Martha Bleeker, Nicholas Beyler, Susanne James-Burdumy, Jane Fortson
The impact of playworks on boys' and girls' physical activity during recess
The Journal of school health
sought synthesize findings studies evaluating interventions improve cultural competence health professionalsthis systematic literature review analysiswe performed electronic hand searches 1980 june 2003 identify studies evaluated interventions designed improve cultural competence health professionals abstracted synthesized data studies afterintervention evaluation control group comparison graded strength evidence excellent good fair poor using predetermined criteriawe sought evidence effectiveness costs cultural competence training health professionalsthirtyfour studies included review excellent evidence cultural competence training improves knowledge health professionals 17 19 studies demonstrated beneficial effect good evidence cultural competence training improves attitudes skills health professionals 21 25 studies evaluating attitudes demonstrated beneficial effect 14 14 studies evaluating skills demonstrated beneficial effect good evidence cultural competence training impacts patient satisfaction 3 3 studies demonstrated beneficial effect poor evidence cultural competence training impacts patient adherence although one study designed demonstrated beneficial effect studies evaluated patient health status outcomes poor evidence determine costs cultural competence training 5 studies included incomplete estimates costscultural competence training shows promise strategy improving knowledge attitudes skills health professionals however evidence improves patient adherence therapy health outcomes equity services across racial ethnic groups lacking future research focus outcomes determine teaching methods content effective