Abstract：
Recent findings in health sciences and medical education highlight the importance of training healthcare professionals to interact with their patients in a culturally humble manner (Nadal et al., in Journal of Counseling and Development 92: 57-66, 2014; Pascoe & Smart Richman, in Psychological Bulletin 135: 531, 2009; Sirois & Burg, in Behavior Modification 27: 83-102, 2003; Williams & Mohammed, in Journal of Behavioral Medicine 32: 20-47, 2009). An important piece in the progression of our ability to address training challenges is the assessment of cultural humility. As an extension of previous research (Lombardero et al., in Journal of Clinical Psychology in Medical Settings, 30: 261-273, 2023), this study implemented an evidence-based cultural humility intervention (based on Acceptance and Commitment Training) to improve medical students\' interactions with standardized patients (SPs) which was assessed via direct behavioral observation. Specifically, the observational measurement system was focused on culturally humble responses to patients reporting microaggressions to the medical professional. A pre-post comparison of the results demonstrated statistically significant improvements pertaining to participants\' culturally humble responses to SPs\' reports of microaggressions for one of the measurement scales used (i.e., ARISE), but not the other (i.e., Responsiveness to Racial Challenges Scale). Further analyses, on the bottom quartile of performers, were conducted to assess a possible ceiling effect of the scale that did not demonstrate significant change. These results and implications for future research will be discussed.
摘要：
健康科学和医学教育的最新发现强调了培训医疗保健专业人员以文化谦卑的方式与患者互动的重要性（Nadal等人。,“咨询与发展杂志”92：57-66，2014；Pascoe&SmartRichman，“心理学通报”135：531，2009；Sirois&Burg，“行为修正”杂志27：83-102，2003；威廉姆斯和穆罕默德，“行为医学杂志”32：20-47,2009)。我们应对培训挑战的能力发展中的一个重要部分是对文化谦逊的评估。作为先前研究的延伸(Lombardero等人。,在医学环境中的临床心理学杂志上，30：261-273，2023年），这项研究实施了基于证据的文化谦逊干预(基于接受和承诺培训),以改善医学生与标准化患者(SP)的互动,并通过直接行为观察进行评估.具体来说,观察性测量系统的重点是对向医学专业人员报告微侵袭的患者的文化上不起眼的反应.对结果进行的事后比较表明，对于使用的一种测量量表，参与者对SP的文化上谦逊的反应具有统计学上的显着改善（即，ARISE),但不是另一个(即，对种族挑战的反应量表)。进一步分析,在表演者的底部四分位数上，进行评估，以评估没有显示显着变化的规模可能的上限效应。将讨论这些结果和对未来研究的启示。
