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== Introduction ==

This piece attempts to summarize some elements of '''cultural competence''' and related concepts, such as cultural intelligence, global competence or global citizenship. Cultural competence also is known as '''intercultural''' or '''cross-cultural''' competence.

'''Cultural competence''', i.e. being able to cope with cultural diversity is becoming increasingly important. Cultural competence can been seen as a subset of so-called '''global competence''' laying the foundations for "global citizenship". With increasing cultural diversity as a result of globalization, intercultural competence (IC) to interact and to co-exist in multicultural environments is recognized as being very important. (Corder and U-Mackey, 2015). Most cultural competence models are either component models or process models or both. Component models can be structured (e.g. affective, cognitive, behavioral), hierarchical, or simple lists of characteristics.

This page also includes a series of sub-pages that include various instruments (surveys, self-assessment questionnaires, rubrics):
{{#subpages:}}

== What do we mean by cultural competence ? ==

Many fields are contributing to the topic of "cultural competence" and there is no universally accepted definition.

In other contexts than the health or social services sector, cultural competence is often defined by other terms, e.g. ''cross-cultural competence'' or ''cultural intelligence''. Chiu et al (2013), in the introduction to a special issue of ''cross-cultural psychology'' <ref name="chiu2013">Chiu, C. Y., Lonner, W. J., Matsumoto, D., & Ward, C. (2013). Cross-cultural competence theory, research, and application. Journal of cross-cultural psychology, 44(6), 843-848.</ref> report that one of the earliest attempts to define and describe the concept of cross-cultural competence was undertaken by Hammer, Gudykunst, and Wiseman (1978) in their study of “intercultural effectiveness.”. An exploratory analysis of 24 abilities subjected to an exploratory factor analysis led to a {{quotation|three-factor model of intercultural effectiveness: (a) the ability to manage psychological stress, (b) the ability to communicate effectively, and (c) the ability to establish interpersonal relationships.}}. The authors then mentioned later work by Chen and Starosta (1997, 1998, 2000), suggesting that intercultural competence incorporates three related dimensions: sensitivity, awareness, and skills. Sensitivity refers to an individual’s capacity to comprehend and appreciate cultural differences. Awareness is linked to the ability to understand how culture affects thinking, behavior, and interactions. Skills are reflected in effective communication and intercultural interactions.

According to Schnabel et al. (2015) <ref name="schnabel2015"> Schnabel, Deborah;  Kelava, Augustin;  Seifert, Lena;  Kuhlbrodt, Beate (2015). Konstruktion und Validierung eines multimethodalen berufsbezogenen Tests zur Messung interkultureller Kompetenz, Diagnostica 61 (1) p. 3-21.</ref>, Bolten (2007a) <ref>J. Bolten, Was heißt Interkulturelle Kompetenz? Perspektiven für die internationale Personalentwicklung, in V. Künzer, J. Berninghausen (Eds.), Wirtschaft als interkulturelle Herausforderung [Economy as an intercultural challenge], IKO, Frankfurt am Main, Germany (2007), pp. 21–42</ref> established a identified three types of models for intercultural competence: 
: {{quotation|(a) listing models in which different characteristics of intercultural competence are simply collected (e.g., Brislin, 1981 and Ruben, 1976);}}
: {{quotation|(b) structure models in which the characteristics of intercultural competence are assigned to affective, behavioral, and cognitive categories (e.g., Dauner, 2011, Gertsen, 1990 and Ting-Toomey, 1993); }}
: {{quotation|(c) procedural models in which intercultural competence is defined as context-specific competence to act due to its manifold connections with other core competences (e.g., Bolten, 2007b). Spitzberg and Changnon (2009) <ref>B.H. Spitzberg, G. Changnon, Conceptualizing intercultural competence, in D.K. Deardorff (Ed.), The SAGE handbook of intercultural competence, Sage Publications, Los Angeles, CA (2009), pp. 2–52</ref> distinguished five types of competence models: compositional, co-orientational, developmental, adaptational, and causal process. The latter two model types assume that intercultural competence consists of several related components. In causal process models the nature of those relations is defined via correlations tested in empirical research.}}

Some more recent research seems to settle on a more behavioural definition, e.g.  {{quotation|Wilson, Ward, and Fischer (2013) define cross-cultural competence in terms of “culture-specific skills required to (a) function effectively within a new cultural context and/or (b) interact effectively with people from different cultural backgrounds.”}} (cited by Chiu et al, 2013) <ref name="chiu2013">Chiu, C. Y., Lonner, W. J., Matsumoto, D., & Ward, C. (2013). Cross-cultural competence theory, research, and application. Journal of cross-cultural psychology, 44(6), 843-848.</ref>). Hammer et al. (2003: 422) <ref>Hammer MR, Bennett MJ, Wiseman R. 2003. Measuring intercultural sensitivity: the intercultural development inventory. Int. Journal of Intercultural Relations 27:421–43</ref> define intercultural competence {{quotation| as the ability to think and act in interculturally appropriate ways}}.

Cultural competence seems to defined as either a '''list of attributes''' (traits, knowledge, attitudes, skills, behavior sets, etc.) of an individual or more simply as the '''ability to interact effectively''' with members of foreign cultures. The latter (being able to interact) is related to the former. Finally, an emerging literature also stresses that possessing cultural competence means ''being able to learn'' from encountered situations.

Schnabel et al. (2015) <ref name="schnabel2015">Deborah B.L. Schnabel, Augustin Kelava, Fons J.R. van de Vijver, Lena Seifert, Examining psychometric properties, measurement invariance, and construct validity of a short version of the Test to Measure Intercultural Competence (TMIC-S) in Germany and Brazil, International Journal of Intercultural Relations, Volume 49, November 2015, Pages 137-155, ISSN 0147-1767, http://dx.doi.org/10.1016/j.ijintrel.2015.08.002. (http://www.sciencedirect.com/science/article/pii/S014717671530050X)</ref> define intercultural competence with five components (which then are further divided into subcomponents). Each of these dimensions has associated (observable) facets.

<table class="wikitable"><caption>Intercultural competence model of Schnabel et al. (2015) </caption><tr><td> </td><td>Communication</td><td>Learning</td><td>Social interaction</td><td>Self-knowledge</td><td>Self-management</td><td>Creating synergies</td></tr><tr><td>Definition (shortened by DKS)</td><td><span>[..] T</span>o be responsive to the person you are talking to and to be able to actively direct the conversation. </td><td><span>[..] </span>Persons are seen as being capable of learning, if they recognize that they have gaps in their knowledge and, as a consequence, invest time in improving their knowledge</td><td><span>[..] </span>Relationships with other people positively influence our own well-being and can reduce or prevent stress and avoid a culture shock. <span>[..]</span></td><td>Actively reflecting and thus understanding of the own cultural identity increases self-knowledge and positively influences the awareness of and also the successful interaction with other cultures</td><td><span>[..] </span>The existence of strategies, which make dealing with challenges easier is therefore of great importance</td><td><span>[..] </span>When a joint aim is to be achieved it is of great importance to have the ability to realize potential miss-understandings and lead a group towards common solutions</td></tr><tr><td>Related Facets</td><td>Sensitivity in communication, clarity in communication, flexibility in communication, perspective-taking in communication</td><td>Willingness to use a foreign language, willingness to learn, information seeking</td><td>Building professional networks, socializing, integration in groups, building trusting relationships</td><td>Cultural identity awareness, cultural identity reflection</td><td>Goal setting, strategic problem-solving</td><td>Mediation of different interests, enabling productive collaborations</tr></table>

Byram (1997) <ref>Byram, M. (1997).  Teaching and assessing intercultural communicative competence. Clevedon:  Multilingual Matters.  </ref> cited by Deardorff (2004) <ref> Deardorff, Darla K.B.,   Identification and Assessment of Intercultural Competence as a Student Outcome of Internationalization at Institutions of Higher Education in the United States, PHD thesis, North Carolina State University, retrieved March 4 2016 from http://repository.lib.ncsu.edu/ir/bitstream/1840.16/5733/1/etd.pdf  </ref> defines interculturual competence as:“Knowledge of others; knowledge of self; skills to interpret and relate; skills to discover and/or to interact; valuing others’ values, beliefs, and behaviors; and relativizing one’s self.  Linguistic competence plays a key role”. In Deardorffs (2004:184), Delphi study, the following definition achieved the highest rating: [Intercultural competence is] “the ability to communicate effectively and appropriately in intercultural situations based on one’s intercultural knowledge, skills, 
and attitudes.”. "Auxiliary" skills identified included {{quotation|skills to analyze, interpret, and relate as well as skills to listen and observe.  Cognitive skills emerged including comparative thinking skills and cognitive flexibility.  These skills point to the importance of process in acquiring intercultural competence and the attention that needs to be paid to developing these critical skills}}.

Leung et al. (2014), <ref name="Leung2014">K. Leung, S. Ang, M.L. Tan, Intercultural competence, Annual Review of Organizational Psychology and Organizational Behavior, 1 (2014), pp. 489–519 http://dx.doi.org/10.1146/annurev-orgpsych-031413-091229 </ref> presented a figure that defines '''intercultural effectiveness''' as being a result of '''intercultural competence'''. The latter is defined by intercultural capabilities, which are a product of two related factors: '''intercultural attitudes and worldviews''' as well as '''intercultural traits'''. This model therefore postulates that some constructs are antecedants of others. More precisely, the argumentation of Leung et al, is based on some prior research. E.g Ackerman (1996)<ref> Ackerman PL. 1996. A theory of adult intellectual development: process, personality, interests, and knowledge. Intelligence 22:227–57</ref> found that personal traits influence knowledge acquisition. Ang & Van Dyne (2008) that <ref> Ang S, Van Dyne L. 2008a. Conceptualization of cultural intelligence: definition, distinctiveness, and nomological network. in Ang & Van Dyne 2008 (eds.) Handbook of Cultural Intelligence. New York: Sharpe pp. 3–15 </ref> intercultural traits are antecedents of cultural intelligence. Sri Ramalu et al. (2012) <ref>Sri Ramalu S, Shamsudin FM, Subramaniam C. 2012. The mediating effect of cultural intelligence on the relationship between openness personality and job performance among expatriates on international assignments. Int. Bus. Manag. 6:601–10</ref> and <ref>Oolders T, Chernyshenko OS, Stark S. 2008. Cultural intelligence as a mediator of relationships between openness to experience and adaptive performance in n Ang & Van Dyne 2008 (eds.) Handbook of Cultural Intelligence. New York: Sharpe 145-158. </ref> found that cultural intelligence mediated the effect of the trait "openness to experience" for job performance and adaptive performance.

[[file: leung-intercultural-effectiveness.svg|600px|thumb|none|K. Leung, S. Ang, M.L. Tan, 2014]]

Cultural competence is a form of literacy, but note that the term "cultural literacy" often seems to refer to simple facts knowledge (history, geography, etc.). The latter can be seen as one of the prerequisites for cultural competence. Interestingly Hirsch et al.'s dictionary of cultural literacy <ref>Hirsch, E. D., Jr., Kett. J. F., & Trefil, J. (1988). The dictionary of cultural literacy.</ref> was seen as basis for good information processing <ref>Pressley, Michael; John G. Borkwski, Wolfgang Schneider, Good information processing: What it is and how education can promote it, International Journal of Educational Research, Volume 13, Issue 8, 1989, Pages 857-867, ISSN 0883-0355, http://dx.doi.org/10.1016/0883-0355(89)90069-4.
(http://www.sciencedirect.com/science/article/pii/0883035589900694),  https://opus.uni-wuerzburg.de/files/6113/Schneider_W69.pdf</ref>

Cross et al. (1998), in the context of workplace diversity, laid the foundation of many further studies that have more practical aims: {{quotation|Cultural competence is a a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross-cultural situations}}. For exemple, Heyward (2002) cited by Deithl & Prints (2008), defines intercultural literacy as the competencies, understandings, attitudes, language, proficiencies, participation and identities necessary for effective cross-cultural engagement.

Culture itself is difficult to define. Billmann-Mahecha (2003) <ref>Billmann-Mahecha, Elfriede (2003). Kulturpsychologie. In Psychologie von A-Z. Die sechzig wichtigsten Disziplinen. München: Spektrum.</ref>  defines it [translated] in the following way: {{quotation| Culture can be characterized as a character, knowledge, rule and symbol system that structures on on hand the human action space, and on the other hand is constructed and altered through the implementation of actions and their practice.}} In more simple words, it is something that guides our activities, but that is also reshaped by those.

Hunter (2004) <ref>Hunter, W. (2004). Knowledge, skills, attitudes, and experiences necessary to become globally competent. Unpublished dissertation, Lehigh University, Bethlehem, Pennsylvania. [http://www.globallycompetent.com/research/wdh-dissertation-2004.pdf PDF]</ref> argues that {{quotation|that the most critical step in becoming globally competent is for a person to develop a keen understanding of his/her own cultural norms and expectations: a person should attempt to understand his/her own cultural box before stepping into someone else’s.}}

Reasearch and common sense agree that cultural differences do exist. On also can argue that cultures have common traits, and that people are far more similar across cultures than they are different (Spitzberg 2013) <ref>Spitzberg, B. H. (2013). Axioms for a theory of intercultural communication competence. In L. A. Samovar, R. E. Porter, & E. R. McDaniel, Intercultural communication reader (pp. 424–435). Boston, MA: Wadsworth Cengage Learning.</ref>. Since people (and not cultures in the abstract) communicate, Spitzberg (p. 432) also argues that {{quotation|a  theory  of  intercultural  communication competence is necessarily a subset of a theory of interpersonal communication competence}}. And furthermore: {{quotation|To the extent that culture plays a role, it plays it through the motivation, knowledge, and skills of the interactants involved}}.

=== A perspective from the health sector ===

According to Calzada & Suarez-Balcazar, 2014) <ref name="calzada2014">Esther Calzada and Yolanda Suarez-Balcazar (2014). 
Enhancing Cultural Competence in Social Service Agencies: A Promising Approach to Serving Diverse Children and Families, OPRE Report 2014-31, Washington, DC: Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services https://www.acf.hhs.gov/sites/default/files/opre/brief_enhancing_cultural_competence_final_022114.pdf </ref>, {{quotation|Numerous fields such as psychology, social work, counseling, nursing, and education are contributing to a growing body of literature on the topic of cultural competence. Several interchangeable terms have been introduced to refer to cultural competence including cultural sensitivity, cultural awareness, cultural knowledge, culturally responsive care, cultural brokering, cultural proficiency, and cultural encounters.  At least eighteen models of cultural competence have been proposed across disciplines <ref> Sue, D.W. (2001). Multidimensional Facets of Cultural Competence. The Counseling Psychologist,29 (6), pp. 790-821 </ref>, though few have been developed using data.}}.

