Local Patients, Local Stories: Using Local Patients’ Stories and Community Resources for Healthcare Provider Cultural Competency Training

Dr. Quinn leads discussion on patient-centered careThe main purpose of this study is to develop and assess a training program to improve care for Latinos with diabetes that uses patient photographs, patient stories, information about local resources, and exercises to increase awareness of stereotyping in the healthcare setting. The hour-long training program has been designed for healthcare providers and registered nurses in primary care or endocrinology who provide direct care to adult patients. The program was recently piloted with healthcare staff and providers in the South Lawndale neighborhood of Chicago.

Our cultural competency training program focuses on the provider/staff’s local patient population and their patients’ unique barriers to care. It highlights the successes patients have had in overcoming barriers to care and informs providers on local resources and community assets. The training aims to increase self-awareness of the use of stereotypes in clinical practice and incorporates skill-building on patient-centered communication.

During our training program, local patients’ stories are shared through an 11-minute video we created involving interviews with participants with diabetes from our Picture Good Health study. Specifically, we asked the participants to discuss the photographs they took as part of the photovoice component of the study. To see the photographs our participants discussed for our video, click here. The ‘Local Patients, Local Stories’ training video will be uploaded to our website soon.

Our study will assess the impact of the training program on provider awareness of cultural and health beliefs of their Latino patients, as well as, the local barriers to care and successes of their Latino patients. We will also measure provider understanding and utilization of local resources for their Latino patients with diabetes and their knowledge of local demographics in the community where they work. Our study will additionally assess provider attitudes toward people of other cultures, their self-reported use of culturally competent behaviors, and their self-reported effectiveness in caring for their Latino patients. Finally, we will evaluate the provider/staff’s attitudes and beliefs regarding the value of local patients’ stories and the presentation of community resources in a cultural competency training program. Results are forthcoming.

Exercise to raise awareness about stereotyping

Principal Investigator: Arshiya A. Baig, MD, MPH
Research Team:
Amanda Benitez, MPH, project manager
Patricia Fernandez Piñeros, research assistant
Yue Gao, MPH, statistician and data programmer
Anghela Paredes, University of Illinois College of Medicine, research intern
Michael T. Quinn, PhD, co-investigator
Lisa Monnot, Taller de José, co-investigator
Sr. Kathleen Brazda, Taller de José, co-investigator
Little Village Community Advisory Board
Marshall H. Chin, MD, MPH, co-investigator

Funding Sources:
Schweppe Foundation Career Development Award
National Institutes of Health
NIDDK DK087903-01A1 K23 Mentored Career Development Award
NIDDK P30 DK092949 Chicago Center for Diabetes Translation Research
University of Chicago Institute of Translational Medicine CTSA Pilot Grant (UL1RR02499)
Center for Research Informatics Grant Support (UL1RR024999)