An evaluation of cultural competency training on perceived patient adherence

Abstract

The importance of cultural competency within healthcare is well established in the West. This mixed-methods study aimed to measure the impact of a cultural competence training programme on the ability of Indian physiotherapy students to engage in culturally competent care practices that improved perceived patient adherence to treatment. Qualitative data from semi-structured interviews conducted online 2 weeks after the training were transcribed and analysed using framework analysis. Quantitative data in the form of pre- and post-training scores on the Sports Injury Rehabilitation and Assessment Scale (SIRAS) were recorded to evaluate the impact of training on therapist's perception of treatment adherence. Findings revealed significant changes between the pre-training (median = 9) and post-training (median = 13) SIRAS scores (Wilcoxon Rank Test p < 0.001), with all participants recording a positive change in treatment adherence after attending the training. Qualitative results complemented the quantitative findings. The four main themes consisted of the respondent's perspective of physiotherapy treatment adherence, culture, the cultural competency training and its positive impact on other parameters. In conclusion, the results of this study justify the need to incorporate cultural competency training within physiotherapy education in order to provide patient-centred care.

Key words::

• cultural competency training
• patient adherence
• mixed methods

Acknowledgements

The authors sincerely thank the Principal of the participating Physiotherapy College, Dr Veena Krishnanand and the Principal Lecturer at Sheffield Hallam University, Hazel Horobin for their contribution, guidance and support. In addition, the authors are grateful to Miss Archana Puri, Miss Akshaya Kulkarni, Miss Ruhy Valawalkar and Miss Aafreen Makani for their participation in valuable discussions that refined this study.

Funding

None was received.

Conflict of Interest:

None.