Suarez-Balcazar (2011) <ref> Suarez-Balcazar, Y., Balcazar, F., Taylor-Ritzler, T., Portillo, N., Rodakoski, J., Garcia-Ramirez, M., & Willis, C. (2011). Development and validation of the cultural competence assessment instrument. Journal of Rehabilitation, 77, 4-1 </ref> and Balcazar (2009) <ref> Balcazar, F. E., Suarez-Balcazar, Y., & Taylor-Ritzler, T. (2009). Cultural competence: Development of a conceptual framework. Disability and rehabilitation, 31(14), 1153-1160.</ref> present a simple contextual model of cultural competence that emphasizes that achieving cultural competency is a process that involves at least three dimensions. 
* A cognitive component emphasizes both awareness of one's biases and knowledge about other cultures.
* A behavioral component emphasizes the ability to put skills into practise, and more generally, to effectively interact with others.
* A organizational components emphasizes support for culturally competent practices

[[File:calzada-cultural-competence-model.svg|thumbnail|600px|none]]

The authors do not stress affect or meta-cognition in the picture, two other key elements identified by other other authors. Since both affect and meta-cognition cannot be directly taught, we conclude that the presented figure is more a model of achieving cultural competency than a model of what it is. To support this view, the authors (p. 3) stress that {{quotation|cultural competence is an 
ongoing and fluid ''process''}} and that {{quotation|cultural competence is an ongoing, contextual, dynamic, experiential and developmental process that impacts one’s ability to understand, communicate with, serve, and meet the needs of individuals who look, think, and/or behave differently from oneself.}}

Cultural competence also can be described at an organizational or societal level. Hernandez et al. (2009). <ref>, Hernandez et al. (2009). Cultural Competence: A Literature Review and Conceptual Model for Mental Health Services, ''Psychiatric services'', Volume 60 Number 8, 1046-1050. http://ps.psychiatryonline.org/doi/full/10.1176/ps.2009.60.8.1046</ref>, from a review of the literature, suggest that {{quotation|cultural competence occurs when there is compatibility among four important factors: community context, cultural characteristics of local populations, organizational infrastructure, and direct service support}}.

=== Summary ===

The field seems to be divided according to areas of interest and also affiliation to established fields of study. 

With respect to application, we so far identified the following major areas of research and development:
* Health care, counseling and social work
* Higher education (Internationalization of campuses, study abroad, and integration of minorities)
* International business
The first two seem to very popular in the USA and for diverse reasons, one of which is related to minority issues.

In summary we can say that cultural competence is multi-dimensional construct that is not always perceived and used in the same way. Probably most authors and experts could agree that cultural competence includes at least three dimensions:
* affective (intercultural sensitivity)
* cognitive (intercultural awareness)
* behavioral (intercultural effectiveness)

== Aspects of cultural competence ==

Cultural comptence can be studied from various angles. In this chapter, we attempt to summarize a few.

=== Intercultural commmunication ===

Intercultural communication competence can be seen as a specialisation of interpersonal communication competence.

According to Deardorff (2004:35), Chen and Starosta (1999) <ref>Chen, G.M., & Starosta, W.J. (1999). A review of the concept of intercultural awareness.
Human Communication, 2, 27-54.</ref> define {{quotation|intercultural communication competence” as “the ability to effectively and appropriately execute communication behaviors that negotiate each other’s cultural identity or identities in a culturally diverse environment” (p. 28). They outline three key components of intercultural communication competence: intercultural sensitivity (affective process), intercultural awareness (cognitive process), and intercultural adroitness (behavioral process), defined as verbal and nonverbal skills needed to act effectively in intercultural interactions.}}.

Deardorff (2004:196) in her PHD thesis and subsequent publications developed a pyramid model that formulates two underlying hypothesis: The degree of intercultural competence depends on the acquired degree of underlying elements, in particular, from personal level (attitudes) to interpersonal/interactive level (outcomes). Darla K. Deardorff's model <ref>Darla K. Deardorff (2006). "The Identification and Assessment of Intercultural Competence as a Student Outcome of Internationalization at Institutions of Higher Education in the United States”, ''Journal of Studies in International Education''. </ref> includes 5 components. Below is summary of a component model presented in [http://www.nafsa.org/_/file/_/theory_connections_intercultural_competence.pdf Theory Reflections: Intercultural Competence Framework/Model] (retrieved Feb 2016).

1. Attitudes: respect, openness, curiosity and discovery. Openness and curiosity imply a willingness to risk and to move beyond one’s comfort zone. Respect demonstrate to others that they are valued. 

2. Knowledge: cultural self-awareness, culture-specific knowledge, deep cultural knowledge (including understanding other world views, and sociolinguistic awareness. The most important element is understanding the world from others’ perspectives.   

3. Skills (addressing the acquisition and processing of knowledge):  observation, listening, evaluating, analyzing, interpreting, and relating.   

4. Internal Outcomes: flexibility, adaptability, an ethnorelative perspective and empathy.  If attained, individuals are able to see from others’ perspectives and to respond to them according to the way in which the other person desires to be treated.

5. External Outcomes is “the effective and  appropriate behavior and communication in intercultural situations.

Between these dimensions there is a dependency. Desired external outcomes rely on desired internal outcomes and the latter rely on skills and knowledge. Skills and knowledge requires requisite attitudes.
The full pyramid is shown in the figure below.

             desired external outcome (communicating effectively)
   desired internal outcome (adaptability, flexibility, ethnorelative view, empathy
               Knowledge and comprehension   <--> Skills
          requisite attitudes (respect, openness, curiosity)

[[file:deardorff-pyramid-cultural-competence-model.svg|none|thumb|700px|Deardorff (2004) pyramid model of cultural competence]]

This pyramid model then can be turned into a process model. While it is possible to work on desired outcomes directly from attitudes or knowledge/comprehension or skills, it is preferable to start with attitudes, then work on knowledge and comprehension as well as skills, then work on the internal frame of reference.

[[file:deardorff-process-cultural-competence-model.svg|none|thumb|700px|Deardorff (2004) process model of cultural competence]]

Since attitude, knowledge, and skill acquisition and creating new frames of reference are tied to experience we also could interpret this model as perpetual cycle that just emphasizes that without having appropriate attitudes, certain knowledge and skill cannot be properly acquired. Useful and operational frames of reference in turn must be grounded in solid knowledge and know-how. Finally effective behavior and communication must be aligned with deeper beliefs.

While Deardorff's developmental model starts with affect, other authors argue that the first step requires a cognitive effort, i.e. intercultural awareness. In any case, both would agree that development is cycle that involves change in any of the identified components.

Cognitive competence may be sectorial. For example, Derald Wing Sue (2001:abstract) <ref>Derald Wing Sue (2001), Multidimensional Facets of Cultural Competence, ''The Counseling Psychologist'' 29: 790-821, doi:10.1177/0011000001296002 </ref> proposed {{quotation|multidimensional model of cultural competence (MDCC) incorporates three primary dimensions: (a) racial and culture-specific attributes of competence, (b) components of cultural competence, and (c) foci of cultural competence.}}

The MDCC allows for the systematic identification of cultural competence [of various US residents or citizens] in a number of different areas. It is a factorial combination of 3 x 4 x 5 items (below).

: 1. Components: Awareness, Knowledge, and Skills)
: 2. Foci: Individual, Professional, Organizational, and Societal
: 3. Racial and culture specific: African American, Asian American, Latino/Hispanic American, Native American, and European American

=== Aculturation ===

Aculturation strategies refer to the various ways in which groups and individuals seek to aculture. (Bennet, 2015:3). There are two issures concerning both the dominant and the nondominant group:
# Maintaining one’s heritage culture and identity (+/-)
# Seeking relationships to other cultural groups (+/-)

Combining the two dimensions we can define four strategies of ethnocultural groups and for larger societies.

{| class="wikitable" border="1"
|+ Strategies of ethnocultural groups (e.g. ones that migrate)
|-
| colspan="2"| 
| colspan="2"|Issue 1: Maintenance of heritage culture and identity
|-
! colspan=2|
! +
! -
|-
| rowspan=2|Issue 2: Relationships sought among groups
! +
| Integration
| Assimilation
|-
! '''-'''
| Separation
| Marginalization
|}

{| class="wikitable" border="1"
|+ Strategies of the larger society (expectations of the dominant one)
|-
| colspan="2"| 
| colspan="2"|Issue 1: Maintenance of heritage culture and identity
|-
! colspan=2|
! +
! -
|-
| rowspan=2|Issue 2: Relationships sought among groups
! +
| Integration
| Assimilation
|-
! -
| Separation
| Marginalization
|}

Jean Phinney () <ref> </ref> developed a very similar typology based on the degree of identification with both one's own ethnic group and the majority group
h{{quotation|this model suggests that there are not only the two acculturative extremes of assimilation or pluralism but at least four possible ways of dealing with ethnic group membership in a diverse society (Berry et al., 1986). Strong identification with both groups is indicative of integration or biculturalism; identification with neither group suggests marginality. An exclusive identification with the majority culture indicates assimilation, whereas identification with only the ethnic group indicates separation.}} (p. 502)

{| class="wikitable" border="1"
|-
| 
! colspan="2"|Identification with ethnic group
|-
! Identification with<br>majority group!!Strong !! weak 
|-
! Strong 
| Aculturated <br> Integrated <br> Bicultural
| Assimilated
|-
! Weak 
|Ethnically identified <br> Ethnically embedded <br> Separated <br> Dissociated
| Marginal
|}


Acculturation has been measured with survey instruments, in particular by John Berry and associates. Ward and Rana-Deuba distinguish between [[Cultural competence/Acculturation index (Ward and Rana-Deuba)| 21 dimensions]] and a related questionnaire includes both attitudes and behavioral items  <ref> Ward, Colleen, and Arzu Rana-Deuba. "Acculturation and adaptation revisited." Journal of cross-cultural psychology 30, no. 4 (1999): 422-442.</ref>

The simpler [[Cultural competence/Vancouver cultural acculturation index]] includes only 21 items <ref>Ryder, A.G., Alden, L., & Paulhus, D.L. (2000).  Is acculturation unidimensional or bidimensional?: A head-to-head comparison in the prediction of demographics, personality, self-identity, and adjustment.  Journal of Personality and Social Psychology, 79, 49-65.</ref>

Van Selm et al. (1997) conducted a study of life satisfaction and competence of Bosnian refugees in
Norway <ref>Van Selm, K., Lackland Sam, D., & Van Oudenhoven, J. P. (1997). Life satisfaction and competence of Bosnian refugees in Norway. Scandinavian journal of psychology, 38(2), 143-149.</ref>. The questionnaire include the following components: Locus of control scale, acculturation attitude scale, majority attitude scale, social support scale, [[Cultural competence/Satisfaction with life scale|life satisfaction scale]] and competence scale.

=== Cultural sensitivity ===

Chen and Starosta (1997) <ref name="chen1997">Chen, G. M., & Starosta, W. J. (1997). A review of the concept of intercultural
sensitivity. Human Communication, 1, 1-16. http://digitalcommons.uri.edu/com_facpubs/38/</ref> in their "review of the concept of intercultural sensitivity" identified the following components:
* Self-esteem. It is based on {{quotation|one's perception of how ell on can develop his or potential in a social environment (Borden, 1991).}} (p.7). Persons with hight self-esteems seem have an optimistic outlook that instils confident in interaction with others.
* self-monitoring: {{quotation|a person's ability to regulated behaviour in response to situational constraints}} (p.8)
* open-mindedness: {{quotation|willingness of individuals to openly and appropriately explain themselves and to accept other's explanations}} (p.8)
* Empathy: project oneself into another person, step into another person's shoes.
* Interaction involvement: ability to perceive the topic and situation, comprised of responsiveness, perceptiveness, and attentiveness
* Suspending judgement: being able to sincerely listen to others during intercultural communication.

Chen and Starosta cultural sensitivity from interculturual awareness and interculturual competence. Cultural sensitivity, according to the authors, mainly deals with affect. Intercultural awareness is based on cognition and is a pre-condition for intercultural sensitivity. Intercultrual sensitivity then can lead to intercultural competence, i.e. appropriate behavior.

  Intercultural awareness -> Intercultural sensitivity -> Intercultural behavior

In that sense, {{quotation|intercultural sensitivity can be conceptualized as "an individual's ability to develop a positive emotion towards understanding and appreciating cultural difference that promotes appropriate and effective behavior in intercultural communication"}} (Chen and Starosta, 1997:5). That definition implies that an interculturally sensitive persons {{quotation|must have a desire to motivate themselves to understand, appreciate, and accept differences among cultures, and to produce a positive outcome form intercultural interactions.}}

=== Cultural development ===

Cultural development theories understand cultural competence as something that has to be developed in stages. Most often the stages include at early stages cultural knowledge and awareness, followed by cultural sensitivity and ending with cultural competency as "knowing in action". Change can be a function of experience, personal growth, training, etc.

Wells (2000), <ref name="Marcia2000">Marcia I. Wells EdD, RN (2000) Beyond Cultural Competence: A Model for Individual and Institutional Cultural Development, Journal of Community Health Nursing, 17:4, 189-199, DOI: 10.1207/S15327655JCHN1704_1 </ref> summarizes several models and then presents her own that we shall present below.

The Cultural Competence Continuum (Cross, Bazron, Dennis, and Isaac, 1989) includes six stages ranging from cultural destructiveness (attitudes and behaviors that have a damaging or destructive effect on people of other cultures) to cultural proficiency (extension of cultural competence to professional practice, teaching, and research). These stages have been summarized in [https://utahculturalalliance.files.wordpress.com/2015/10/stages_and_levels_of_cultural_competency_development.pdf Stages and Levels of Cultural Competency Development]<ref>Stages and Levels of Cultural Competency Development,https://utahculturalalliance.files.wordpress.com/2015/10/stages_and_levels_of_cultural_competency_development.pdf, [http://utahculturalalliance.org/ Utah cultural alliance], undated file, https://utahculturalalliance.files.wordpress.com/2015/10/stages_and_levels_of_cultural_competency_development.pdf, retrieved March 8 2016. </ref> as follows:
# Destructiveness:  Attitudes, policies and practices destructive to other cultures; purposeful destruction and dehumanization of other cultures; assumption of cultural superiority; eradication of other cultures; or exploitation by dominant groups. The complete erosion of one's culture by contact with another is rare in today's society.
# Incapacity: Unintentional cultural destructiveness; a biased system, with a paternal attitude toward other groups; ignorance, fear of other groups and cultures; or discriminatory practices, lowering expectations and devaluing of groups.
# Blindness: The  philosophy of being unbiased; the belief that culture, class or color makes  no difference, and that traditionally used approaches are universally applicable; a well-intentioned philosophy, but still an ethnocentric approach.
# Pre-Competence: The realization of weaknesses in working with other cultures;implementation of training, assessment of needs, and use of diversity criteria when hired; desire for inclusion, commitment to civil rights; includes the danger of a false sense of accomplishment and tokenism.
# Competence: Acceptance and respect for differences; continual assessment of sensitivity to other cultures; expansion of knowledge; and hiring a diverse and unbiased staff.
# Proficiency:  Cultures are held in high esteem; constant development of new approaches; seeking to add to knowledge base; advocates for cultural competency with all systems and organizations.

Bennent et al.'s (1986) well known Developmental Intercultural Competence Model includes six stages.

