Application:
The Inventory For Assessing A Biblically Based Worldview Of Cultural Competence Among Healthcare Professionals (IABWCC)  is a tool designed to measure the level of cultural competence among healthcare professionals who render care based on biblical principles.  It is specifically intended for the following healthcare clinicians, educators and students: physicians, physician assistants, medical students/residents, mental health counselors/ therapists, licensed practical/ vocational nurses, registered nurses, advanced practice nurses, nursing students, health professions’ faculty (medicine, nursing, dentistry, pharmacy), dentists, dental students, clinical pharmacists, pharmacy students, physical therapists and physical therapy students.  With modifications, the IABWCC© can be used with other healthcare professionals/students, allied health professions, medical anthropologists, counselors, theologians, seminary students and pastors.

Description:
The IABWCC is a self-assessment tool that measures one’s level of cultural competence in healthcare delivery that is based on biblical principles.  It consists of 25 items that measure the five cultural constructs of desire, awareness, knowledge, skill and encounters.  There are 5 items that address each construct.  The IABWCC  uses a 4-point likert scale reflecting the response categories of strongly agree, agree, disagree, strongly disagree.  Completion time is approximately 10 -15 minutes.  Scores range from 25 -100 and indicate whether a healthcare professional is operating at one of the following levels: biblically cultural proficient, biblically cultural competent, biblically culturally aware or biblically culturally incompetent.  Higher scores depict a higher level of biblically based cultural competence.

Development Of The Instrument:
The  IABWCC  was developed in 2005 by Dr. Josepha Campinha-Bacote and is based on her Biblically Based Model of Cultural Competence in the Delivery of Healthcare Services, which integrates the intellectual and moral virtues of justice, caring, humility, love of truth, teachableness, intellectual honesty, wisdom, discernment, judgment, prudence, attentiveness, studiousness, practical wisdom, understanding, temperance, patience and compassion into the constructs of “Imago Dei,” cultural awareness, cultural knowledge, cultural desire, cultural skill and cultural encounters (link to model).

Obtaining a Copy Of The IABWCC For Review Purposes Only:
The IABWCC© is available for review by purchasing one hard copy of the tool (order form).  Please attach a formal letter of request along with your payment and order form. There are additional requirements and a fee associated with use of the IABWCC© beyond a review of the tool (see Permission To Use IABWCC© and Cost of Using IABWCC).

Permission To Use IABWCC in a Study/Project:
The IABWCC is copyrighted and formal permission and a fee is required before the tool can be used.  To obtain permission to use the IABWCC, please mail (no fax/email) your request to Dr. Josepha Campinha-Bacote at 11108 Huntwicke Place, Cincinnati; Ohio 45241.  In your request, please include the title of your project, purpose, target population, specific time frame of use (specific dates), method of administration (personal hand-administered or non-hand-administered), study design (i.e. one-time testing or pre/post test design) and a money order (US Dollars only) or check (US Dollars and drawn from a US Bank) for fees associated with your method of administration (see Cost of Using IABWCC©).  Dr. Campinha-Bacote will return a letter granting permission to use the tool, articulate specific terms regarding use of the tool and include the number of tools if being used in a hand-administered pencil/paper format or internal/ external mailings.  Only one copy of the tool will be provided if the request is for online/electronic administration or to be translated.  You can utilize this copy for conversion into an electronic format or to translate it into another language for the designated time granted.’

Permission To Submit IABWCC For A Proposal (I.E., Institutional Review Board (IRB), Research Committee, Academic Proposal):
The IABWCC is copyrighted and formal permission and a fee is required before the tool can be submitted in a proposal.  To obtain permission to use the IABWCC, please mail (no fax/email) your request to Dr. Josepha Campinha-Bacote at 11108 Huntwicke Place, Cincinnati; Ohio 45241.  In your request, please include the title of your project, specific time frame you plan to submit the tool in the proposal, method of administration (personally hand-delivered to the committee or non-hand-delivered, which includes all other formats; such as electronic submission, internal/external mailings, etc.), and a money order (US Dollars only) or check  (US Dollars and drawn from a US Bank) for fees associated with your method of your submission (see Cost of Using IABWCC).  Dr. Campinha-Bacote will return a letter granting permission to use the tool, articulate specific terms regarding use of the tool and include the number of tools requested.  Only one hard copy of the tool will be provided if the request is for online/electronic administration.

