questionnaires were send to AED self-referrals and logistic regression analysis was used to contrast self-referrals to patien...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Moll van Charante EP,ter Riet G,Bindels P

    更新日期:2008-02-01 00:00:00

  • Decision aids for patients facing health treatment decisions in Spain: preliminary results.

    abstract:OBJECTIVE:This study presents ongoing research aimed at understanding the suitability and impact of various decision aids (DAs) on patients with different chronic conditions in the Spanish National Health System. METHODS:A three-phase process was employed to develop and evaluate DAs for patients with hip or knee osteo...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Perestelo-Perez L,Perez-Ramos J,Gonzalez-Lorenzo M,Rivero-Santana A,Serrano-Aguilar P

    更新日期:2010-09-01 00:00:00

  • Educating the health care team.

    abstract::How can health professional teams provide patient-centred care in the treatment of chronic disease? What education and training is needed to achieve this? Patient-centred care means helping people living with a condition make informed choices to maximise their quality of life. The health professional's role is to faci...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Coles C

    更新日期:1995-09-01 00:00:00

  • The approach taken by the physicians working at educational hospitals in Izmir towards patient rights.

    abstract:OBJECTIVE:Considered as a reflection of human rights in our modern day, patient rights have been gaining increasing importance. This particular subject has been discussed from various perspectives in different countries and legal sanctions imposed. "Patient Rights Directives" in Turkey came into effect in 1988. The pre...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ozdemir MH,Ergönen AT,Sönmez E,Can IO,Salacin S

    更新日期:2006-04-01 00:00:00

  • A pilot-study to identify the feasibility of an Internet-based coaching programme for changing the vascular risk profile of high-risk patients.

    abstract:OBJECTIVE:To evaluate the feasibility of a web-based coaching programme for vascular risk factor treatment, to describe the patterns of use and to measure changes in risk factors. METHODS:Patients with a clinical manifestation of arterial disease and Internet access were asked to participate in the nurse-led Internet-...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章


    authors: Goessens BM,Visseren FL,de Nooijer J,van den Borne HW,Algra A,Wierdsma J,van der Graaf Y,SMART Study Group.

    更新日期:2008-10-01 00:00:00

  • An intervention programme using the ASE-model aimed at enhancing adherence in adolescents with asthma.

    abstract::A randomised controlled trial, involving 112 adolescents with asthma, and a 2-year follow-up was conducted to assess the impact of an intervention programme aimed at enhancing adherence to asthma medication. This programme had a duration of 1 year and consisted of an experimental group which received usual care from a...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: van Es SM,Nagelkerke AF,Colland VT,Scholten RJ,Bouter LM

    更新日期:2001-09-01 00:00:00

  • The role of Dutch general practitioners in clinical health promotion.

    abstract::In this contribution it is argued that Dutch general practitioners (GPs) must make the transition from simply giving information to their patients, to providing them with medical education. Dutch GPs are in a prime position to contribute to the aims of health promotion. Instead of focusing health promotion on preventi...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: van Eijk JT

    更新日期:1995-07-01 00:00:00

  • Psychological adjustment to familial genetic risk assessment: differences in two longitudinal samples.

    abstract::Heritable cancer risk assessment is an increasingly common method of deriving valuable information relevant to deciding on appropriate screening regimens and preventive treatments. Assessments of heritable risk typically include familial-genetic evaluation, where analyses relate family pedigree to cancer risk, and DNA...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Ritvo P,Robinson G,Irvine J,Brown L,Matthew A,Murphy KJ,Stewart DS,Styra R,Wang C,Mullen M,Cole D,Rosen B

    更新日期:2000-05-01 00:00:00

  • Patient-physician social concordance, medical visit communication and patients' perceptions of health care quality.

    abstract:UNLABELLED:Social characteristics (e.g. race, gender, age, education) are associated with health care disparities. We introduce social concordance, a composite measure of shared social characteristics between patients and physicians. OBJECTIVE:To determine whether social concordance predicts differences in medical vis...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Thornton RL,Powe NR,Roter D,Cooper LA