[[file:bennet-IDI-model-1986.svg|thumb|600px|none|Bennet (1996) Developmental Intercultural Competence Model]]
 
The Cultural Sophistication Framework (Orlandi, 1992) has three stages: cultural incompetence, cultural sensitivity, and cultural competence. Each stage consists of four dimensions: cognitive, affective, skills, and overall effect. 

The Cultural Competent Model of Care (Campinha-Bacote, Yahle, and Langenkamp, 1996) is process oriented and includes cultural awareness, cultural knowledge, and cultural encounter.

Her own CDM model, applied to the health domain, includes six stages and includes a cognitive phase and an affective phase.

<table class="wikitable">
<caption>Cultural development model- Wells (2000) </caption>
<tr><th colspan="3">Cognitive Phase</th><td></td><th colspan="3">Affective Phase</th></tr>
<tr><th>Cultural Incompetence</th><th>Cultural Knowledge</th><th>Cultural Awareness</th><th/><th>Cultural Sensitivity</th><th>Cultural Competence</th><th>Cultural Proficiency</th></tr>
<tr><td>A lack of knowledge of the cultural implications of health behavior</td>
<td>Learning the elements of culture and their role in shaping and defining health behavior</td>
<td>Recognizing and understanding the cultural implications of health behavior</td><td/>
<td>The integration of cultural knowledge and awareness into individual and institutional behavior</td>
<td>The routine application of culturally appropriate health care interventions and practices</td>
<td>The integration of cultural competence into the culture of the organization and into professional practice, teaching, and research. Mastery of the cognitive and affective phases of cultural development. </td></tr>
</table>

Wells (200), <ref name="Marcia2000">Marcia I. Wells EdD, RN (2000) Beyond Cultural Competence: A Model for Individual and Institutional Cultural Development, Journal of Community Health Nursing, 17:4, 189-199, DOI: 10.1207/S15327655JCHN1704_1 </ref> argues that {{quotation|cultural awareness, cultural sensitivity, and cultural competence do not achieve the level of cultural development necessary to meet the health care needs of a diverse population}} and she defines barriers to cultural development: {{quotation|The primary barrier to progression, ultimately change toward cultural proficiency, is the unwillingness of individuals and institutions to unearth, examine, and shed light on their underlying assumptions about people whose cultures differ from their own. These underlying assumptions are often undiscussed, unconscious, and unexamined. However, they define, shape, and prescribe individual and organizational behavior in relation to cultural diversity (Thomas, 1991)<ref> Thomas, R. R. (1991). Beyond race and gender. New York: AMACOM.</ref>.}}

In more simple terms, she seems to argue that learning about other cultures and appropriate behavior does not automatically lead to transfer to practice (behavioural change). A main strategy to achieve cultural proficiency is more practice under mentorship of someone that is culturally proficient.

Papadopoulos, Tilki and Taylor (1988) proposed a similar model, also for the health care area <ref> Papadopoulos I, Tilki M and Taylor G (1998): Transcultural Care: A guide for Health Care Professionals. Quay Books. Wilts. (ISBN 1-85642-051 5)</ref> Model for Developing Cultural Competence.
[[file:papadopoulos-cultural-competence-model.jpg|700px|frame|none|Cultural competence development model. Papadopoulos, Tilki and Taylor (1988)]]

This model for Developing Cultural Competence comprises four stages. The description below is adapted and shortened from [http://www.ieneproject.eu/learning_intro.php IENE project], retrieved March 16 2016)
* The first stage is '''cultural awareness''', which begins with an examination of our personal value base and beliefs.
* '''Cultural knowledge''' is the second stage and can be gained in a number of ways. Meaningful contact with people from different ethnic groups can enhance knowledge around their beliefs and behaviours as well as raise understanding around the problems they face. In addition one could read sociological or anthropological studies.
* The third stage is achieving '''cultural sensitivity''', i.e. how people are viewed. Dalrymple and Burke (1995) <ref> Dalrymple J and Burke B (1995): Anti-oppressive practice. Social care and the law. Open University Press. Buckingham. </ref> have stated that unless clients are considered as true partners, culturally sensitive care is not being achieved. Equal partnerships involve trust, acceptance and respect as well as facilitation and negotiation.
* The fourth stage, '''cultural competence''' requires the synthesis and application of previously gained awareness, knowledge and sensitivity. Further focus is given to practical skills such as assessment of needs, clinical diagnosis and other caring skills.

Development also can be conceptualized as an adjustment problem as we shall discuss now.

=== Cultural adjustment and culture shock ===

Authors investigating adjustement and "culture shock" and suggest a model where development is not linear progress.

Berado (2012), <ref>Kate Berardo, “Framework: The 5Rs of Culture Change,” in Building Cultural Competence: Innovative Activities and Models, eds. K. Berardo and D. K. Deardorff (Sterling, VA: Stylus, 2012), 193-199.</ref> defines four R's of culture change, cultural adjustment model that identifies five key changes: routines, reactions, roles, relationships and reflections about oneself that we face when we move across cultures.
* Routines are different for many things
* Reactions one receives for doing something can change. Ways people work and interact are different.
* One's roles in a different culture are not the same (e.g. being a "foreigner")
* Relationships will change, firstly with expats but then there will be new and new types of relationships
* Reflections about oneself change as certain habits are picked up or we start thinking explicitly vlaues (evolving and devolving)

Lysgaard (1995)<ref>Lysgaard, S. (1955), Adjustement in a foreign society: Norwegian Fulbright grantees visiting the United States. International Social Science Bulletin, 7 45-51 </ref> defined a U-curve model: Honeymoon, culture shock, recovery and adjustment.  Pedersen, in the five stages of culture shock <ref>Pedersen, P. (1994). Five Stages of Culture Shock, The: Critical Incidents Around the World: Critical Incidents Around the World. ABC-CLIO. </ref> presented a similar model: honeymoon stage, disintegration stage, reintegration stage, autonomy stage and interdependence stage.

Black and Mendenhall (1991) <ref>Black, J.S. & Mendenhall, M. (1991). The U-curve adjustment hypothesis revisited: A review and theorectical framework. Journal of International Business Studies 22 (2) 225-246.</ref> argue that the U-curve adjustment model may not be universal. 
Coleen Ward (1998) <ref>Ward, C., Okura, Y., Kennedy, A., & Kojima, T. (1998). The u-curve on trial: A longitudinal study of psychological and cultural adjustment during cross-cultural transition. International Journal of Intercultural Relations, 22 (3), 277-291 </ref> conducted a longitudinal study and found that {{quotation|neither the results from this study nor the findings from other longitudinal investigations of cross-cultural transition lend substantial support to the U-curve model of sojourner adjustment.}}. For example, the authors found that {{quotation|In the first instance and in contrast to Lysgaard’s cross-sectional research, no evidence was found to suggest that psychological adjustment is better in the first six months compared to the 6–12 month period; in fact, elevated levels of depression occurred in conjunction with students’ overseas arrival. Secondly, with respect to Oberg’s model, there is no support for a euphoric ‘‘honeymoon’’ stage of entry to a new country. Psychological distress, rather than euphoria, appeared to characterize entry to a foreign milieu.}}. The authors rather found a positive relationship of psychological and sociocultural adjustment over time. This relationship is hypothesized to be stronger the more enmeshed with the foreign culture the sojourners are.

Other "curve" models exist, e.g. below be present a "W-curve" found in a [http://davidson.studioabroad.com/index.cfm?FuseAction=Abroad.ViewLink&Parent_ID=29A30CFB-26B9-58D3-F58D9984724CB431&Link_ID=775445B1-26B9-58D3-F5945130FDB340D8 culture shock] page made for "study abroad" students. However, we don't know if it is based on any empirical evidence and given Ward's rejection of the "U"-curve model, it is very likely that the "W" model is not realistic.

[[file:cultural-adjustment-curve.jpg|frame|none|Cultural adjustment curve. Source: [http://davidson.studioabroad.com/index.cfm?FuseAction=Abroad.ViewLink&Parent_ID=29A30CFB-26B9-58D3-F58D9984724CB431&Link_ID=775445B1-26B9-58D3-F5945130FDB340D8 Davidson college] ]]

Mark et al. (1999) <ref>Anita S Mak, Marvin J Westwood, F.Ishu Ishiyama, Michelle C Barker, Optimising conditions for learning sociocultural competencies for success, International Journal of Intercultural Relations, Volume 23, Issue 1, 1 February 1999, Pages 77-90, ISSN 0147-1767, http://dx.doi.org/10.1016/S0147-1767(98)00026-1.
(http://www.sciencedirect.com/science/article/pii/S0147176798000261) </ref> identify a number of psychosocial barriers to developing social competence in a different culture, including lack of coaching and practice opportunities, cross-cultural interpersonal anxiety, threat to the newcomers original cultural identity, and various personal factors.

=== Cultural and cross-cultural psychology ===

Triandis  (1996:abstract) <ref>Triandis, H. (1996) “The Psychological Measurement of Cultural Syndromes.” American Psychologist. 51.4 (1996): 407-415. [https://www.researchgate.net/profile/Harry_Triandis/publication/232572970_The_psychological_measurement_of_cultural_syndromes/links/543c1fb00cf24a6ddb97fad0.pdf PDF reprint]</ref> {{quotation|An examination of a range of definitions of culture indicates that almost all researchers agree that culture is reflected in shared cognitions, standard operating procedures, and unexamined assumptions. Cultural syndromes consist of shared shared attitudes, beliefs, norms, role and self definitions, and values of members of each culture that are organized around a theme.}}

Cultural psychology, after the rise of cognitivism, seems to have become a somewhat forgotten science in some parts of the world (Allolio-Näcke, 2005)<ref>Allolio-Näcke, Lars (2005). Wie viel Kultur verträgt die Psychologie? Tagungsbericht: 100 Jahre Deutsche Gesellschaft für Psychologie [34 Absätze]. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 6(3), Art. 11, http://nbn-resolving.de/urn:nbn:de:0114-fqs0503111. </ref>. On the other hand, cultural dimensions are central to ethnology, anthropology, (cognitive) linguistics, literature critique, etc., i.e. disciplines that put emphasis on "sense" and "meaning". That being said, the well respected [http://jcc.sagepub.com/ Journal of cross-cultural psychology] exists since 1970 and continues to publish interdisciplinary articles on cultural competence from psychologists, sociologists, and other researchers who study the relations between culture and behavior. 

According to [http://www.qualitative-research.net/index.php/fqs/article/view/915/1998 Doris Weidemann] (2001)<ref>Weidemann, Doris (2001). Learning about "face"—"subjective theories" as a construct in analysing intercultural learning processes of Germans in Taiwan. Forum Qualitative Socialforschung / Forum: Qualitative Social Research, 2(3), Art. 20, http://nbn-resolving.de/urn:nbn:de:0114-fqs0103208 [Date of access: March 10, 2008].</ref> , {{quotation|investigation of intercultural interactions has demonstrated that individual psychological processes show distinct cultural patterns and, more important, that communication across cultural gaps often meets with difficulties.}} She also adds, that {{quotation|Communication across cultural divides is usually described as difficult and often results in misunderstandings and failure to achieve individual or even common goals. This is especially true for persons transferring to a different cultural context, as overseas students, expatriate managers or immigrants do, and adaptation to the new cultural environment can be frustrating and painful.}}

In that context, literacies (not just cultural ones) cannot be compared in an abstract way or with respect to one culture, but rather as a predictor for a successful life in a given culture. This principle applies for example when comparing school systems. {{quotation|Nur in dem Falle, "dass innerhalb eines jeden Landes, die erfassten Kompetenzen zur Vorhersage einer erfolgreichen Lebensführung beitragen", könnte das literacy-Konzept als tertium comparationis fungieren. In vielen Ländern aber spielt es keine bzw. nur eine untergeordnete Rolle, so dass "der Ausgang einer solchen Validitätsprüfung wahrscheinlich zu einer kulturellen Gruppierung der Funktionalität der Grundkompetenzen führen wird";}} (Hermann-Günter Hesse, cited by Allolio-Näcke, 2005).

=== Cultural intelligence ===

Cultural intelligence (Ang & Van Dyne: 2008; Livermore: 2009)<ref>Ang & Van Dyne (2008). Handbook of Cultural Intelligence. ME Sharpe. </ref> <ref>Livermore, David (2009). Leading with Cultural Intelligence. New York: AMACOM.</ref> seems to be a way of defining cross-cultural competence and is developed in the business and military community. In business, it also is known as cultural quotient (CQ) in analogy to the Intelligent quotient (IQ). It is the ability to '''cope''' with other cultures.

Ang et al. (2007) <ref>S. Ang, L. Van Dyne, C.S.K. Koh, K.Y. Ng, K.J. Templer, C. Tay, et al. Cultural intelligence: Its measurement and effects on cultural judgment and decision making, cultural adaptation and task performance Management and Organization Review, 3 (3) (2007), pp. 335–371 </ref> define a [[cultural competence/Cultural Intelligence Scale]] (CQS). Their definition of cross-cultural compentence includes four dimensions: "(1)Metacognitive CQ — conscious cultural awareness during intercultural interactions, (2) Cognitive CQ — knowledge of cultural norms, practices, and conventions, (3) Motivational CQ — attention and energy toward cultural differences, and (4) Behavioral CQ - ability to act appropriately during intercultural interactions in terms of verbal and nonverbal behavior (Cronbach's alpha = .88, .91, .84, and .88 respectively). Higher scores indicate greater CQ on each subscale." (Goldstein & Keller: 2015)

Earley and Mosakowsky (2004) define cultural intelligence <ref name="earley2004">Earley, P. C., & Mosakowski, E. (2004). Cultural intelligence. Harvard business review, 82(10), 139-146.</ref> as someone's {{quotation| natural ability to interpret someone's unfamiliar and ambiguous gestures in just the way that person's compatriots and colleagues would, even to mirror them.}}. The authors distinguish three components: Cognitive CQ (head), Physical CQ (body) and Emotional/motivational CQ (heart).

Cultural intelligence seems to be natural to some people but can be effectively trained and measured, e.g. Earley and Mosakowsky suggest six steps. The first step is using [[Cultural competence/cultural intelligence self-assessment]] instrument that includes 12 items. This instrument also allowed identifying six different profiles:
* the provincial: effective in his original environment, cannot adjust to other cultures
* The analyst: {{quotation|methodically deciphers a foreign culture’s rules and expectations by resorting to a variety of elaborate learning strategies.}}
* The natural: relies entirely on his intuition rather than on a systematic learning style.
* The ambassador, the most common type among international managers, can make believe that he "belongs" but understands his/her limits.
* The mimic {{quotation|has a high degree of control over his actions and behavior, if not a great deal of insight into the significance of the cultural cues he picks up.}}
* The chameleon {{quotation|possesses high levels of all three CQ components and is a very uncommon managerial type.}}

=== Workplace diversity and international business ===

See also other sections, in particular the ones about assessment.

== Simple models of cultural difference ==

Models of cultural difference are popular in management and management education since corporations do have to deal with different cultures.

