Cross-Cultural Adaptability Inventory (CCAI) Training: A Descriptive Multi-Methods Case Study on a Cultural Humility Course from a Premier Public Health Agency Open Access

Abstract

 

Cultural humility in global health continues to emerge as a topic of utmost importance. Many times, global health practitioners will enter into a situation where they are engaging with those of other cultural backgrounds, which can lead to a number of issues in interactions, particularly in a work setting. There is a relative lack of robust descriptions of programs that are available to prepare staff for cross-cultural engagement in international fieldwork. This multi-method descriptive case study aims to describe in-depth the Cross-Cultural Adaptability Inventory (CCAI) Training course offered by the Center for Global Health (CGH) at the Centers for Disease Control and Prevention (CDC) related to seven dimensions including A) description of the program, B) program genesis, C) specific goals of the program, D) program content, E) implementation strategy, F) evaluation strategy, and G) acceptability and utility. In order to describe this training, a number of methods were employed including documentary analysis, secondary post-course evaluation data analysis, a quantitative post-course survey and analysis, as well as informal conversations with key informants. This training was originally an eight-hour in-person course required for anyone at CDC that is working and living in another country for two or more years. Since the COVID-19 pandemic, the training has been adapted into a four-hour virtual session. Participant feedback is generally positive, and CDC will use this case study as a catalyst for an in-depth evaluation of the program.

Table of Contents

   I.        Introduction and Background…………………………………………………..……....1

  II.        Statement of Purpose…………………………………………………………..………...2

a.    Lack of Rich Description………………………………………………………….4

 III.        Significance ………………………………………………………………………………5

 IV.        Methods ………………………………………………………………………………….5

a.    Overview ………………………………………………………………………….5

b.    Data Collection...………………………………………………………………….6

c.    Rationale...…………………………………………………………………..…….7

  V.        Results …………………………………………………………………………………....8

a.    Description of the Program……………………………………………………….8

b.    Program Genesis……………………………………………………………….…8

c.    Specific Goals of the Program…………………………………………………...10

d.    Program Content…………………………………………………………...……10

e.    Implementation Strategy…………………………………………………………11

f.     Evaluation Strategy………………………………………………………………13

g.    Acceptability and Utility…………………………………………………………14

 VI.        Discussion…………………………………………………………………………….…14

VII.        Limitations ……………………………………………………………………………...15

VIII.        Conclusion and Recommendations……………………………………………………16

 IX.        Tables and Figures ……………………………………………………………………..17

a. Table 1: Documentary Analysis Overview………………………………………..17

  X.        Appendix A……………………………………………………………………………...19

A1. CCAI Training Participants by Person Type…………………….……………...19

A2. Number of CCAI Training Participants…………………………………..……..19

 XI.        Appendix B…………………………………………………………………………...…20

B1: Tools referred to outside of training. ………………………………...…………20

B2: Extend of use of course learning…………………………………………...……20

B3: Factors that help use of course learning……………………………………...…21

B4: Factors that inhibit use of course learning…………………………………...…21

XII.        References ………………………………………………………………………………22

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Ethics Health Sciences, Public Health Education, Curriculum and Instruction
Keyword	Global Health Training Cultural Engagement Cultural Humility
Committee Chair / Thesis Advisor	James Lavery, Emory University

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