Evidence map›Paper›PMID 39398980›Full record

ArticleJournal of medical education and curricular development

Evaluating the Effectiveness of Indigenous Health Curricula: Validation and Application of the NOSM CAST Instrument.

Marion Maar, Diana Urajnik, Geoffrey L Hudson, Darrel Manitowabi, Lorrilee McGregor, Sam Senecal, Roger Strasser, Wayne Warry, Kristen Jacklin

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Article in Journal of medical education and curricular development. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marion MaarFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.ORCID https://orcid.org/0000-0001-9901-1436
Diana UrajnikFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.
Geoffrey L HudsonFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.
Darrel ManitowabiFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.
Lorrilee McGregorFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.
Sam SenecalFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.
Roger StrasserFaculty of Medicine, Northern Ontario School of Medicine (NOSM) University, Sudbury, ON, Canada.
Wayne WarryDepartment of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA.
Kristen JacklinDepartment of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA.ORCID https://orcid.org/0000-0003-0031-5304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn recent years, Indigenous health curricula have been integrated into medical education in response to international calls to improve Indigenous health care. Instruments to evaluate Indigenous health education are urgently needed. We set out to validate a tool to measure self-reported medical student preparedness to provide culturally safe care to Indigenous Peoples. We then applied the tool to evaluate the effectiveness of the Northern Ontario School of Medicine University's (NOSM U) Indigenous health curriculum.

methodsWe conducted psychometric testing of a 46-item draft NOSM Cultural Competency and Safety Tool (CAST). Testing included principal components analysis, subscale and item analysis, and the use of paired sample

resultsRespondents included five cohorts of first-year undergraduate medical students, with 305 of 320 participating (response rate of 95.3%). The validated survey subscales included knowledge, confidence/preparedness, attitudes, intentions for advocacy, antidiscrimination, and self-reflective practice, measured using 36 scale items. Cronbach's alpha showed good to excellent internal consistency for the scales (

conclusionsThe NOSM CAST tracks student progress in Indigenous health curricula. NOSM U's classroom and immersion-based Indigenous health curriculum enhanced students' self-reported preparedness for culturally safe care. NOSM CAST implemented together with an assessment of Indigenous patient experiences with the same learners constitutes a rigorous evaluation approach to Indigenous health curricula.

Indexed as

cultural competencecultural safetycurriculum evaluation toolIndigenous curriculum validationIndigenous healthsocial accountability

Identifiers

PMID39398980
PMCPMC11468636

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.