=== Triadis (1966 ===

Triadis <ref name="triadis1996">Triandis, H. (1996) “The Psychological Measurement of Cultural Syndromes.” American Psychologist. 51.4 (1996): 407-415. [https://www.researchgate.net/profile/Harry_Triandis/publication/232572970_The_psychological_measurement_of_cultural_syndromes/links/543c1fb00cf24a6ddb97fad0.pdf PDF reprint]</ref> , worked on "cultural syndroms". These are defined as patterns of of shared attitudes, beliefs, categorizations, self-definitions, norms, role definitions, and values that is organized around a theme that can be identified among those who speak a particular language, during a specific historic period, and in a definable geographic region. Examples identified in the 1966 article are:
* Tightness: Some cultures have many norms that are tightly applied as opposed to those who have few norms and that are loosely applied. Norms are situational, i.e. applied to certain domains, however, there also is an overall density of norms
* Cultural complexity: The number of different cultural elements can vary a lot, e.g. hunters and gatherers identify 20 "job" roles and information societies have hundreds of thousands.
* Active-passive: first described by Diaz-Guerrero (1967), {{quotation|includes a number of active (e.g., competition, action, and self-fulfillment) and passive (e.g., reflective thought, leave the initiative to others, and cooperation) elements.}}
* Collectivism: The self is described as an aspect of a collective entity and personal goals are subordinated to collective goals. Social behavior is ruled by norms, duties and obligations.
* Individualism: {{quotation|The self is defined as independent and autonomous from collectives. Personal goals are given priority over the goals of collectives}}
* Vertical and horizontal relationships: In some cultures hierarchy is very important, including within groups.

At the time of writing, Triadis, stated that {{quotation|The number of syndromes for an adequate description of cultural differences is at this time unknown. It s hoped that a dozen or a score of syndromes, to be identified in the future, will account for most of the interesting, reliable cultural differences. There is also the problem that syndromes are somewhat related to each other. For example, tight, passive, simple cultures are likely to be more collectivist; loose, active, complex cultures are likely to be more individualistic. The higher these correlations, the less does any one syndrome provide independent information about cultural differences}}. {{quotation|Collectivism is maximal when a society is low in complexity and tight; individualism is maximal when a society is complex and loose}} (p. 412)

Syndroms like individualism and collectivism can be defined by underlying attributes. Triadis (1995) suggests the meaning of self, the structure of goals, the function of norms and attributes to define behaviour, focus on the needs of the ingroup or social exchange. Moreover he identified about 60 attributes in total found in collectivist of individualist cultures. 

Individualism and collectivism are relative and manifest in all cultures. In addition these traits appear combined with horizontalism and verticalism. {{quotation|Tt is possible to identify attitude items that measure horizontal-vertical, collectivism-individualism (Singelis,Triandis, Bhawuk, & Gelfand, 1995). {{quotation| The use of a particular pattern is likely to be culture-specific. Thus, in a specific culture, in some situations, people will be vertical collectivists (VC), in others, vertical individualists (VI); in some situations people may be horizontal collectivists (HC), and in others, horizontal individualists (HI).}} From these tendencies one can construct profiles and distribution of scores within a culture could define it.

* [[Cultural competence/Measurement of Horizontal and Vertical Individualism and Collectivism]] items.

=== Hampden Turner and Trompenaars (1993) ===

According to Darlene Brannigan Smith et al. in the Seven Cultures of Capitalism, Hampden Turner and Trompenaars (1993:11) suggest that different countries champion different value propositions for creating effective organization.

* '''Universalism''' (call for universally applicable law and order) vs. '''particularism ''' (allow for personal indulgence and idiosyncrasies),
* '''anlyzing''' (demand for facts and attention purely on the bottom line) vs. '''integrating''' (viewing everything within the context), 
* '''individualism''' (applaud individuals for singular performance) vs. '''communitarianism''' (organization, groups and community above else), 
* '''inner directed''' (self-starter) vs. '''outer-directed''' (approaching groupthink) orientation, 
* '''time as sequence''' (time is money) vs. '''time as synchronization''' (all for one), 
* '''achieved status''' (working hard to achieve) vs. '''ascribed status''' (status because of power), and 
* '''equality''' (all get an even break) vs. '''hierarchy''' (some people are more important because of their hierarchical authority).

=== Inglehart and Welzel ===

Inglehart and Welzel identify two major dimensions of cross cultural variation in the world:
* Traditional values versus Secular-rational values and
* Survival values versus Self-expression values.

Using data from the World values survey, the authors created a well-known cultural map of the world where positions with respect to these two dimensions are overlayed with "nominal" criteria (e.g. religion, or geography). The map below is a modified version of the [https://en.wikipedia.org/wiki/File:Inglehart_Values_Map2.svg original made for Wikipedia] by an unknown author.

[[file: Inglehart_Values_Map2.svg| thumb|600px|none|Inglehart–Welzel values map (source: Wikipedia)]]

=== Hofstede ===

Hofstede distinguishes five or six dimensions of '''national''' cultures. Each of these is defined by a list of criteria. Hofstede (2011) <ref name="hofstede2011"> Hofstede, G. (2011). Dimensionalizing Cultures: The Hofstede Model in Context. Online Readings in Psychology and Culture, 2(1). http://dx.doi.org/10.9707/2307-0919.1014</ref>, summaries these dimensions:

{{quotationbox|
1. Power Distance, related to the different solutions to the basic problem of human inequality;

2. Uncertainty Avoidance, related to the level of stress in a society in the face of an unknown future;

3. Individualism versus Collectivism, related to the integration of individuals into primary groups;

4. Masculinity versus Femininity, related to the division of emotional roles between women and men;

5. Long Term versus Short Term Orientation, related to the choice of focus for
people's efforts: the future or the present and past.

6. Indulgence versus Restraint, related to the gratification versus control of basic human desires related to enjoying life.
}}

[https://en.wikipedia.org/wiki/Hofstede's_cultural_dimensions_theory#cite_ref-IACCP_6-0 Wikipedia], based on Hofstede (2011) <ref name="hofstede2011"> Hofstede, G. (2011). Dimensionalizing Cultures: The Hofstede Model in Context. Online Readings in Psychology and Culture, 2(1). http://dx.doi.org/10.9707/2307-0919.1014</ref> provides a nice summary.

'''National cultures''' are not identical to organizational or individual cultures. E.g. within a same town one can find companies that adopt a very different organizational-cultural model. The same is true for individuals. However, national (or even supra-national) cultures doe influence organizational and individual ones.

== Instruments to measure cultural diversity and competence of individuals ==

There exist both quantitative and qualitative instruments. These instruments were created to learn about people's representations and not to assess cultural competence (whatever that means). Many researchers seems to agree that (at least for now) measuring cultural competence requires a mixed methods approach. Below we shall describe a few instruments that allow observing and systematizing cultures.

=== World Values Survey ===

According to [https://en.wikipedia.org/wiki/World_Values_Survey Wikipedia], {{quotation|The World Values Survey (WVS) is a global research project that explores people’s values and beliefs, how they change over time and what social and political impact they have. It is carried out by a worldwide network of social scientists who, since 1981, have conducted representative national surveys in almost 100 countries. The WVS measures, monitors and analyzes: support for democracy, tolerance of foreigners and ethnic minorities, support for gender equality, the role of religion and changing levels of religiosity, the impact of globalization, attitudes toward the environment, work, family, politics, national identity, culture, diversity, insecurity, and subjective well-being.}}

The WVS started in 1981 and is now governed by the [http://www.worldvaluessurvey.org/ World Values Survey Association], based in Stockholm. The 6th wave started in 2008 and was finished in 2014, and the 7th is planned for 2017-2018.

=== Structure Formation Technique ===

'''Structure formation technique''' is a qualitative method that attemps to elicit representation structures.

Weideman's (2001) <ref>Weidemann, Doris (2001). Learning about "face"—"subjective theories" as a construct in analysing intercultural learning processes of Germans in Taiwan. Forum Qualitative Socialforschung / Forum: Qualitative Social Research, 2(3), Art. 20, http://nbn-resolving.de/urn:nbn:de:0114-fqs0103208 [Date of access: March 10, 2008]. </ref> study focuses on subjective theories hold by German Immigrants in Taiwan and that can be verbally explicated and reconstructed by way of dialogue between researcher and participant. The research method goes through the following steps:
* A semi-standardized interview that will try to elicit the contents of the subjective theories 
* A visualization of the theory structure ,using representational rules of the Heidelberg structure formation technique, (Heidelberger Strukturlegetechnik, SCHEELE & GROEBEN, 1988) 

Based on this Heidelberg structure formation technique, she developed a set of interview questions and rules for representing the theory.: {{quotation| a differentiation was made according to the outcome of actions (face gained or face lost) and the person concerned (self or other).}} The combination of these two dimensions will define four semantic fields, namely a) to lose face, b) to gain face, c) to hurt the other person's face, d) to give the other person face.

Results then can be represented graphically, for example like this:

[[file:weideman-part-of-subjective-theory-structure.jpg|none|frame|Part of a subjective theory structure on "face" (reproduced from [http://www.qualitative-research.net/index.php/fqs/article/view/915/1998 Weidemann, 2001])]]

=== Arts-Informed Research ===

Arts-informed research uses artistic productions to elicit representations.

Over the last decade, a growing number of social scientists have become interested in visual methodologies. On could distinguish between "researcher created", "respondent generated" and "found" visual data. Visual arts can be found in all three. <ref>ALL, Susan; GILLIGAN, Chris. Visualising Migration and Social Division: Insights From Social Sciences and the Visual Arts. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, [S.l.], v. 11, n. 2, may. 2010. ISSN 1438-5627. Available at: <http://www.qualitative-research.net/index.php/fqs/article/view/1486/3002>. Date accessed: 18 Feb. 2016. </ref>

Guruge et al. (2015) <ref>GURUGE, Sepali et al. Refugee Youth and Migration: Using Arts-Informed Research to Understand Changes in Their Roles and Responsibilities. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, [S.l.], v. 16, n. 3, aug. 2015. ISSN 1438-5627. Available at: <http://www.qualitative-research.net/index.php/fqs/article/view/2278/3861>. Date accessed: 18 Feb. 2016.  </ref> describe an arts-informed technique {{quotation|to understand the changes in refugee youth's roles and responsibilities in the family within the (re)settlement context in Canada. The study involved 57 newcomer youths from Afghan, Karen, or Sudanese communities in Toronto, who had come to Canada as refugees. The data collection method embedded a drawing activity within focus group discussions.}}

This study also included eight refugee youth peer researchers from the three communities. In line with community-based participatory research principles, {{quotation|Peer researchers received three months of research training and were actively involved in paid capacity in all phases of the study, including research design, data collection, data analysis, and writing.
Guruge et al. (2015:[14]) describe the elicitation process as follows:
{{quotationbox|
Each participant was invited to draw two pictures: 
# one depicting pre-migration roles and responsibilities, 
# and the second depicting post-migration roles and responsibilities. 
The participants were given flip chart paper and color pens, and 10 to 15 minutes to complete the activity. The drawings were then displayed on the walls around the room. Each participant was asked to briefly present her/his drawing to the group. Once all participants had their individual turns reflecting on and explaining their drawings to the group, the floor was open to all for reflection and clarification of the drawings within the group. This was followed by a semi-structured focus group discussion of roles and responsibilities in which participants were encouraged to refer to their drawings wherever appropriate. In a later part of the focus group discussion, the youths were also asked to list the services they had used and the services they needed on sticky notes, which were added to the flip chart drawings.}}

A key lesson learnt was that adequate time and opportunities must be given to participants to (1) create the drawings, (2) to interpret and discuss the drawings and (3) to complete or change the drawings as a result of group discussions. Facilitators must attempt to clarify and expand links between drawings and discussions.

According to the authors [paragraph 38], {{quotation|The multiple data collection methods (i.e., drawings and individual reflections on them, and focus group discussions) we used in this study were complementary: the drawings provided unique insights into certain aspects of their lives. For example, the magnitude of the difference in youth's (built and natural) environments came up in the drawings that were not discussed in the focus groups. The sense of cohesion versus scattered and chaotic patterns in the drawings is also interesting. On the other hand, the focus group discussions provided unique information on other aspects of their lives, such as racism. In addition, the drawings also provided more contextual information that enriched the understanding gained from the focus groups.}}

[[file:gurunge-et-al-arts-informed-technique.jpg|frame|none|Before and after drawing by Participant 3 in the Afghan female 16-19 years focus group]]

Data analysis and interpretation involved several levels of analysis and was based on participant's own explanations:
# a reflective dialogue between each participant and his own drawing
# a group dialogue concerning all the drawings of the group
# reflections of the peer (refugee youth) researchers from each group in response to questions about (1) and (2) from the rest of the research team
# the research teams reflections across the three groups

A list of themes and supporting excerpts was finally established in the form of a table.

Somewhat similar research was conducted by Frey and Cross (2011) <ref>Frey, Ada F. & Cross, Cecilia (2011). Overcoming poor youth stigmatization and invisibility through art: A participatory action research experience in greater Buenos Aires. Action Research, 9(1), 65-82. </ref> on overcoming poor youth stigmatization and invisibility through art. Initially, a more traditional plan was to conduct interviews with various stakeholders, then creating focus groups, and finally a joint work on a common video to trigger dialogue with other actors. The team then found out the dramatization and video could (and did) have a more important role {{quotation| We discovered that the inclusion of dramatization and video had three main effects: first, they favored the involvement of the young men and women; second, they allowed them to share their experiences, formerly blocked by stigmatization processes; third, they were a potent instrument to make their perspectives visible to other social actors concerned by this problematic (teachers, government officers, parents).}} Frey and Cross (2011:69)

Tristan Bruslé's (2010) <ref>BRUSLÉ, Tristan. Living In and Out of the Host Society. Aspects of Nepalese Migrants' Experience of Division in Qatar. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, [S.l.], v. 11, n. 2, may. 2010. ISSN 1438-5627. Available at: <http://www.qualitative-research.net/index.php/fqs/article/view/1482/2992>. Date accessed: 18 Feb. 2016.</ref> research examines the place that Nepalese immigrant workers occupy in Qatar. Visual images, mainly photographs, are use as one of the research tools to illustrate the divided nature of society.

{{quotation|I have tried to put forward the hypothesis that photographs are not just an illustration, but that social realities can indeed be understood through pictures. The building of places, from collective spaces to very private ones, clearly stands out in the pictures. The use of pictures to analyze social and spatial division in Qatar has enabled me to grasp some realities that I had either overlooked or not fully understood. While carrying out fieldwork, and particularly new fieldwork, the researcher is continually bombarded with a flow of information, making it at times difficult to focus on everything of interest. Pictures are therefore a way of focusing on detail, especially in a migrant's room, which might not necessarily have been studied while talking to migrants. Looking at pictures taken in an almost random way is also a way of reactivating one's memory. Distant places, emotions and memories come to life when perusing pictures. Things that were not first noticed when the photograph was actually taken, but were "discovered" thanks to a careful study and comparison of pictures, come across as important and make sense. A juxtaposition of scenes has helped me identify common points between places. Moreover, pictures have helped me show the different levels of spatial segregation, from the town to the migrant's bed. Images of walls and of physical separation may prove to be speaker louder than mere words in making the reader realize what segregation really is. Indeed, pictures can play the role of backing up research and be a valuable tool in that they convey large amounts of information that would sometimes be harder to explain verbally.}} (Bruslé's, 2010, [29])

=== Map making ===

Having individuals draw maps of their environments can help to understand how their environment is structures in terms of various opportunities and social relations.

