Award Date


Degree Type


Degree Name

Master of Science (MS)


Kinesiology and Nutrition Sciences

First Committee Member

Brian Schilling

Second Committee Member

Tedd Girouard

Third Committee Member

Michelle Samuel

Fourth Committee Member

Nancy Lough

Number of Pages



Context: Culture influences patient care in the clinical setting, whether it is how symptoms are communicated, or even whether illness is reported. Demographic changes in the US population have led to a push towards a culturally competent health-care system; however, minimal change appears to have occurred in the field of Athletic Training.

Objective: The objective of this study was to determine the level of cultural competence of a subsample of clinical preceptors of Athletic Training education programs currently accredited by the Commission on Accreditation of Athletic Training Education (CAATE). Along with this objective, this study aimed to determine how those clinical preceptors perceive their preparedness to address concepts of cultural competence with students at their clinical setting and how their clinical setting is conducive to learning these concepts.

Design: Cross-sectional survey.

Setting: Web-based survey of Athletic Training clinical education preceptors.

Patients or Other Participants: Participants invited to voluntarily participate were clinical education preceptors of CAATE accredited program from the Far West Athletic Trainers’ Association (FWATA) and North West Athletic Trainers’ Association (NWATA), districts of the National Athletic Training Association (NATA). This convenience sample was based on the geographical location. Participants were excluded if they haven’t had a student assigned to them within the last year, therefore considered inactive. Assessment: The Cultural Competency Assessment (CCA) was administered online through a link sent via email to each clinical preceptor.

Main Outcome Measures: The CCA has an internal consistency reliability α=.92, The assessment consists of two subscales, the Culture Awareness and Sensitivity (CAS) subscale and the Cultural Competence Behaviors (CCB) subscale. Cronbach’s alphas for the CCB and CAS subscales were reported at .93 and .75, respectively.

Results: A total of 83 preceptors started the survey but only 66 were considered complete and included in our analysis. The research group estimated 260 eligible participants making the response rate of the present study 25%. The average score for the CCA was a 98± 12 out of 135 points possible. A majority of preceptors had participated in some form of cultural competence development (73%), most felt they possessed adequate knowledge (70%) and over half (62%) reported that they felt competent to teach on these concepts. Preceptors believe that their clinical sites are preparing students for culturally competent care upon certification and were also found to spend a great amount of time, over 15 hours a week, with their students.


Athletic; Clinical education; Competence; Cultural; Preceptors; Training



File Format


Degree Grantor

University of Nevada, Las Vegas




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