Permission To Translate IABWCC:
A formal letter of request is required to translate the IABWCC into another language, with the understanding that: 1) there will only be one copy of the  IABWCC that will be sent for translation when permission is granted and the researcher must pay, in advance, for the number of translated copies that will be used in the study; 2) there must be psychometric rigor in translating each of the items on the IABWCC© to its original meaning; 3) the translated copy must be sent to Dr. Campinha-Bacote; 4) the name of the tool and Dr. Campinha-Bacote’s name as the author of the tool is to be put on all translated versions exactly as it appears on the English version; 5) Dr. Campinha-Bacote will retain the copyright ownership of all translated versions of the  IABWCC©; and 6) the translated version of the  IABWCC is for a one-time use and any further/future use of the translated version in any studies, publications, presentations or any other use, cannot be done without first seeking and obtaining written permission from Dr. Campinha-Bacote.

Cost Of Using IABWCC:
There is a fee of $8.00 per tool when personally hand-administered in a pencil/paper format for research studies, grants, projects or in any onsite pencil/paper distribution to a group of subjects/participants.  In this hand-administered format the IABWCC is to be personally hand-distributed to each subject/participant and then personally collected immediately following the subjects’/participants’ completion of the IABWCC.  For example, if you are assessing 20 subjects/participants in a hand-administered format the cost would be $160 plus shipping and handling.  Please note that the fee is for the number of tools distributed to complete the study; not necessarily the number of subjects/ participants in the study.  Therefore, if you are conducting a pre/post test design with 20 subjects and testing the subjects/participants before and after an intervention, such as an educational program, you will need to double the amount of tools (40 tools) as the number of participants and the cost would be $320 plus shipping and handling.  There is a fee of $20 per subject access when non-hand-administered  electronically or via an internal or external mailing in such formats as an online secure format for a training program, in-service educational programs, academic courses, continuing education offerings, an external postal mailing offsite or internal mailing distribution and/or any form of administration that is not personally hand-administered to each subject/participant and then personally collected immediately following the subjects’/participants’ completion of the IABWCC.  Fees associated with this tool are for a one-time use per aggregate distribution in one study and not for unlimited use.  Permission is required for further use of the IABWCC in any additional projects related or unrelated to its initial use.  Please use an order form when purchasing the IABWCC (order form).

Cochran, J.  (2005). Cultural Competence Among Nursing Students: Exploring Global Scores and the Influence of Personal Characteristics. Indiana Wesleyan University, Marion, IN.
Contact: Barbara.Ihrke@indwes.edu (faculty member on the thesis)
Cochran conducted a study using the IABWCC to assess cultural competence among senior nursing and pre-nursing students at a small, private, Christian university in Midwestern United States. One-hundred and twelve surveys were distributed and 109 (97%) returned with usable data. Cronbach’s alpha was calculated at .72

Kattner, M. (2006). Creating an Educational Template to Enhance Cultural Competence.  Buntain School of Nursing, Northwest University, Kirkland, WA.
Contact email: melba.kattner@northwestu.edu
Kattner conducted a study in which she used the IABWCC and the IAPCC-R to evaluate the level of cultural competence of 28 senior nursing students before a month-long immersion clinical course.  Cronbach’s alpha based on standardized items for the IABWCC was calculated at .877 (Time 2).  Content validity was established from experts at Northwest University. Cronbach’s alpha was .89 for the IAPCC-R.

Kuhlenschmidt, L. (2010). Training for the Administrative, Clerical, and Office Staff of Impact Christian Health Center (ICHC). Frontier School of Midwifery and Family Nursinguntain School of Nursing, Hyden, KY.
Contact number: 812-426-6152
This project proposed to train the staff of Impact Christian Health Center (ICHC) in the concepts of cultural competence with the ultimate goal of improving access to healthcare for ICHC’s underserved patients. An interactive lecture was utilized as the teaching methodology. Quantitative outcomes were measured through changes in pre- and post-test scores of the Inventory for Assessing a Biblical Worldview of Cultural Competence for Healthcare Professionals (IABWCC©). The pre- and post- inventory scores for the entire group, the professional staff, and the non-professional staff over the total inventory and each of the five constructs were analyzed for statistical significance utilizing a single-tailed paired t-test. There was no statistical significance in any of the categories. Considerations in a lack of statistical significance include the concept of cultural competence as a process that changes and matures over time, small sample size of 9, and the majority of the participants were non- healthcare professionals, thus leading to unfamilarity with the health care constructs and reading level of the IABWCC. The Flesch-Kincaid reading level of the IABWCC© was calculated at 10.4.

*Duplication/Copying of IABWCC: The IABWCC© is copyrighted and therefore cannot be duplicated/copied without written permission from the author, Dr. Josepha Campinha-Bacote, or her designee. Transcultural C.A.R.E. Associates has a policy regarding the unauthorized use of this copyrighted tool.