Olga den Besten (2010) <ref name="denBesten2010">den Besten, O. (2010). Visualising Social Divisions in Berlin: Children's After-School Activities in Two Contrasted City Neighbourhoods. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11(2). Retrieved from http://www.qualitative-research.net/index.php/fqs/article/view/1488/3008</ref> studied social and spatial divisions (urban segregation). Her study {{quotation|explores children's and young people's experiences in two socially contrasted neighbourhoods in Berlin through subjective maps drawn by the children.}}

{{quotation|Children were asked to produce two maps: first, to draw their way home from school and all the objects that attracted their attention on the way. This task was chosen because all the children went to school, so the way home from school was their everyday, routine trajectory (see also ROSS, 2007). Coming back home from school was chosen because of the supposedly more relaxed, unhurried character of this trajectory and more opportunities for deviations from this way, like, for example, popping in to shops or playing in a park after classes. Second, the children were asked to draw their "neighbourhood" or "territory", i.e. a city area which they knew rather well and where they "felt at home". This drawing activity was done at school during one lesson.}} (den Besten: 2010: [13]).

In addition, children were asked to place four types of emoticons on the maps: (1) A heart symbol to mark places they like, (2) a big dot for places where they hang out, (3) a cross inside a circle for places they disliked and (4) a square for places they fear.

[[file:map-way-from-school-1.jpg|frame|none|Drawing 2b (by a Turkish boy aged 12 in Kreuzberg) shows his "way to school" with the school in the foreground, the building where he lives and a park that he likes, as well as a disco and a nightclub marked with the "emoticon" of dislike. Reproduced from den Besten (2010)<ref name="denBesten2010">den Besten, O. (2010). Visualising Social Divisions in Berlin: Children's After-School Activities in Two Contrasted City Neighbourhoods. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11(2). Retrieved from http://www.qualitative-research.net/index.php/fqs/article/view/1488/3008</ref>]]

Results showed that the children's socio-spatial worlds were different in the two segregated areas of the city. Generally, drawings from children of the advantaged area are comparatively more elaborated, show a larger space, more places for activities, a denser network of friends, and so forth. This also reflects the situation that advantaged children have more access to extra curricular activities and therefore for personal development.

<gallery widths=400px heights=400px>
map-childs-environment-1.jpg|A map of her "subjective territory" by a 13-year-old German-American girl from the school in Zehlendorf. Reproduced from den Besten (2010)<ref name="denBesten2010">den Besten, O. (2010). Visualising Social Divisions in Berlin: Children's After-School Activities in Two Contrasted City Neighbourhoods. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11(2). Retrieved from http://www.qualitative-research.net/index.php/fqs/article/view/1488/3008</ref>
map-childs-environment-2.gif|Drawing 3a (by a Turkish boy aged 14 in Kreuzberg) features a youth club and a football field. Reproduced from den Besten (2010)<ref name="denBesten2010">den Besten, O. (2010). Visualising Social Divisions in Berlin: Children's After-School Activities in Two Contrasted City Neighbourhoods. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11(2). Retrieved from http://www.qualitative-research.net/index.php/fqs/article/view/1488/3008</ref>
</gallery>

== Standards and instruments to measure cultural competence of organization and its members ==

The following standards and tools rather focus on organizations and are mostly self-evaluation tools to help reshape their policies and training. Overall, there roughly seem to be three types of individual competences:
* The competence to understand oneself
* The competence to understand another culture
* The competence to intervene

===  Cultural competence self-assessment questionnaire===

The '''Cultural competence self-assessment questionnaire''' (CCSAQ) Mason (1995), <ref> Mason, J. L. (1995). Cultural competence self-assessment questionnaire: A manual for users. Portland, OR: Portland State University, Research and Training Center on Family Support and Children's Mental Health. </ref> is designed to help health agencies cope with cultural difference, i.e. to assess their need for cultural competence training.

{{quotation|In response to the growing body of literature promoting culturally competent systems of  care, the Portland Research and Training Center developed the Cultural Competence Self-Assessment Questionnaire (CCSAQ).  The CCSAQ is based on the Child and Adolescent Service System Program (CASSP) Cultural Competence Model (Cross, et al., 1989).  This model describes competency in terms of four dimensions: attitude, practice, policy, and structure. The instrument helps child- and family-serving agencies assess their cross-cultural strengths and weaknesses in order to design specific training activities or interventions that promote greater competence across cultures}} (Mason: 1995).

This [http://www.racialequitytools.org/resourcefiles/mason.pdf manual] publishes two variants of the questionnaire. One for assessing cultural competence training needs of mental health and human service professionals and the other to assess cultural competence training needs of human services organizations and staff.

=== TOCAR Collaborative Campus and Community Climate Survey for Students ===

The [http://www.racialequitytools.org/resourcefiles/tocarclimatesurvey.docx TOCAR Collaborative Campus and Community Climate Survey forStudents] includes 25 questions and was made by ''Training Our Campuses Against Racism''' (TOCAR) chapters at North Dakota State University, Concordia College, Minnesota State Community and Technical College, and Minnesota State University Moorhead.

=== The Cultural Competence Assessment Tool (CCAT) ===

The Cultural Competence Assessment Tool (CCAT), made by the Boston Public Health Commission is an answer to the  2001 United States Department of Health and Human Services Office ofMinority Health (OMH) issued National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS).

{{quotation| The Cultural Competence Assessment Tool (CCAT) contains three sections – each focuses on a key component in the provision of culturally competent health care. [...] The first section of the tool assesses organizational cultural competence in health care leadership, staffing, and community involvement. The second section assesses cultural competence in the institution’s delivery of health care. The third section assesses cross-cultural communication at the institution}} ([http://www.racialequitytools.org/resourcefiles/culturalcompentencyassesstool.pdf Cultural Competence Assessment Tool]).

=== Cultural competence Checklist: Personal reflection ===

The [http://www.asha.org/ American Speech-Language-Hearing Association] (2010) <ref>American Speech-Language-Hearing Association. (2010). Cultural Competence Checklist: Personal reflection. Available from www.asha.org/uploadedFiles/practice/multicultural/personalreflections.pdf</ref> created a one-page checklist that was developed to {{quotation|o heighten your awareness of how you view clients/patients from culturally and linguistically diverse (CLD) populations.}}

=== Quality and culture quiz ===

[http://erc.msh.org/mainpage.cfm?file=3.0.htm&module=provider&language=English Quality and Culture Quiz] is a self-evaluation quiz that targets members of the health community.

=== The Cultural and Linguistic Competence Family Organization Assessment (CLCFOA)  ===

Made by the [http://nccc.georgetown.edu/ National Center for Cultural Competence], the [http://gucchdgeorgetown.net/NCCC/CLCADO/NCCC_CLCADO_Assessment.pdf The Cultural and Linguistic Competence Family Organization Assessment] (CLCFPA) [http://nccc.georgetown.edu/documents/NCCC_CLCFOAGuide.pdf survey] was made to help family organizations concerned with children and youth disorders and disabilities. It requires approximately 20-30 minutes to complete. It consists of four sections: Our World View, Who We Are, What We Do, and How We Work. As several others of its kind, this survey helps to identify an organizational culture.

== Teaching cultural competence==

Teaching cultural competence is addressed in many different ways and for different purposes and appears under different names, e.g. cultural competence training, cross-cultural competence training, transcultural competence training, intercultural competence training, cultural diversity training, cultural intelligence training, cross-cultural training, etc. 

According to Chen and Starosta (1997), <ref name="chen1997">Chen, G. M., & Starosta, W. J. (1997). A review of the concept of intercultural sensitivity. Human Communication, 1, 1-16. http://digitalcommons.uri.edu/com_facpubs/38/</ref>, intercultural training programs include "T-groups," critical incidents, case studies, role playing, and cultural orientation programs.

Cultural competence education aims to help people build relations and also work on attitudes and knowledge. In the literature, there seems to an emphasis on "learning how to learn", "becoming open-minded", etc. as opposed to learning measurable traits. For example, a meta study by Beach et al. (2005) <ref name="beach2005">Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., … Cooper, L. A. (2005). Cultural Competency: A Systematic Review of Health Care Provider Educational Interventions. Medical Care, 43(4), 356–373. </ref> shows that {{quotation|Cultural competence training shows promise as a strategy for improving the knowledge, attitudes, and skills of health professionals. However, evidence that it improves patient adherence to therapy, health outcomes, and equity of services across racial and ethnic groups is lacking. Future research should focus on these outcomes and should determine which teaching methods and content are most effective.}}
That being said, we believe that acquiring such rather [[metacognitive literacy|metacognitive skills]] does require some knowledge, attitudes and skills bases.

A lot of the research and practical literature concerns the three areas we identified already: Health, international business and higher education.

* In business, there seems to be a focus on acquiring "cultural intelligence" or at least improve over some "baseline test". The goal is become a good negotiator or a good manager that has sufficient insight into another culture to behave efficiently and appropriately.
* In the health sector, there is more emphasis on changing the whole mindset of health personnel and organizations. {{quotation|Three major conceptual approaches have emerged for teaching cultural competence, focusing on knowledge, attitudes, and skills, respectively}} (Betancourt  (2003)<ref> Betancourt JR. Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Acad Med. 2003;78:560–9. </ref> cited by Kripalani (2006) <ref name="Kripalani2006"> Kripalani, Sunil; Bussey-Jones, Jada; Katz, Marra G.; Genao, Inginia, A Prescription for Cultural Competence in Medical Education, ''Journal of General Internal Medicine'' 21 (10), 1525-1497, http://dx.doi.org/10.1111/j.1525-1497.2006.00557.x</ref>
* In higher education, there is emphasis on preparing students for studies abroad or receiving students. Other concerns are dealing with (marginalized) minorities or running international campuses or franchises.

Determining how cultural competence should be taught also requires understanding how it is learning. Since cultural competence is a complex soft still that involves knowledge, attitudes, skills and problem solving skills, this ain't easy.

Cultural competence can be addressed at the individual, a the organizational, or at the system level. While individuals are concerned by any of these levels, organizational and societal learning requires other kinds of changes, e.g. rules.

A large number of training classes or training materials (e.g. [http://www.springerpub.com/teaching-cultural-competence-3e-toolkit.html The Cultural Competence Education Resource Toolkit] that includes 23 tools.

=== General principles ===

Deborah Corder and Alice U-Mackey (2015) <ref>Corder, Deborah. & U-Mackey, Alice. (2015). Encountering and dealing with difference: second life and intercultural competence, Intercultural Education, DOI:10.1080/14675986.2015.1091213</ref> argue that educating intercultural literacy is very challenging. Cognitive aims (e.g. learners being able to pass an exam) can be met, however, meeting affective and behavioral goals might be much more difficult. According to the authors, {{quotation|research shows that the development of IC is a complex process that involves cognitive, metacognitive, affective and behavioural development, and has to be intentionally developed over time (Ehrenreich 2006; Stier 2006; Crossman 2011; Deardorff 2011). As Perry and Southwell (2011) and Witte (2011) point out, there is increasing evidence that the normal classroom or lecture context with a cognitive orientation alone cannot provide the environment for learners to develop the necessary competencies. Nor will IC automatically develop by just encountering other cultures whether in the classroom, through study abroad, overseas holidays, the workplace or social settings.}}

Intercultural diversity is an important component of global citizenship. [http://ijh.cgpublisher.com/product/pub.26/prod.1021/index_html Vadura (2007: 17)] argues that {{quotation|The knowledge, skills and values that international studies graduates gain need now more than ever to reflect understanding of social responsibility and cultural inclusivity, embodied in the concept of global citizenship.}}

Johanna E. Crossman led [http://www.immi.se/intercultural/nr25/crossman.htm a qualitative study] that aimed to {{quotation| discover how undergraduate and culturally diverse students experienced a collaborative, international, online, experiential project to learn about intercultural communication. Student participants in the study endorsed experiential learning in culturally diverse groups about intercultural communication through intercultural communication.}}. The study involved students from Australia, international students from Asia (in Australia) and students from the Netherlands. The task was to {{quotation|to respond to a case study that concerned a franchisor in Australia considering two expressions of interest from potential franchisees in the Netherlands and Hong Kong.}}. More specificially, members of the these three populations were required to act as "communication consultants" to advise the fanchisor of any potential intercultrual communication implications between the Australian organisation and the Dutch and Asian franchise. In other words, each type of student had to play and reflect upon his own cultural inheritage.

In this context, the author found that {{quotation|learning ''about'' intercultural communication ''through'' intercultural communication is a powerful activity that responds to the need for learning approaches that internationalise the business curriculum in universities and develop global citizenship. The capacity of the experiential project appeared to engage students in ways that seemed to be perceived as authentic and relevant to their lives and work. The study has also illuminated how participants try to make sense of intercultural communication by juxtaposing personal experience with theoretical literature. Whilst stereotyping did occur, the observation can be used in the design of future activities so that the potential for meta-cognitive approaches can be developed further through asking questions about what stereotyping is and how, why and under what circumstances individuals might engage in it, particularly when tension and conflict exists in intercultural communication and indeed, culturally diverse learning contexts.}}

Cultural competence education probably has to be adapted to different contexts, e.g. training health personnel to deal with persons from different cultural background is not the same as training international managers since heir activities and foci are different. However, there exist probably some first principles: Kriplani et al. (2006) within their prescriptions of cultural competence in medical education, argue, that practical skills must be taught as opposed to just general principle meaning that a practitioner has to learn to {{quotation |listen to the patient's perception of the problem, explain their own opinion, acknowledge and discuss differences and similarities, recommend treatment, and negotiate an agreement}}. They also recommend interactive Educational Methods, such as Standardized Patient encounters, role-play, and Self-reflective Journal Assignments. These should be reinforced through direct faculty observation and feedback. Cultural competence should be taught throughout the clinical education as opposed to specialized workshops. We believe that these principles that we could summarize as "learning in action in authentic contexts" could be applied to other settings.

=== Cross-cultural training ===

According to Rita Bennet at al. (2000:241), <ref>Bennett, R., Aston, A., & Colquhoun, T. (2000). Cross-cultural training: A critical step in ensuring the success of international assignments. Human Resource Management, 39, 239-250.</ref> there are three reasons for cross-cultural training (CCT): {{quotation| (1) manage change — personal-professional transition; (2) manage the cultural differences; and (3) manage their professional responsibilities}}. According to the same authors, for an international assignment to be succesful, the whole family should be trained since it can act as support unit. 

