title: Development of a First Peoples-led cultural capability measurement tool: A pilot study with midwifery students.
abstract: BACKGROUND
  Midwives have a central role in closing the gap in health inequalities between Australias' First Peoples and other childbearing women. The Aboriginal and Torres Strait Islander Health Curriculum Framework (The Framework) identifies five core cultural capabilities (respect, communication, safety and quality, reflection and advocacy) to foster culturally safe health care.
  
  
  OBJECTIVE
  To use a decolonising, First Peoples-led approach to develop and validate a tool to measure the development students' cultural capabilities.
  
  
  METHODS
  A pre- post intervention design was used. Development of the Cultural Capability Measurement Tool followed a staged process which centred on First Peoples' knowledges. This process included: item generation, expert review; a pilot, test-retest; and psychometric testing (reliability, factor analysis and construct validity). All third year midwifery students (n=49) enrolled in a discrete First Peoples health course were invited to complete the survey pre and post course.
  
  
  RESULTS
  A response rate of 77.5% (n=38/49) pre-course and 30.6% (15/49) at post-course was achieved. The tool demonstrated good internal reliability (Cronbach alpha=.89-.91). Principal component analysis with varimax rotation produced a five-factor solution. A paired samples t-test revealed a significant increase from pre-course (mean 93.13, SD 11.84) to post-course scores (mean=100.53, SD 7.54) (t (14)=-2.79, p=.014).
  
  
  CONCLUSIONS
  A First Peoples approach was critical to tool development and conceptual validity. The 22 item Cultural Capability measurement Tool reflected the core cultural capabilities of The Framework. The draft tool appears suitable for use with midwifery students.
authors.affiliation: Griffith University, Parklands Dr, Southport, QLD 4215, Australia; First Peoples Health Unit, Griffith University, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia; Menzies Health Institute, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia. Electronic address: r.west@griffith.edu.au.
authors.forename: Roianne
authors.initials: R
authors.lastname: West
authors.affiliation: Griffith University, Parklands Dr, Southport, QLD 4215, Australia; First Peoples Health Unit, Griffith University, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia; Menzies Health Institute, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia.
authors.forename: Somer
authors.initials: S
authors.lastname: Wrigley
authors.affiliation: Griffith University, Parklands Dr, Southport, QLD 4215, Australia; First Peoples Health Unit, Griffith University, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia; Menzies Health Institute, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia.
authors.forename: Kyly
authors.initials: K
authors.lastname: Mills
authors.affiliation: Curtin University, Kent St, Bentley, WA 6102, Australia.
authors.forename: Kate
authors.initials: K
authors.lastname: Taylor
authors.affiliation: Griffith University, Parklands Dr, Southport, QLD 4215, Australia; First Peoples Health Unit, Griffith University, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia; Menzies Health Institute, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia.
authors.forename: Dale
authors.initials: D
authors.lastname: Rowland
authors.affiliation: Griffith University, Parklands Dr, Southport, QLD 4215, Australia; Menzies Health Institute, G40 Griffith Health Centre, Level 8, Gold Coast Campus, Griffith University, QLD 4222, Australia.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Creedy
mesh_terms: D000328:Adult; D001315:Australia; D054521:Cultural Competency / Q000193:education*; D065246:Culturally Competent Care / Q000592:standards*; D003479:Curriculum; D004508:Education, Nursing, Baccalaureate / Q000592:standards*; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008880:Midwifery / Q000193:education* / Q000592:standards*; D009721:Nurse Midwives / Q000193:education* / Q000592:standards*; D010865:Pilot Projects; D011247:Pregnancy; D011594:Psychometrics; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Cultural capability measurement Indigenous health