1. 11/20/15
1
Impact
of
a
one
week
interna5onal
fieldwork
experience
on
development
of
intercultural
competence
in
entry
level
OT
students
Pamalyn
Kearney,
EdD,
OTR/L,
CAPS
Sharon
SwiK,
EdD,
OTR/L,
ATP
Do
not
copy
without
permission.
Today’s
plan
• GRU
OT
Interna5onal
Fieldwork
Program
• Intercultural
Development
Inventory
• Intercultural
Development
Con5nuum
• Preliminary
data
trends
• Discussion
&
Considera5ons
Do
not
copy
without
permission.
Our
program
• Partnership
with
Mustard
Seed
Communi5es-‐
Jamaica
• Ini5al
trip
fall,
2013
• 2
trips
in
2014
and
2015
• Range
from
9
to
17
students
per
trip
Do
not
copy
without
permission.
Our
Program
• Pre-‐trip
prep
• On
site
ac5vi5es
• Post
trip
debriefing
Do
not
copy
without
permission.
A[ending
to
Culture
• Healthy
Perspec5ves
+
curriculum
• Readings
as
part
of
FW
prep
• Cultural
goal
se_ng
– Camphina-‐Bacote’s
Process
of
Cultural
Competence
in
the
Delivery
of
Healthcare
Services
– Encounters,
Desire,
Awareness,
Knowledge,
Skills
• Country
study
&
Current
events
• Interac5ons
with
residents
&
staff,
learning
about
the
culture
of
Mustard
Seeds
and
Jamaica
• Evening
reflec5on
• Post-‐trip
debriefing
Do
not
copy
without
permission.
Assessing
Impact
-‐
Intercultural
Development
Inventory
• Standardized
50
item
ques5onnaire
• Theore5cal
alignment:
Developmental
Model
of
Intercultural
Sensi5vity;
Intercultural
Development
Con5nuum
• Perceived
&
Developmental
Orienta5ons,
orienta5on
gap,
development
plan
Do
not
copy
without
permission.
2. 11/20/15
2
Intercultural
Development
Con5nuum
• Monocultural
Mindsets
– Denial
– Polariza5on
• Transi5oning
Mindset
– Minimiza5on
• Intercultural
Mindsets
– Acceptance
– Adapta5on
h[ps://idiinventory.com
Do
not
copy
without
permission.
Intercultural
Development
Con5nuum
• Monocultural
Mindsets
– Denial:
lacking
awareness
of
culture
as
a
possible
reason
for
percep5on
or
behavior
differences;
broad
stereotypes
and
generaliza5ons
common
– Polariza5on:
a
more
judgmental
mindset,
“us
versus
them”;
can
present
as
defensive
“My
group
ways
are
superior
to
others”
or
reversal
“Other
group
ways
are
be[er
than
my
group”
Do
not
copy
without
permission.
Intercultural
Development
Con5nuum
• Transi5onal
Mindset
– Minimiza5on:
recognizes
cultural
varia5on
but
overemphasizes
cultural
similari5es.
Lack
a
deep
understanding
of
cultural
differences.
• Intercultural/Global
Mindsets
– Acceptance:
recogni5on
and
acceptance
of
pa[erns
of
cultural
similari5es
and
differences
– Adapta5on:
individual
is
able
to
shiK
cultural
perspec5ve
and
change
behavior
in
a
culturally
appropriate
way
Do
not
copy
without
permission.
Our
Study
• Administer
IDI
3-‐4
5mes
over
18
months
• Analyze
changes
in
PO
and
DO
over
5me
• Analyze
differences
in
PO
and
DO
between
groups
• Recruitment/enrollment
challenges
• Available
data
–
trends
Do
not
copy
without
permission.
Trends
0
2
4
6
8
10
12
Polariza5on
M
inim
iza5on
Acceptance
Adapta5on
No
SA
PO
No
SA
DO
0
2
4
6
8
10
12
Polariza5on
M
inim
iza5on
Acceptance
Adapta5on
Post
SA
PO
Post
SA
DO
Do
not
copy
without
permission.
Trends
• Gradua5on
data
for
7
students
who
par5cipated
in
interna5onal
fieldwork
– 6
students
had
numeric
decrease
in
PO
and
DO
scores
at
gradua5on
although
no
change
in
stage
• No
significant
change
in
program
for
Class
of
2016.
Will
have
data
for
14
addi5onal
students
through
gradua5on
for
2016.
Do
not
copy
without
permission.
3. 11/20/15
3
Discussion
&
Considera5ons
• Con5nue
data
collec5on
• Is
there
a
need
for
more
wri[en
reflec5on?
• Does
post-‐trip
debriefing
need
to
be
extended
to
further
address
cultural
elements?
• What
changes
can
be
made
to
the
experience
that
would
facilitate
more
growth?
• Would
individualized
development
plans
based
upon
DO
result
in
more
change?
Do
not
copy
without
permission.
References
• Boggis,
D.
(2012).
Effec5veness
of
a
developmental
curricular
design
to
graduate
culturally
competent
health
prac55oners.
Journal
of
Allied
Health,
41,
140-‐146.
• Campinha-‐Bacote,
J.
(2011).
Coming
to
know
cultural
competence:
An
evolu5onary
process.
Interna4onal
Journal
for
Human
Caring,
15,
42-‐48.
• Hammer,
M.
(2011).
Addi5onal
cross-‐cultural
validity
tes5ng
of
the
Intercultural
Development
Inventory.
Interna4onal
Journal
of
Intercultural
Rela4ons,
35,
474-‐487.
• Hammer,
M.
(2012).
The
Intercultural
Development
Inventory.
In
M.V.
Berg,
R.
M.
Paige
&
K.H.
Lou
(Eds.),
Student
Learning
Abroad.
Stylus
Publishing.
• Intercultural
Development
Inventory.
h[ps://idiinventory.com
Do
not
copy
without
permission.