Contents for cross-cultural training should include at least the following topics: General and country-specific cultural awareness; Area studies, history, geography, poli- tics, economics; Frameworks for understanding and valuing cultural differences; Planning for a successful international assignment; Intercultural business skills for working effectively in the local environment; Understanding cultural variations for those with regional responsibilities; Business and social customs in the host country; International transition and stress management; Practical approaches to culture-shock management and lifestyle adjustment; Information on daily living issues; Special issues: partners and families abroad; Repatriation as a predeparture issue.

The training design should comply with [[adult education]] principles and it should include both didactic and experiential approaches. Bennet et al. (2000) also not that {{quotation|research indicates that an “integrated program model” delivers the most effective training (Copeland & Griggs, 1993; Black & Mendenhall, 1990,Rhinesmith, 1993). An integrative model works through the complex web of factors impacting assignees. In fact, training may be a misnomer for this process, which is as much about change management as it is about education. Cross- cultural training not only targets practical, logistical considerations but intellectual and psychosocial dimensions as well.}}

=== Cultural intelligence training ===

Cultural intelligence training seems to have the same purpose as cross-cultural training, i.e. it just may name a different sub-culture working in cultural competence training for organizations. In addition, cultural intelligence training is also concerned by different organizational cultures within a given national culture.

According to [https://hbr.org/2004/10/cultural-intelligence a Harward Business Review article] <ref name="earley2004"> Earley, P. C., & Mosakowski, E. (2004). Cultural intelligence. Harvard business review, 82(10), 139-146. </ref>, managers can be socially intelligent in their own settings but ineffective in culturally novel ones. That means they do not lack so-called "emotional intelligence", but are "cross-culturally" challenged.

Early and Mosakowski provide the following advice: Rote learning about foreign beliefs and customs is useful, but will not prepare a person for every situation that will arrise. Instead, managers should ''learn how to learn'' in all (of their) three Cognitive Intelligence (CQ) dimensions: 

* Cognitive CQ (head): Look for consistencies in the other's behavior. Example: "they were all punctual, deadline-oriented, and tolerant of unconventional advertising messages"

* Physical CQ: Adopt (or cope with) the others' physical behavior, e.g. in France, allow to be kissed on you cheeks, or in the USA do not move in too close.

* Emotional/motivational CQ (heart): Overcome failures, after confronting obstacles, setbacks, or even failure, reengage with greater vigor.

These example could imply that training needs to present learners with situation that forces them to abstract principles from observed clues.

Early and Mosakowski then present a six stage self-learning model "Cultivating Your Cultural Intelligence" that applies both to foreign culture and different enterprise cultures.

(1) Examine the Cultural intelligence quotient (CQ), e.g. using their [[Cultural competence/cultural intelligence self-assessment|  instrument]]

(2) Selects training that focuses on weaknesses. For example, persons with a lack of cognitive CQ could read case studies and try to distill their common principles.

(3) The general principle from above then must be applied in real situations, e.g. greeting someone correctly or finding out where to buy a newspaper.

(4) Organizes personal resources to support a chosen approach. In particular find time, schedule and persons in the organization to conduct the training

(5) Enter the cultural setting and base coordination and plans with others on identified strength (see six profiles above)

(6) Evaluate the outcomes, e.g. with the help of a focus group.

The question now, is how to translate this model into a more formal training setting. A mixture of case study and role playing probably could be appropriate.

Livermoore (2010) suggest to engage actively within a foreign culture, e.g. read local newspapers, go to movies and museums, eat out, learn the language, attend cultural celebrations, visit a temple, mosque or church, join a multicultural group, find a cultural coach, take a class.

=== Cultural competence training ===

Cultural competence training is a term that is often used in the health sector, but also in social work. According to Long (2012) <ref name="long2012">Long, T. B. (2012). Overview of teaching strategies for cultural competence in nursing students. Journal of cultural diversity, 19(3), 102. </ref> {{quotation|Despite the challenges and inconclusive results of previous studies, cultural competence can be taught and learned. Asystemic review of cultural competence training interventions for health care providers concluded that indeed training did influence provider knowledge, attitude and skills (Beach, et al 2004; Beach 2005, Brach & Fisher, 2000).}}

Mary C. Beach et al. (2005) <ref name="beach2005">Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., … Cooper, L. A. (2005). Cultural Competency: A Systematic Review of Health Care Provider Educational Interventions. Medical Care, 43(4), 356–373. </ref> in her literature review and analysis of Health Care Provider Educational Interventions, found evidence {{quotation|that cultural competence training improves the knowledge of health professionals (17 of 19 studies demonstrated a beneficial effect), and good evidence that cultural competence training improves the attitudes and skills of health professionals (21 of 25 studies evaluating attitudes demonstrated a beneficial effect and 14 of 14 studies evaluating skills demonstrated a beneficial effect). There is good evidence that cultural competence training impacts patient satisfaction (3 of 3 studies demonstrated a beneficial effect) [...]}}. Contents of the intervention include either general concepts, specific cultures or both. Teaching strategies were either experiential or not. As in cross-cultural training in business, {{quotation|all cultural competence interventions should target the knowledge, attitudes, and skills of health professionals, so measurement of these intermediate outcomes are appropriate, and results are encouraging.}}

Interestingly, Beach et al (2005) mention that {{quotation|concerns have existed about whether specific cultural information taught in curricula using a knowledge-based, categorical approach might promote stereotyping of patients}}. The indeed found that in study, {{quotation|following an intervention that taught specific cultural information, students were more likely to believe that Aboriginal people were all alike}} and recommend that a patient-centered approach should be emphasized that takes into account understanding general concepts of "culture".

Beach et al. don't provide details about the educational designs, but noted that all types of interventions were reported to be successful. 

Cultural competence learning is most often described as a set of competences to be acquired or as a set of components, but also as developmental model, i.e. various authors define various stages. In Bhui et al (2007) review of cultural competence in mental health care, {{quotation|only three studies published their teaching and learning methods}}. One model of cultural competency recommended participant observation, analysis of case reports, consultation and conferences around specific clinical problems <ref> Kim-Godwin YS, Clarke P, Barton L: A model for the delivery of culturally competent community care. Journal of Advanced Nursing. 2001, 35 (6): 918-925. 10.1046/j.1365-2648.2001.01929.x.</ref>. Another <ref> Frusti DK, Niesen KM, Campion JK: Creating a culturally competent organization: use of the diversity competency model. J Nurs Adm. 2003, 33 (1): 31-8. 10.1097/00005110-200301000-00007.</ref> recommended discussing and writing about case histories and paying attention to the narratives. A model for nursing working in critical care settings <ref> Hadwiger S: Cultural Competence Case Scenarios for Critical Care Nursing Education. Nurse Educator. 1999, 24 (5): 47-51. 10.1097/00006223-199909000-00018.</ref>  deployed interactive lectures and small group teaching with role-play exercises and patient centred interviews to enhance cultural understanding.

=== The cultural development model ===

Marcia (2000) <ref name="Marcia2000">Marcia I. Wells EdD, RN (2000) Beyond Cultural Competence: A Model for Individual and Institutional Cultural Development, Journal of Community Health Nursing, 17:4, 189-199, DOI: 10.1207/S15327655JCHN1704_1 </ref> presents a cultural development model (CDM) that summarizes other models,

=== Lay theories ===

Before teaching intercultural competence, it may be interesting to see how people view cultural difficulties. Goldstein and Keller (2015) <ref> Susan B. Goldstein, Sadie R. Keller, U.S. college students’ lay theories of culture shock, International Journal of Intercultural Relations, Volume 47, July 2015, Pages 187-194, ISSN 0147-1767, http://dx.doi.org/10.1016/j.ijintrel.2015.05.010. (http://www.sciencedirect.com/science/article/pii/S0147176715000796)</ref> analyzed U.S. college students’ lay theories of culture shock. Results show that {{quotation|Students’ beliefs differ significantly from those of intercultural experts. In contrast to the A, B, C model of culture shock which represents the scope of academic theories across affective, behavioral, and cognitive domains, college students’ lay theories emphasize the behavioral, or culture learning, approach over affective and cognitive components of culture shock. [..] Although some of the minimally endorsed internal causes of culture shock deserve such a rating (for example, the outdated and unsubstantiated notion that culture shock is due to emotional instability), other low rated causes warrant greater attention from potential sojourners, including those involving stress management, social support, identity confusion, and prejudice.}} (Goldstein & Keller, 2015).

== Strategies and tactics for cultural competence education by domain ==

Strategies and tactics in competence training and education differs from context to context. In the USA, for example, the main efforts are made in the health sector. {{quotation|In the late 1980s, Cross and colleagues <ref> Cross, T. (1988). Cultural competence continuum. Focal Point, 3 (1) </ref> called on systems of care for children and families to improve their competence in serving diverse cultural groups. The resulting cultural competence movement has been strengthened by a growing recognition of the striking disparities in health and social outcomes across ethnic and racial groups, and a commitment by many in the public and private sectors to reduce these disparities.}} (Calzada & Suarez-Balcazar, 2014) <ref name="calzada2014">Esther Calzada Yolanda 
Suarez-Balcazar (2014).  Enhancing Cultural Competence in Social Service Agencies: A Promising Approach to Serving Diverse Children and Families, OPRE Research Brief, https://www.acf.hhs.gov/sites/default/files/opre/brief_enhancing_cultural_competence_final_022114.pdf </ref>

=== Business / international assignments ===

Bennet al. (2000), in the context of of CCT training for international assignments include case studies, critical incidents, simulations, videos, role plays, lectures, and guided discussions. They also emphasize that  {{quotation|the more tailored these methods are to the company, to the assignee and family, to the employee’s job responsibilities, and to the location, the greater the impact and learning outcomes.}}

In the same perspective, Littrell, Salas (2005) <ref name="littrell2005">Littrell, L. N., Salas, E. (2005). A Review of Cross-Cultural Training: Best Practices, Guidelines, and Research Needs, Human Resource Development Review 2005 4: 305, DOI: 10.1177/1534484305278348, http://hrd.sagepub.com/content/4/3/305</ref> and Littrell et al. (2006) <ref name="littrell2006">Littrell, L. N., Salas, E., Hess, K. P., Paley, M., & Riedel, S. (2006). Expatriate preparation: A critical analysis of 25 years of cross-cultural training research. Human Resource Development Review, 5(3), 355-388., http://hrd.sagepub.com/content/5/3/355.short</ref> discussed various training foci and guidelines (including pedagogical strategies and tactics) for cross-cultural training (CCT), e.g. making expatriates ready for a different culture. According to Littrell and Salas (2005:308), {{quotation|Cross-cultural training can be defined as an educative process focused on promoting intercultural learning through the acquisition of behavioral, cognitive, and affective competencies required for effective interactions across diverse cultures}}. They also note that this type of training focusses on attitude change rather than information acquisition. Three skills need to be developed: self-maintenance, interpersonal and cognitive. Since one cannot train someone for every situation that could be met, the individual also must be taught to engage in a continouous self-development process. That means that he must be taught meta-cognitive strategies that facilitate learning and that unexpected situations (e.g. disconfirmed expections) can be managed appropriately.

Below is a summary of typical CCT training program elements
{|class="wikitable"
|+Summary of delivery strategies (Littrell and Salas, 2005:310, annotated with extra information from the text)
|-
!Focus of Training Intervention !! Potential Strategies
|-
| Developing the skills required to make isomorphic  attributions || Attribution training (learn to interpret behavior in a manner similar to that of host nationals)
|-
| Imparting the knowledge needed to understand  cultural differences || Culture awareness training (better understand their own culture)
|-
| Assisting in the development of host-culture appropriate behaviors || Cognitive-behavior modification training (develop the habitual behaviors desired in the host culture including behaviors to avoid)
|-
| Promoting successful adjustment via on-the-job training || Interaction training (the experienced expatriate introduces the novice to business practices, to key people at work and within the community, and shows how to carry out daily-life tasks.
|-
| Developing the language skills required for everday  interactions || Language training (e.g. ability to exchange common courtesies in the host language)
|-
| Providing the expatriate with information regarding living and working conditions || Didactic training (in particular, enable the expatriate to understand the host culture and to possess a framework within which to evaluate the new situations).
|-
| Giving the expatriate the opportunity to practice potential situations to be encountered in the host culture || Experiential training tactics, learning by doing, that includes see visits, role-plays, intercultural workshops, and simulation)
|}

The authors also point out that CCT should be tailored to both the features of the assignment and the invidual (since personality traits make a huge difference in terms of CCT needs and learning ability). CCT should use multiple educational strategies and should not stand alone.

=== Health sector ===

Tracy Long (2012) <ref>Long, T. B. (2012). Overview of teaching strategies for cultural competence in nursing students. Journal of cultural diversity, 19(3), 102. </ref> gave an overview of teaching strategies for cultural competence in nursing students that we reproduce in part below:
* Group discussions: used for {{quotation|teaching cultural competence concepts. Its advantages include the active learning process that promotes exchange of ideas however distractions and unmanaged group dynamics can be challenges}}.
* Student written reports: {{quotation| [..] through self directed learning modules are often used as evaluation methods for learning concepts. A disadvantage in this learning strategy is that isolated learning is productive only for certain learning styles.}}
* Clinical experiences: {{quotation|with real life experiences increased student comfort and confidence in caring for pa tients from diverse cultures and increased after repeated exposures to persons from other cultures (Chrisman & Maretzki 1982; 2005; Trotter, 1998).}}
* (Physical Patient) simulations: {{quotation|advantages are the safe and controlled environment and opportunities for repetition of skills, however the expense for training faculty and staff and the cost of high fdelity mannequins or standardized patients may be prohibitive.}}
* Guest lectures: {{quotation|have added helpful insights for both students and faculty. Students have responded favor- ably and acknowledged new insights gained that they couldn’t have experienced without the expertise of the lecturer.}}
* Mentoring and consultation: 
* Educational partnerships: {{quotation|Educational sessions where community members teach health care providers by describing their unique ethnic lived experiences creates a rich background of understanding different cultures and provides an interface of learning dialog}}
* Lived immerson/study abroad.

