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Table 2 Change in Social Cultural Confidence in Care: Completers of Both Phases of Training, with Pre-Phase 1 and Post-Phase 2 Survey Responses (n = 7)

From: Participant-reported effect of an Indigenous health continuing professional development initiative for specialists

 

Pre-Phase 1

Post-Phase 2

Change

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Wilcoxon signed rank test

GENERAL

 Q1 – I am satisfied with my Indigenous patients’ clinical outcomes

1

1

2

3

0

0

4

0

3

3

1.00

 Q2 – My level of confidence has improved with regards to providing care to Indigenous patients with arthritis

0

0

1

5

1

0

0

0

4

3

0.18

 Q3 – I modify my arthritis care approach when working with Indigenous patients

0

0

0

4

3

0

1

0

1

5

0.70

SOCIAL FACTORS

 Q4 – When treating Indigenous patients with arthritis, I routinely and specifically inquire about socioeconomic conditions

0

1

2

0

4

0

0

2

4

1

0.79

 Q5 – I explore with patients how stress, trauma and recurrent adverse life experiences have potential impacts on their arthritis outcomes

0

3

0

4

0

0

0

1

3

3

0.02

 Q6 – I advocate for social resources that are key for my Indigenous patients with arthritis

0

0

1

2

4

0

0

0

5

2

0.65

CULTURALLY INFORMED

 Q7 -I am knowledgeable about Indigenous healing traditions

1

2

2

2

0

0

0

3

4

0

0.05

 Q8 – I am skilled at eliciting patients’ use of and preferences for culture-based healing methods

1

2

2

2

0

0

0

1

4

2

0.02

 Q9 – I am skilled at providing culturally sensitive patient education and interventions

0

3

2

2

0

0

0

2

3

2

0.02

FACILITATING RELATIONSHIPS

 Q10 – I am aware of my own cultural and professional identities

0

1

1

4

1

0

0

1

2

3

0.08

 Q11 – I am an effective communicator with Indigenous patients

0

0

4

2

1

0

0

1

4

2

0.05

 Q12 – I employ cultural factors in my approach to building a therapeutic relationship with Indigenous patients

0

3

3

0

1

0

0

1

2

4

0.03

ADDRESSING INEQUITY

 Q13 – I am knowledgeable of the impact of racism and prejudice in healthcare experienced by Indigenous populations

0

0

0

4

3

0

0

0

3

4

0.32

 Q14 – I am aware of my own stereotypes of Indigenous peoples

0

0

1

6

0

0

0

0

3

4

0.03

 Q15 – I have an understanding of colonization and its’ impact on Indigenous health outcomes

0

1

0

3

3

0

0

0

3

4

0.32