Development of the Cultural Humility Scale—Short Form (CHS-SF)

<b>Objective:</b> The purpose of the present study was to develop a brief version of the Cultural Humility Scale (CHS; Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., Jr., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. <i>Journal of Counseling Psychology</i>, <i>60</i>(3), 353-366. https://doi.org/10.1037/a0032595) to reduce participant burden in clinical settings.<b>Method:</b> In Study 1 (<i>n</i> = 247), we used confirmatory factor analyses (CFA) and two-factor item response theory (IRT) models to create the Cultural Humility Scale-Short Form (CHS-SF). In Study 2 (<i>n</i> = 272), we performed cross-validation of the CHS-SF. We also examined construct validity using the Cross-Cultural Counseling Inventory-Revised (CCCI-R; LaFromboise, T. D., Coleman, H. L. K., & Hernandez, A. (1991). Development and factor structure of the Cross-cultural Counseling Inventory-Revised. <i>Professional Psychology: Research and Practice</i>, <i>22</i>(5), 380-388. https://doi.org/10.1037/0735-7028.22.5.380) and the Working Alliance Inventory (WAI; Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. <i>Psychological Assessment: A Journal of Consulting and Clinical Psychology</i>, <i>1</i>(3), 207-210. https://doi.org/10.1037/1040-3590.1.3.207).<b>Results:</b> The CHS-SF has two 3-item subscales (positive/negative cultural humility). The CFA for the CHS-SF showed excellent model fit, and all coefficients demonstrated good-to-excellent reliability for the whole scale. The factor structure was replicated with a unique sample, and we also found evidence of measurement invariance by gender and race/ethnicity. The CHS-SF again showed adequate estimates of reliability. The CHS-SF was positively correlated with both the CCCI-R and WAI.<b>Conclusion:</b> The CHS-SF offers an efficient tool for measuring therapists' cultural humility based on client perceptions during treatment. Like the original CHS, it is well-suited for routine care and training environments. Implications for practice and research, limitations, and directions for future inquiry are discussed.

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Journal
Psychotherapy Research
Published
2024-12-29
DOI
https://doi.org/10.1080/10503307.2024.2435043
Citations
2
Primary Topic
Racial and Ethnic Identity Research
Type
article
Field-Weighted Citation Impact
2.26

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article

Development of the Cultural Humility Scale—Short Form (CHS-SF)

Jesse Owen, Katalin Grajzel, Cirleen DeBlaere, Yixiao Dong et al.
2 citations
Psychotherapy Research
Racial and Ethnic Identity Research
2.26
article

Development of the Cultural Humility Scale—Short Form (CHS-SF)

Jesse Owen, Katalin Grajzel, Cirleen DeBlaere, Yixiao Dong, Joshua N. Hook, Jeremy J. Coleman, Don E. Davis
article en
2 citations

Abstract

<b>Objective:</b> The purpose of the present study was to develop a brief version of the Cultural Humility Scale (CHS; Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., Jr., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. <i>Journal of Counseling Psychology</i>, <i>60</i>(3), 353-366. https://doi.org/10.1037/a0032595) to reduce participant burden in clinical settings.<b>Method:</b> In Study 1 (<i>n</i> = 247), we used confirmatory factor analyses (CFA) and two-factor item response theory (IRT) models to create the Cultural Humility Scale-Short Form (CHS-SF). In Study 2 (<i>n</i> = 272), we performed cross-validation of the CHS-SF. We also examined construct validity using the Cross-Cultural Counseling Inventory-Revised (CCCI-R; LaFromboise, T. D., Coleman, H. L. K., & Hernandez, A. (1991). Development and factor structure of the Cross-cultural Counseling Inventory-Revised. <i>Professional Psychology: Research and Practice</i>, <i>22</i>(5), 380-388. https://doi.org/10.1037/0735-7028.22.5.380) and the Working Alliance Inventory (WAI; Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the Working Alliance Inventory. <i>Psychological Assessment: A Journal of Consulting and Clinical Psychology</i>, <i>1</i>(3), 207-210. https://doi.org/10.1037/1040-3590.1.3.207).<b>Results:</b> The CHS-SF has two 3-item subscales (positive/negative cultural humility). The CFA for the CHS-SF showed excellent model fit, and all coefficients demonstrated good-to-excellent reliability for the whole scale. The factor structure was replicated with a unique sample, and we also found evidence of measurement invariance by gender and race/ethnicity. The CHS-SF again showed adequate estimates of reliability. The CHS-SF was positively correlated with both the CCCI-R and WAI.<b>Conclusion:</b> The CHS-SF offers an efficient tool for measuring therapists' cultural humility based on client perceptions during treatment. Like the original CHS, it is well-suited for routine care and training environments. Implications for practice and research, limitations, and directions for future inquiry are discussed.

Psychotherapy ResearchVol. 35(8)
University of North Texas (US), University of Denver (US), Georgia State University (US), University of Utah (US)
John Templeton Foundation, University of Denver
Reduced inequalities
Openalex Percentile: Top 9%
Racial and Ethnic Identity Research
2.26
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