<table class="wikitable">
<caption>Tracy Long (2012), Overview of teaching strategies for cultural competence in nursing students <ref>Long, T. B. (2012). Overview of teaching strategies for cultural competence in nursing students. Journal of cultural diversity, 19(3), 102. </ref>  </caption>
<tr>
<td>Teaching Strategy</td>
<td>Study</td>
<td>Advantages</td>
<td>Disadvantages</td>
<td>Outcomes</td>
<td>Methodology</td>
</tr>
<tr>
<td>Lecture</td>
<td>Linares (1989)
Bond (2001)
Boyle, (2007)</td>
<td>Structured
Easy to organize and control for instructor</td>
<td>Limited interaction and feedback</td>
<td>Students are more comfortable in structured environments they are familiar with. Students don’t score above knowledge alone concepts.</td>
<td>Qualitative surveys</td>
</tr>
<tr>
<td>Group Discussion</td>
<td>Zuzelo (2010)</td>
<td>Interactive</td>
<td>Distractions from on task discussion</td>
<td>Students desire a reflective communication process to exchange ideas and build on each other’s thoughts.</td>
<td>Focus group</td>
</tr>
<tr>
<td>Student Written Report</td>
<td>Betancourt (2007)</td>
<td>Thorough, self directed</td>
<td>Isolated learning</td>
<td>Not measured</td>
<td>Qualitative</td>
</tr>
<tr>
<td>Assigned Readings/Module</td>
<td>Lee (2006)</td>
<td>Knowledge based</td>
<td>Limited to stereotyping</td>
<td>Improvement in knowledge of selected health beliefs and practices</td>
<td>Descriptive qualitative</td>
</tr>
<tr>
<td>Clinical Experience</td>
<td>Chrisman &amp; Maretzki (1982) Trotter
(1998)
Kardong (2005)</td>
<td>Real life experience</td>
<td>Limited to availability in clinical setting</td>
<td>Comfort in caring for patients from diverse cultures increased after repeated exposures to persons from other cultures.</td>
<td>Descriptive qualitative</td>
</tr>
<tr>
<td>Lived Immersion</td>
<td>Jones and Bond (2001) Kardong (2005)
Hinck &amp; Hope (2006)
Wiegerink-Roe &amp; Rucker- Shannon (2008)
Larson (2010)</td>
<td>Comprehensive from 1 week to 3 weeks to full semester</td>
<td>Expensive Limited to students who are willing and able to travel</td>
<td>Student anxiety about a different culture decreased with &gt;1 week exposure in a study abroad experience.</td>
<td>Qualitative descriptive and phenomenologic studies</td>
</tr>
<tr>
<td>Oral Report</td>
<td>No studies found</td>
<td>Structured</td>
<td>Limited to effectiveness of public speaking. Emphasis may be on delivery rather than content</td>
<td></td>
<td></td>
</tr>
<tr>
<td>Journal Keeping</td>
<td>Jones (2000)
Alpers (1996)</td>
<td>Thorough, self directed</td>
<td>Isolated learning</td>
<td>Reflective improvements in self awareness</td>
<td>Qualitative and group discussion</td>
</tr>
<tr>
<td>Video/ virtual experience</td>
<td>No studies found</td>
<td>Knowledge based</td>
<td>Limited to stereotyping</td>
<td></td>
<td></td>
</tr>
<tr>
<td>Simulation</td>
<td>Rutledge (2008)</td>
<td>Real life experience</td>
<td>Limited to availability in technology</td>
<td></td>
<td></td>
</tr>
<tr>
<td>Organized Field Trip</td>
<td>No studies found</td>
<td>Structured</td>
<td>Limited to availability</td>
<td></td>
<td></td>
</tr>
<tr>
<td>Standardized Patient</td>
<td>Medical School studies only</td>
<td>Interactive, standardized</td>
<td>Limited to availability Cost of actors</td>
<td>Increase in confidence with repetition</td>
<td>Studies done for medical school students</td>
</tr>
<tr>
<td>Service Learning</td>
<td>Anecdotal studies</td>
<td>Interactive</td>
<td>Short term</td>
<td>Students increased appreciation of a different culture</td>
<td>Qualitative Descriptive</td>
</tr>
<tr>
<td>Mentoring and Consultation</td>
<td>Napholz (1999)
Ranzijn (2005,
2008)</td>
<td>Real life experience</td>
<td>Limited to availability in clinical setting</td>
<td>Significant improvement in knowledge of specific culture</td>
<td>Self report study; pre and post test after intervention and control group</td>
</tr>
<tr>
<td>Educational Partnerships</td>
<td>Jacobs (2003)</td>
<td>Real life experiences Collaboration within community</td>
<td>Limited to availability Coordination required for contacts</td>
<td>Improvements in attitude toward ethnic groups</td>
<td>Qualitative reports</td>
</tr>
</table>

=== Social workers ===

Social services, like the health sector, are experiencing difficulties to manage cultural diversity.

Ronnau (1994) in ''teaching cultural competence'' <ref> Ronnau, John P., Teaching Cultural competence: Practical ideas for social work educators, Journal of Multicultural Social Work, Volume 3, Issue 1, 1994 </ref> describes five strategies for teaching cultural competence which have been successfully employed in Social Work practice classes.

== Strategies and tactics for cultural competence education ==

=== Direct instruction ===

Facts and simple skills learning about various aspects of a different culture

=== Mentoring ===

Mentoring, also called "interaction training" allows a novice to learn from an experienced person, typically an expatriot in a company.

=== Role playing ===

Role playing can be used for:
* attribution training, e.g. learning to interpret behavior from the viewpoint of another

=== Roles games ===

=== T-groups ===

A T-group or training group (sometimes also referred to as sensitivity-training group, human relations training group or encounter group) is a form of group training where participants themselves (typically, between eight and 15 people) learn about themselves (and about small group processes in general) through their interaction with each other. ( [https://en.wikipedia.org/wiki/T-groups Wikipedia])

=== Cultural infusion activities ===

Attending cultural events

== Assessment of cultural competence ==

Besides trying to represent, summarize, visualize and compare different cultural representations, research also attempts to quantify cultural competence with psycho-metric tools. These tools have a variety of foci. Education, for example is interested to measure learning within a student population that takes part in an internationalization program. Many tools developed for the health sector aim to provide practitioners with self-assessment tools that could help improving services.

Schnabel et al. (2015) <ref name="schnabel2015"> Schnabel, Deborah;  Kelava, Augustin;  Seifert, Lena;  Kuhlbrodt, Beate (2015). Konstruktion und Validierung eines multimethodalen berufsbezogenen Tests zur Messung interkultureller Kompetenz, Diagnostica 61 (1) p. 3-21.</ref> critize that while cultural competence is in theory often defined as ability or skill, prominent measurement approaches operationalize intercultural competence {{quotation|merely as stable personality traits (e.g., Chen and Starosta, 2000, Kelley and Meyers, 1995 and Ruben, 1976), cultural intelligence (e.g., Earley & Ang, 2003; Van Dyne, Ang, & Koh, 2008), sensitivity to cultural differences (e.g., Hammer, 2008 and Hammer et al., 2003), or a combination of those (e.g., Fantini and Tirmizi, 2006, Koester and Olebe, 1988 and Yamazaki and Kayes, 2004). This obviously creates a gap between the conceptualization and the measurement of intercultural competence.}}

According to the Sage Encylopedia of Intercultural competence (2015:18), {{quotation|most of the existing intercultural competence tools, which usually fall into the indirect-evidence category [i.e. the perception of learning by the participants themselves], consist of some sort of questionnaire or inventory. These can generally be categorized into two broad categories: (1) external: cultural difference and (2) internal: personality traits/predispositions/adaptability. Most of these rely on the respondent’s perspective as the basis of the data collected}}.

Leung et al. (2014), <ref name="Leung2014">K. Leung, S. Ang, M.L. Tan, Intercultural competence, Annual Review of Organizational Psychology and Organizational Behavior, 1 (2014), pp. 489–519 http://dx.doi.org/10.1146/annurev-orgpsych-031413-091229 </ref> identify 300-plus personal characteristics identified in previous research and distill these into three content domains: (a) intercultural traits are eduring like personality traits, (b) intercultural attitudes and worldviews focus on how people perceive others, and (c) intercultural capabilities focus on what a person can do in intercultural interactions. The authors then review five contrasted models, as shown in the table below.

<table border="0" cellspacing="0" cellpadding="0">
<caption>Content domains of intercultural competence instruments</caption>
<tr>
<td> </td>
<td colspan="3">
Content domain</td>
</tr>
<tr>
<td>Intercultural competence instrument</td>
<td>Intercultural traits</td>
<td>Intercultural attitudes and worldviews</td>
<td>Intercultural capabilities</td>
</tr>
<tr>
<td>Global Competencies Inventory (GCI, Bird et al. 2010)</td>
<td>X</td>
<td>X</td>
<td>X</td>
</tr>
<tr>
<td>Global Mindset Inventory (GMI, Javidan &amp; Teagarden 2011)</td>
<td>X</td>
<td>X</td>
<td>X</td>
</tr>
<tr>
<td>Multicultural Personality Questionnaire (MPQ, Van der Zee &amp; Van Oudenhoven 2000, 2001)</td>
<td>X</td>
<td>--</td>
<td>--</td>
</tr>
<tr>
<td>Intercultural Development Inventory (IDI, Hammer &amp; Bennett 1998.)</td>
<td>--</td>
<td>X</td>
<td>--</td>
</tr>
<tr>
<td>Cultural Intelligence Scale (CQS, Ang et al. 2007)</td>
<td>--</td>
<td>--</td>
<td>X</td>
</tr>
</table>

Leung et al. conclude that {{quotation|the CQ model and  Multicultural Personality Inventory (MPQ) have the most promising evidence for assessing cross-cultural competence models. Both have demonstrated similarity of factor structure and measurement equivalence across multiple cultures and have predicted a range of psychological, behavioral, and performance outcomes.}}

Gabrenya et al. (2011) <ref>W.K. Gabrenya Jr., R.G. Moukarzel, M.H. Pomerance, H. Griffith, J. Deaton, A validation study of the Defense Language Office Framework for Cross-cultural Competence. Technical report, Defense Equal Opportunity Management Institute (2011) Retrieved from https://www.academia.edu/2364428/A_Validation_Study_of_the_Defense_Language_Office_Framework_for_Cultural_Competence_and_an_Evaluation_of_Available_Assessment_Instruments (March 2016) analyzed 34 instruments that aim to measure intercultural competence in order to evaluate a (US) Defense Language OfficeFramework for Cross-Cultural Competence.</ref>. After a first round of elimination, a few were evaluated in more depth with respect to face validity, construct validity and criterion validity.

Matsumoto, D., & Hwang (2013) <ref>Matsumoto, D., & Hwang, H. C. (2013). Assessing cross-cultural competence: A review of available tests. Journal of cross-cultural psychology, 0022022113492891.</ref> analyzed a number of tools and conclude that the Cultural Intelligence Scale (CQ), Intercultural Adjustment Potential Scale (ICAPS), and Multicultural Personality Inventory (MPQ) have the most promising evidence for assessing cross-cultural competence.

In addition to quantitative tests, other assessment methods exists, e.g. expert reviews using evaluation rubrics, behavioral role play assessment, etc.

=== Intercultural Adjustment Potential Scale (ICAPS) ===

Matsumoto (2001) et al. <ref> Matsumoto, D., LeRoux, J. A., Ratzlaff, C., Tatani, H., Uchida, H., Kim, C., & Araki, S. (2001).
Development and validation of a measure of intercultural adjustment potential in Japanese sojourners: The Intercultural Adjustment Potential Scale (ICAPS). International Journal of Intercultural Relations, 25, 483-510. http://www.sciencedirect.com/science/article/pii/S0147176701000190</ref> created a test to measure the intercultural adjustment potential of sojourners and immigrants. An initial 193 items ICAPS was applied to Japanese in the USA, and 55-item version was validated in several studies against other scales. 

Four important dimensions were identified:
* Emotional Regulation
* Openness
* Flexibility
* Creativity

Itmes:
* [[Cultural competence/Intercultural Adjustment Potential Scale]]

=== Intercultural Knowledge And Competence Value Rubric ===

The association fo American Colleges and Universities developed an [http://www.crlt.umich.edu/sites/default/files/resource_files/InterculturalKnowledgeVALUErubric.pdf Intercultural Knowledge And Competence Value Rubric]. 

The authors, citing Bennett, (2008) <ref>Bennett, J. M. 2008. Transformative training: Designing programs for culture learning. In Contemporary leadership and intercultural competence: Understanding and utilizing cultural diversity to build successful organizations, ed. M. A. Moodian, 95-110. Thousand Oaks, CA: Sage. </ref>define Intercultural Knowledge and Competence as {{quotation|a set of cognitive, affective, and behavioral skills and characteristics that support effective and appropriate interaction in a variety of cultural contexts.}}

{{quotation|The intercultural knowledge and competence rubric suggests a systematic way to measure our capacity to identify our own cultural patterns, compare and contrast them with others, and adapt empathically and flexibly to unfamiliar ways of being}}

This rubric is informed by two sources, Bennett's Developmental Model of Intercultural Sensitivity <ref>Bennett, M.J. 1993. Towards ethnorelativism: A developmental model of intercultural sensitity. In ''Education for the intercultural experience'', ed. R. M. Paige, 22-71. Yarmouth, ME : Intercultural Press</ref> and D.K. Deardorff's intercultural framework model <ref>Deardorff, D.K . 2006. The identification and assessment of intercultural competence as a student outcome of<br/>internationalization. ''Journal of Studies in International Education'' 10(3): 241-266 </ref>.

The rubric is reproduced [[Cultural competence/Intercultural Knowledge And Competence Value Rubric|here]].

=== Intercultural communication sensitivity scale ===

Chen and Starosta (2000) <ref>Chen, G. M., & Starosta, W.J. (2000). The development and validation of the intercultural communication sensitivity scale. Human Communication, 3, 1-15. http://digitalcommons.uri.edu/cgi/viewcontent.cgi?article=1037&context=com_facpubs</ref> developed an instrument to measure intercultural communication sensitivity. Its construction was conducted in three stages: (a) a pre-study to generate items (b) a factor analysis on 73 items found and (c) 24 items forming 5 factors were extracted:

* Interaction Engagement
* Respect for Cultural Differences
* Interaction Confidence
* Interaction Enjoymnent
* Interaction Attentiveness items

Fritz, Möllenberg and Chen (2002) <ref>Fritz, W., Mollenberg, A., & Chen, G. M. (2001). Measuring Intercultural Sensitivity in Different Cultural Context, ''Intercultural Communication Studies'' XI: 2 2002 </ref>, conducted a confirmatory factor analysis of the Chen and Starosta instrument and confirmed the validity of the overall structure of the instrument, but noticed some minor weaknesses. 

