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.
Authors
- Jesse Owen (ORCID: https://orcid.org/0000-0003-2307-9447)
- Katalin Grajzel (ORCID: https://orcid.org/0000-0002-8587-9477)
- Cirleen DeBlaere (ORCID: https://orcid.org/0000-0002-1472-9252)
- Yixiao Dong (ORCID: https://orcid.org/0000-0003-1940-952X)
- Joshua N. Hook (ORCID: https://orcid.org/0000-0003-2645-7060)
- Jeremy J. Coleman (ORCID: https://orcid.org/0000-0002-8026-2101)
- Don E. Davis (ORCID: https://orcid.org/0000-0003-3169-6576)
Institutions
- University of North Texas (US)
- University of Denver (US)
- Georgia State University (US)
- University of Utah (US)
Publication Details
- 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
Funders
- John Templeton Foundation
- University of Denver