Development of the Multicultural Therapy Competency Inventory-Client Version
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This study reports the development of a thirty-two item instrument to assess clients’ perceptions of their therapists’ multicultural competence that can be used in couple, family and individual therapy. This instrument was developed through three phases: item generation and theme development, client feedback and evaluation of interrater reliability, and pilot and validity testing. We used Winsteps (Linacre in Winsteps Computer Program Version 3.21. MESA Press, Chicago, 2001) software to scale the measurement data to the Rasch Rating Scale Model, and evaluate the dimensionality, rating scale use, item fit, person fit, reliability and precision. We also created norms to interpret the measure. Preliminary data support the reliability and validity of the Multicultural Therapy Competency Inventory-Client Version (MTCI-CV). Additionally, we found that positive client perceptions of therapist cultural competence (on the MTCI-CV) significantly contribute to the probability of clients expressing satisfaction and goal attainment in therapy.
KeywordsMulticultural therapy competence Instrument development Cultural sensitivity Cultural competence
- American Association for Marriage and Family Therapy. (2004). Marriage and family therapy core competencies. Retrieved from http://www.aamft.org/imis15/Documents/MFT_Core_Competencie.pdf.
- Anderson, H., & Goolishian, H. (1992). The client is the expert: A not-knowing approach to therapy. In S. McNamee & K. Gergen (Eds.), Therapy as social construction (pp. 27–39). Newbury Park, CA: Sage.Google Scholar
- Atkinson, D. R., & Lowe, S. M. (1995). The role of ethnicity, cultural knowledge, and conventional techniques in counseling and psychotherapy. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 34–50). Thousand Oaks, CA: Sage.Google Scholar
- Commission on Accreditation for Marriage and Family Therapy Education. (2013). Accreditation standards version 12.0 draft. Retrieved from http://www.aamft.org/imis15/documents/COAMFTE/COAMFTE_Accreditation_Standards_Version_12_DRAFT.pdf.
- DeVellis, R. (2003). Scale Development: Theory and Applications. California: SAGE Publications Inc.Google Scholar
- Dillman, D. (2007). Mail and telephone surveys: The total design method. New York: John Wiley and Sons.Google Scholar
- Inman, A. G., Meza, M. M., Brown, A. L., & Hargrove, B. K. (2004). Student-Faculty perceptions of multicultural training in accredited marriage and family therapy programs in relation to students’ self-reported competence. Journal of Marital and Family Therapy, 30(3), 373–388. doi: 10.1111/j.1752-0606.2004.tb01247.x.PubMedCrossRefGoogle Scholar
- Linacre, J. M. (2001). Winsteps Computer Program Version 321. Chicago: MESA Press.Google Scholar
- Linacre, J. M. (2004). Rasch model estimation: Further topics. In J. Everett, V. Smith, & R. M. Smith (Eds.), Introduction to Rasch measurement (pp. 48–72). Maple Grove, MN: JAM press.Google Scholar
- McGoldrick, M. (1998). Re-visioning family therapy: Race, culture, and gender in clinical practice. New York: Guilford Press.Google Scholar
- Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw Hill.Google Scholar
- Quek, K., & Storm, C. (2012). Chinese values in supervisiory discourse: Implications for culturally sensitive practices. Journal of Contemporary Family Therapy, 35(3), 508–515.Google Scholar
- Smith, R. M., Schumacker, R. E., & Bush, M. J. (1998). Using item mean squares to evaluate fit to the Rasch model. Journal of Outcome Measurement, 2(1), 66–78. Retrieved from http://www.jampress.org/JOM_V2N1.pdf.
- Steenbarger, B. N., & Pels, L. C. (1997). Constructivist foundations for multicultural counseling: Assessment and intervention. In T. L. Thomas & B. L. Griffin (Eds.), Constructivist thinking in counseling practice, research, and training (pp. 111–121). New York: Teachers College Press.Google Scholar
- Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. Boston: Pearson Education.Google Scholar
- Tervalon, M., & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117–125. doi: 10.1353/hpu.2010.0233.PubMedCrossRefGoogle Scholar
- Winston, E. J. & Piercy, F. P. (2010). Gender and diversity topics taught in commission on accreditation for marriage and family therapy education programs. Journal of Marital and Family Therapy, 36(4), 446–471. doi: 10.1111/j.1752-0606.2010.00220.x.
- Wolfe, E. W. (2008). RBF.sas (Rasch Bootstrap Fit): A SAS macro for estimating critical values for Rasch model fit statistics. Applied Psychological Measurement, 32, 585–586. doi: 10.1177/0146621607312308.