    更新日期:2011-12-01 00:00:00

  • Relationship between improvements in heart failure patient disease specific knowledge and clinical events as part of a randomized controlled trial.

    abstract:OBJECTIVE:To examine the changes in performance on heart failure knowledge assessments administered before and after discharge education. METHODS:We conducted a randomized controlled trial comparing the effects of a 1-h, one-on-one teaching session with a nurse educator to the standard discharge process in patients wi...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Kommuri NV,Johnson ML,Koelling TM

    更新日期:2012-02-01 00:00:00

  • The effect of nutritional education program on quality of life and serum electrolytes levels in hemodialysis patients: A single-blind randomized controlled trial.

    abstract:OBJECTIVE:To determine the effect of nutrition education program on hemodialysis patients' quality of life (QoL) and serum electrolytes levels. METHODS:This study was a randomized controlled trial in which 94 eligible hemodialysis patients were randomly assigned to intervention (n = 48) and control (n = 46) groups. In...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,随机对照试验


    authors: Naseri-Salahshour V,Sajadi M,Nikbakht-Nasrabadi A,Davodabady F,Fournier A

    更新日期:2020-09-01 00:00:00

  • Exploring approaches to identify, incorporate and report patient preferences in clinical guidelines: Qualitative interviews with guideline developers.

    abstract:BACKGROUND:Clinical guidelines informed by patient preferences are more likely to be used and widely advocated, yet research shows that few guidelines reflect patient preferences. OBJECTIVE:Explore how developers generate guidelines informed by patient preferences. PATIENT INVOLVEMENT:Seventeen patients were involved...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Kim C,Berta WB,Gagliardi AR

    更新日期:2020-10-07 00:00:00

  • The short-term effects of a body awareness program: better self-management of health problems for individuals with chronic a-specific psychosomatic symptoms.

    abstract::A three-day residential Body Awareness Program (BAP) was developed to teach people with Chronic A-specific Psychosomatic Symptoms (CAPS) to react adequately to disturbances of the balance between a daily workload and the capacity to deal with it. The short-term effects of the program for people with CAPS are presented...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Landsman-Dijkstra JJ,van Wijck R,Groothoff JW,Rispens P

    更新日期:2004-11-01 00:00:00

  • Validation of the Norwegian version of MAPPIN'SDM, an observation-based instrument to measure shared decision-making in clinical encounters.

    abstract:OBJECTIVE:To validate the Norwegian version of MAPPIN'SDM observer scales with regard to reliability, accuracy and the extent to which the scales include the essentials of the shared decision-making concept. METHODS:Three MAPPIN'SDM scales, focusing on the skills of doctor, patient and dyad, were applied to audiovisua...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Kienlin S,Kristiansen M,Ofstad E,Liethmann K,Geiger F,Joranger P,Tveiten S,Kasper J

    更新日期:2017-03-01 00:00:00

  • Complementary therapy and cancer: decision making by patients and their physicians setting a research agenda.

    abstract::An invitational meeting, entitled Complementary and Alternative Therapy: Decision Making by Cancer Patients and Their Physicians, brought together Canadian health care providers and researchers who had expertise in patient-physician communication with those who were knowledgeable about complementary therapy and cancer...

    journal_title:Patient education and counseling



    authors: Herbert CP,Verhoef M,White M,O'Beirne M,Doll R

    更新日期:1999-10-01 00:00:00

  • Transforming the experience of illness into action - Patient and spouses experiences of involvement in a patient and family advisory council.

    abstract:OBJECTIVE:The objective was to explore patients' and spouses' perception and attitudes towards participating in a patient and family advisory council. METHODS:A qualitative study with interviews conducted within a phenomenological-hermeneutical frame, inspired by Ricoeur were conducted with current and former particip...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Missel M,Hansen MH,Petersson NB,Forman J,Højskov IE,Borregaard B

    更新日期:2020-11-24 00:00:00

  • Approaches to patient and family education with affective disorders.

