Table 1. Learning Objectives and Corresponding Curricula by Module, Multicomponent Cultural Competency Training Program, Arkansas, 2015–2016.

Learning Objective	Curriculum Topics
General cultural competency training
Define cultural competency and relevant concepts	Culture Cultural competency Campinha-Bacote’s model of cultural competency in the delivery of health care (27) Implicit and explicit biases Generalizations Stereotypes
Identify key aspects of cultural competence	Characteristics of culturally competent individuals
Understand the rationale for providing culturally competent care	Legal requirements Ethical requirements Quality of care and health outcomes Bias as a barrier to care
Identify cultural factors that influence health, health behaviors, and response to disease and treatment	Causes and perceptions of illness Attitudes toward treatment and medication adherence Multiple health belief theories
Describe the diversity of northwest Arkansas	Breakdown of ethnic/racial minority groups Washington versus Benton counties Language barriers
Use strategies to overcome barriers to cross-cultural communication	Tips for communicating with patients who have limited English proficiency Best practices for communication through interpreters Cross-cultural communication and interviewing skills
Self-assess own culture, assumptions, stereotypes, and biases	Bias self-assessment (private activity) Cultural competence self-assessment Bridging the gap between providers’ and patients’ beliefs
Marshallese cultural competency training
Describe the background and history of the Marshallese population in the United States and northwest Arkansas	Location of the Republic of the Marshall Islands History and effects of US nuclear testing in the Republic of the Marshall Islands Compact of Free Association Immigration status and disqualification for Medicaid/Medicare Marshallese in northwest Arkansas
Identify health risk factors commonly found in the Marshallese population	Significant health issues Diabetes disparities
Identify cultural characteristics of the Marshallese population that may influence health behaviors	Family structure and roles Importance of religion Nuclear testing and lasting effects on diet and nutrition Exercise and physical activity
Identify common health beliefs in the Marshallese community	Beliefs about causes of illnesses Self-medication, traditional remedies, and healers Less acceptance of Western medicine compared with other populations Lack of preventive care
Use cross-cultural communication skills to appropriately address the health concerns of Marshallese patients	Language as a barrier Tips for effective and appropriate communication Need for Marshallese translators and community health workers
Hispanic cultural competency training
Describe the demographics of the Hispanic population in the United States and northwest Arkansas	National and local statistics Diversity of Hispanic populations Regional differences Generational differences Immigration statuses
Identify health risk factors commonly found in the Hispanic population	Significant health issues Obesity disparities
Identify cultural characteristics of the Hispanic population that may influence health behaviors	Family structure and roles Religion Dietary practices common in northwest Arkansas Differences in physical activity
Identify common health beliefs in the Hispanic community	Beliefs about causes of illnesses Stigma of mental illness Self-medication and herbal remedies Views on US health system
Use cross-cultural communication skills to appropriately address the health concerns of Hispanic patients	Language as a barrier Tips for effective and appropriate communication Need for Spanish translators and community health workers