title: Development of an Inventory for Health-Care Office Staff to Self-Assess Their Patient-Centered Cultural Sensitivity.
abstract: BACKGROUND
  Patient-centered culturally sensitive health care (PC-CSHC) is a best practice approach for improving health-care delivery to culturally diverse populations and reducing health disparities. Despite patients' report that cultural sensitivity by health-care office staff is an important aspect of PC-CSHC, the majority of available research on PC-CSHC focuses exclusively on health-care providers. This may be due in part to the paucity of instruments available to assess the cultural sensitivity of health-care office staff. The objective of the present study is to determine the psychometric properties of the Tucker-Culturally Sensitive Health Care Office Staff Inventory-Self-Assessment Form (T-CSHCOSI-SAF). This instrument is designed to enable health-care office staff to self-assess their level of agreement that they display behaviors and attitudes that culturally diverse patients have identified as office staff cultural sensitivity indicators.
  
  
  METHODS
  A sample of 510 health-care office staff were recruited at 67 health-care sites across the United States. These health-care office staff anonymously completed the T-CSHCOSI-SAF and a demographic data questionnaire.
  Confirmatory factor analyses of the T-CSHCOSI-SAF revealed that this inventory has 2 factors with high internal consistency reliability (Cronbach's αs= .916 and .912).
  
  
  CONCLUSIONS
  The T-CSHCOSI-SAF is a useful inventory for health-care office staff to assess their own level of patient-centered cultural sensitivity. Such self-assessment data can be used in the development and implementation of trainings to promote patient-centered cultural sensitivity of health-care office staff and to help draw the attention of these staff to displaying patient-centered cultural sensitivity.
authors.affiliation: Department of Psychology, University of Florida, Gainesville, FL, USA.
authors.forename: Carolyn M
authors.initials: CM
authors.lastname: Tucker
authors.affiliation: Department of Psychology, Fayetteville State University, Fayetteville, NC, USA.
authors.forename: Whitney A
authors.initials: WA
authors.lastname: Wall
authors.affiliation: Department of Psychology, University of Florida, Gainesville, FL, USA.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Wippold
authors.affiliation: Department of Psychology, University of Florida, Gainesville, FL, USA.
authors.forename: Julia
authors.initials: J
authors.lastname: Roncoroni
authors.affiliation: Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Marsiske
authors.affiliation: Department of Psychology, University of Florida, Gainesville, FL, USA.
authors.forename: Gabriel S
authors.initials: GS
authors.lastname: Linn
keywords: cost-effectiveness; patient-centeredness; practice management; primary care; quality improvement