    abstract::This paper provides an overview of prevalence, types, effects and treatment for affective disorders, with particular emphasis on educational and psychoeducational interventions. It reviews several models of psychoeducation including the approaches used in various programs at the Psychiatric hospital in which the autho...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Daley DC,Bowler K,Cahalane H

    更新日期:1992-04-01 00:00:00

  • An exploration of how positive emotions are expressed by older people and nurse assistants in homecare visits.

    abstract:OBJECTIVE:We don´t know how positive emotions are being expressed by patients and health care providers in consultations. The aim of this study is to identify positive emotions expressed by older people and nurse assistants to discuss the function of these in the visits. METHOD:This paper presents secondary analysis o...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Heyn L,Ellington L,Eide H

    更新日期:2017-11-01 00:00:00

  • Engaging children in the development of obesity interventions: Exploring outcomes that matter most among obesity positive outliers.

    abstract:OBJECTIVE:To explore outcomes and measures of success that matter most to 'positive outlier' children who improved their body mass index (BMI) despite living in obesogenic neighborhoods. METHODS:We collected residential address and longitudinal height/weight data from electronic health records of 22,657 children ages ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Sharifi M,Marshall G,Goldman RE,Cunningham C,Marshall R,Taveras EM

    更新日期:2015-11-01 00:00:00

  • Deciding on breast cancer risk reduction: The role of counseling in individual decision-making - A qualitative study.

    abstract:OBJECTIVES:The presentation of risks and benefits in clinical practice is common particularly in situations in which treatment recommendations involve trade-offs. The treatment of breast cancer risk with selective estrogen receptor modulators (SERMs) is such a decision. We investigated the influence of health care prov...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Blakeslee SB,McCaskill-Stevens W,Parker PA,Gunn CM,Bandos H,Bevers TB,Battaglia TA,Fagerlin A,Müller-Nordhorn J,Holmberg C

    更新日期:2017-12-01 00:00:00

  • Information to and communication with cancer patients: improvements and psychosocial correlates in a comprehensive care program for patients and their relatives.

    abstract::Between 1987 and 1989, 177 cancer patients who were to receive intensive chemotherapy with curative intention, participated in a comprehensive care project with the aim of improving their total situation, and that of their relatives (n = 120). A number of steps were taken to improve, among other things, the informatio...

    journal_title:Patient education and counseling

    pub_type: 临床试验,杂志文章


    authors: Glimelius B,Birgegård G,Hoffman K,Kvale G,Sjödén PO

    更新日期:1995-05-01 00:00:00

  • Predictors of fecal occult blood screening among older socioeconomically disadvantaged Americans: a replication study.

    abstract::Socioeconomically disadvantaged elderly are less likely to participate in fecal occult blood testing (FOBT). A quasi-experimental design was used in this operational replication study to determine predictors at baseline of subsequent participation in FOBT. Sixty-five percent of the 211 participants in the replication ...

    journal_title:Patient education and counseling

    pub_type: 杂志文章


    authors: Weinrich SP,Weinrich MC,Atwood J,Boyd M,Greene F

    更新日期:1998-06-01 00:00:00

  • Why should patients do what we ask them to do?

    abstract::Many factors contribute to patients' self-management success. In the main these are attitudes, beliefs or perceptions of the patients rather than demographic characteristics. Patients do need not only to acquire knowledge and self-management abilities, but also the desire to apply them on a life-long basis. They requi...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,评审


    authors: Day JL

    更新日期:1995-09-01 00:00:00

  • Caregiver burden and emotional problems in partners of stroke patients at two months and one year post-stroke: Determinants and prediction.

    abstract:OBJECTIVES:(a) To determine levels of and factors explaining partners' burden, anxiety and depressive symptoms at two months post-stroke, (b) to predict partners' burden, anxiety and depressive symptoms at one year post-stroke based on patient and partner characteristics available at two months post-stroke. METHODS:Pr...

    journal_title:Patient education and counseling

    pub_type: 杂志文章,多中心研究


    authors: Kruithof WJ,Post MW,van Mierlo ML,van den Bos GA,de Man-van Ginkel JM,Visser-Meily JM

    更新日期:2016-10-01 00:00:00