A copy of the Intercultural Sensitivity Scale published by Fritz et al. is [[Cultural competence/Intercultural Sensitivity Scale|here]]

=== Intercultural effectivenes scale (IES) ===

Portalla and Chen (2010) <ref name="portalla2010"> Tamra Portalla & Guo-Ming Chen (2010), The Development and Validation of the Intercultural Effectiveness Scale, Intercultural Communication Studies XIX: 3, http://digitalcommons.uri.edu/com_facpubs/17/ </ref>  {{quotation|developed and assessed reliability and validity of a new instrument, the Intercultural Effectiveness Scale (IES).}} (abstract). {{quotation|Intercultural communication competence (ICC) can be conceptualized as an individual’s
ability to achieve their communication goal while effectively and appropriately utilizing
communication behaviors to negotiate between the different identities present within a
culturally diverse environment. ICC is comprised of three dimensions, including intercultural
awareness, intercultural sensitivity, and intercultural effectiveness (Chen & Starosta, 1996).}} (cited by Portall & Chen, 2010:21) <ref name="portalla2010"> Tamra Portalla & Guo-Ming Chen (2010), The Development and Validation of the Intercultural Effectiveness Scale, Intercultural Communication Studies XIX: 3, http://digitalcommons.uri.edu/com_facpubs/17/ </ref>

{{quotation|Based on a review of the literature, 76 items important for intercultural effectiveness were generated. A total of 653 college students rated these items in two separate stages and generated a 20-item final version of the instrument which contains six factors.}} (Portalla and Chen: 2010:21)

In a literature review, the authors identified several components that could accound for interculturally effective behaviors: {{quotation| message skills, interaction management, behavioral flexibility, identity management, and relationship cultivation (Chen,1989, 2005; Martin & Hammer, 1989; Ruben, 1977; Spitzberg & Changnon, 2009).}}

* [[Cultural competence/Intercultural Effectiveness Scale]]

=== Cultural Competence Assessment Instrument (CCAI-UIC) ===

The CCAI was developed for the health sector by Suarez-Balcazar and associates. {{quotation|The CCAI-UIC is a self-report instrument
that does not directly measure cultural competence behaviours or performance. The original instrument was developed on the basis of previous studies and our own experiences and included 49 items that measured four components: awareness, knowledge, skills and practice/application of cultural competence}} (Balcazar et al. ,2009) <ref>Fabricio E. Balcazar, Yolanda Suarez-Balcazar & Tina Taylor-Ritzler (2009) Cultural competence: Development of a conceptual framework, Disability and Rehabilitation, 31:14, 1153-1160, DOI: 10.1080/09638280902773752. http://dx.doi.org/10.1080/09638280902773752</ref>

The resulting instrument includes 24 items and measures: cultural awareness and knowledge, (cultural) skills, and organizational support as retained in the author's model introduced in section [[#Models of cultural competence|Models of cultural competence]]

* [[Cultural competence/Cultural Competence Assessment Instrument]]

=== Causes of culture shock scale ===

Goldstein and Keller (2015) developed a ''causes of culture shock scale''. <ref name=goldstein2015>Susan B. Goldstein, Sadie R. Keller, U.S. college students’ lay theories of culture shock, International Journal of Intercultural Relations, Volume 47, July 2015, Pages 187-194, ISSN 0147-1767, http://dx.doi.org/10.1016/j.ijintrel.2015.05.010. (http://www.sciencedirect.com/science/article/pii/S0147176715000796) </ref>

This scale was developed on the basis of culture shock and intercultural adjustment literature as well as study abroad pre-departure resources.

* [[Cultural competence/Cause of culture shock scale]]

=== Intercultural development inventory (IDI) ===

{{quotation|Bennett (1986, 1993b) posited a framework for conceptualizing dimensions of intercultural competence in his developmental model of intercultural sensitivity (DMIS). [...] Three ethnocentric orientations, where one's culture is experienced as central to reality (Denial, Defense, Minimization), and three ethnorelative orientations, where one's culture is experienced in the context of other cultures (Acceptance, Adaptation, Integration), are identified in the DMIS.}} Hammer, Bennett & Wiseman (2003) <ref>Mitchell R. Hammer, Milton J. Bennett, Richard Wiseman, Measuring intercultural sensitivity: The intercultural development inventory, International Journal of Intercultural Relations, Volume 27, Issue 4, July 2003, Pages 421-443, ISSN 0147-1767, http://dx.doi.org/10.1016/S0147-1767(03)00032-4. (http://www.sciencedirect.com/science/article/pii/S0147176703000324)</ref>

The Intercultural Development Inventory (IDI) was constructed to measure the orientations toward cultural differences described in the DMIS.

* [[Cultural competence/Intercultural Development Inventory]]

=== Cultural judgement and decision making (CJDM) ===

Cushner and Brislin (1996) developped an instrument that uses cross-cultural decision making scenarios, called Cultural Judgment and Decision Making instrument (CJDM). {{quotation|Effective CJDM requires understanding cultural issues and making appropriate interpretations based on cultural values (Mendenhall and Oddou, 1985)}}. (Ang et al. 2007)<ref> Ang, S., Van Dyne, L., Koh, C., Ng, K. Y., Templer, K. J., Tay, C., & Chandrasekar, N. A. (2007). Cultural intelligence: Its measurement and effects on cultural judgment and decision making, cultural adaptation and task performance. Management and organization review, 3(3), 335-371.</ref>

=== Integrated Measure of Intercultural Sensitivity (IMIS) ===

According to Pobog-Jaworowski (2014:9)<ref>Samantha Pobog-Jaworowski (2014),Investigating the Validity of the Integrated Measure of Intercultural Sensitivity: Predicting Success in a Multicultural Workplace, MA Thesis, Victoria University of Wellington, http://researcharchive.vuw.ac.nz/bitstream/handle/10063/3665/thesis.pdf?sequence=2, retrieved March 2016.</ref>, {{quotation|Intercultural sensitivty has been proposed as the “mind-set” that precedes intercultural competence (Chen & Starosta, 2000; Weiss, 2012).  While intercultural competence is conceptualized as being outside of the individual, intercultural sensitivity is located inside of the individual. Intercultural sensitivity cannot be directly experienced by others, but sets the foundations for effective intercultural interactions (Hammer et al., 2003; Matveev & Milter, 2004; Weiss, 2012).}}  

The [[Cultural competence/Integrated Measure of Intercultural Sensitivity]] scale was created by Weiss (2012) <ref> Weiss (Zimmermann), J. (2012). International mobility as a context of personality and relationship development in young adulthood (Unpublished dissertation). Friedrich Schiller University Jena, Germany. </ref> and includes four subscales:
* General Culture Awareness (GCA),
* Self Cultural Awareness (SCA), 
* Cultural Openness (CO)
* Cultural Relativism (CR).

=== Transcultural self-efficacy ===

Guided by the cultural competence and confidence (CCC) model, the Transcultural Self-Efficacy Tool (TSET) can be used to evaluate the influence of cultural competence education on the transcultural self-efficacy (TSE)

Jeffreys and Dogan (2012) <ref>Jeffreys, M. R., & Dogan, E. (2012). Evaluating the influence of cultural competence education on students’ transcultural self-efficacy perceptions. Journal of Transcultural Nursing, 23(2), 188-197.</ref> seems to be the only published source of this instrument and the authors seem to insist on copyright.

The questionnaire (if we found the right version) includes three parts and uses 10 point Lickert scales.
* Cultural factors that may influence nursing cares (25 items for various cares)
* Interviewing clients of different cultural background to learn about their values and beliefs (28 items)
* Knowledge about oneself (30 items)

=== Self-efficacy scale for adolescents (CSES-A) ===

The the self-efficacy scale for adolescents (CSES-A) by Tabernero et al. (2009) <ref>Briones, E., Tabernero, C., Tramontano, C., Caprara, G. V., & Arenas, A. (2009). Development of a cultural self-efficacy scale for adolescents (CSES-A). International Journal of Intercultural Relations, 33(4), 301-312. http://dx.doi.org/10.1016/j.ijintrel.2009.03.006. </ref> was developed through several stages, in summary, a literature review os "cultural self-efficacy", development of a set of 50 initial items, and a reduction through factor analysis and reliability testing to 33 items and futhermore to 25 items.

The authors referred to the definition of Ang et al. (2006) for cultural competence, i.e. as {{quotation|a set of behaviors and congruent attitudes that allow people to function effectively in intercultural situations}} and integrated Bandura's [[self-efficacy theory]].

The scale includes five factors: {{quotation|self-efficacy in mixing satisfactorily with other cultures, in understanding different ways of life, in processing information from other cultures, in coping with loneliness and in learning and understanding other languages.}} ([https://www.researchgate.net/publication/229099911_Development_of_a_cultural_self-efficacy_scale_for_adolescents_CSES-A abstract])

* Scale items: [[Cultural competence/Self-efficacy scale for adolescents|Self-efficacy scale for adolescents (CSES-A)]]

=== Sociocultural Adaptation Scale (SCAS) ===

Ward and Kennedy (1999) <ref>Colleen Ward, Antony Kennedy, The measurement of sociocultural adaptation, International Journal of Intercultural Relations, Volume 23, Issue 4, August 1999, Pages 659-677, ISSN 0147-1767, http://dx.doi.org/10.1016/S0147-1767(99)00014-0. (http://www.sciencedirect.com/science/article/pii/S0147176799000140)</ref> created an instrument to measure sociocultural adaptation based on perceived behavior.

The instrument was tested in several diverse cultural settings. The global findings of this research are that:  {{quotation|(1) sociocultural adaptation problems are greatest upon entering a new culture and decrease in a predictable fashion over time; (2) sociocultural difficulties are greater for sojourning, compared to sedentary, groups; and (3) there is a significant relationship between the psychological and sociocultural components of sojourner adjustment}}.

There are several variants of this instrument. {{quotation|The SCAS is a flexible instrument and can be easily modified according to the characteristics of the sojourning sample. [..] Most versions contain 20–23 items}}. The full set includes 41 items.

Ward and Kennedy identified two strong underlying factors:
# '''Cultural Empathy and Relatedness:''' It relates to cognition (e.g., understanding local perspectives, values and world views) and communication (intercultural communication, making friends, making oneself understood.
#  '''Impersonal Endeavors and Perils:''' It relates to management impersonal interactions (e.g., bureaucracy, authority) and/or awkward situations (e.g., unsatisfactory services, unpleasant people).

* Items: [[Cultural competence/Sociocultural Adaptation Scale|Sociocultural Adaptation Scale]]

=== Global Competence Aptitude assessment (GCAA) ===

Hunter et al. (2006) <ref>Hunter, Bill; White, Georg, P.; Godbey, Galen (2006). Journal of Studies in International Education, Vol. 10, No. 3, 267-285 (2006)</ref> define '''global competence''' broadly as “Having an open mind while actively seeking to understand cultural norms and expectations of others, leveraging this gained knowledge to interact, communicate and work effectively outside one’s environment,” (Hunter, 2004).

A panel of 17 experts participated in a Delphi survey in order to elicit a definition of "global competence" and a "Global Competence Checklist". The majority of participants either were experts in international education or human resources in companies. Hunter (2014:115) developed a Global Competency Check List that includes three sections:

'''1. Knowledge'''
* An understanding of one's own cultural norms and expectations An understanding of cultural norms and expectations of others An understanding of the concept of "globalization" 
* Knowledge of current world events 
* Knowledge of world history 
 
'''2. Skills/Experiences: '''
 
* Successful participation on project-oriented academic or vocational experience with people from other cultures and traditions 
* Ability to assess intercultural performance in social or business settings 
* Ability to live outside one's own culture 
* Ability to identify cultural differences in order to compete globally 
* Ability to collaborate across cultures 
* Effective participation in social and business settings anywhere in the world
 
'''3. Attitudes: Recognition that one's own worldview is not universal'''
* Willingness to step outside of one's own culture and experience life as "the other" 
* Willingness to take risks in pursuit of cross-cultural learning and personal development 
* Openness to new experiences, including those that could be emotionally challenging Coping with different cultures and attitudes.
* A non-judgmental reaction to cultural difference 
* Celebrating diversity 

A related "Determining Global Competence" survey was made and according to Hunter (21006) distributed to 133 representatives and about 40 companies involved or interested by this issue. A copy of the items is [[Cultural competence/global competence survey items (Bill Hunter)|here]].

Revised versions of these tools are now commercially available through [http://www.globallycompetent.com/model/GCAAmodel.html Global Competence Aptitude Assessment]. The underlying component model can by represented as [http://www.globallycompetent.com/model/GCAAmodel.html a circle], based on the following hierarchy (inside out)
                            Self-awareness
           Risk taking + open-mindedness + attentiveness to diversity
                    Global Awareness + Historical perspective
            Intercultural capability + collaboration across cultures

=== Global Perspective Inventory (GPI) ===

The GPI has been developed in the context of internationalizing campuses, i.e. {{quotation|the process of infusing an international, intercultural or global dimension into the purpose, function, or delivery of postsecondary education” (Knight, 2003, pp. 2-3).}} (cited by Braskamp: 2009:1) <ref>Larry A Braskamp (2009) Internationalizing a Campus: A Framework for Assessing Its Progress, ''Journal of College and Character'', 10:7, , DOI: 10.2202/1940-1639.1691</ref>

{{quotation|The Global Perspective Inventory (GPI) assesses a global and holistic view of student learning and development and the importance of the campus environment in fostering holistic student development. The GPI measures how students think, view themselves as people with cultural heritage, and relate to others from other cultures, backgrounds and values. It reflects how students are responding to three major questions: How do I know?, Who am I? and, How do I relate to others?}} ([http://www.gpi.hs.iastate.edu/?sslsite=false About the GPI], retrieved March 1 2016).

The GPI is managed by [http://www.rise.hs.iastate.edu/ The Research Institute for Studies in Education (RISE)], a unit of the School of Education, at Iowa State University. This (commercialilzed) test exists in three variants: A "new student form", a "general student form" and a "study abroad form". As of August 2013, there have been nine versions, starting with a pilot version in 2007 ([http://gpi.central.edu/supportDocs/manual.pdf Manual], <ref> Larry A. Braskamp, David C. Braskamp, and Mark E. Engberg (2014). Global Perspective Inventory (GPI): Its Purpose, Construction, Potential Uses, and Psychometric Characteristics. Global Perspective Institute Inc. Chicago, IL 60611, retrieved from http://www.gpi.hs.iastate.edu/documents/BraskampBraskampEngberg2014GPIPsychometrics.pdf, March 1 2016.</ref>). The questionnaires can be used in various conditions, e.g. a one-shot assessment, or as pre and post-test.

This self-assessment test [http://www.gpi.hs.iastate.edu/dimensions.php includes three dimensions] that we attempt to summarize below. Each of these dimensions is measured with two scale, each corresponding to a different type of theory, i.e. on scale reflects the theory of cultural development and the other reflects intercultural communication theory http://gpi.central.edu/supportDocs/manual.pdf[ manual, page 4]

;A. Cognitive Dimension ("How do I know ?")
:1. '''Knowing:''' understanding the importance of cultural context
:2. '''Knowledge:''' understanding of different cultures and their impact, language skills
;B.Intrapersonal Dimension ("Who am I ?")
:3. '''Identity:''' level of awareness of one's own identity
:4. '''Affect:''' respect and acceptance of different cultural perspectives and emotional confidence
;C Interpersonal Dimensions ("How do I relate to others ?")
:5. '''Social Responsibility:''' Level of interdependence and social concern for others 
:6. '''Social Interactions:''' Degree of engagement with others who are different from oneself and degree of cultural sensitivity in living in pluralistic settings.

The 2012-2013 version of items are [[Cultural competence/ Global Perspective Inventory items 2012| here]]. Interestingly, most dimensions are weakly correlated and that includes the two respective scales within a same dimension (r=.145, .324, .241 in a large 2012/13 survey based on 9773 responses)

The authors, in their [http://gpi.central.edu/supportDocs/manual.pdf manual, page 10] argue that self-reports seem to be trustworthy for that kind of population since the instrument is not used for selection.

=== Test to Measure Intercultural Competence (TMIK / TMIC and TMIC-S) ===

Schnabel et al. (2015) <ref name="schnabel2015"> Schnabel, Deborah;  Kelava, Augustin;  Seifert, Lena;  Kuhlbrodt, Beate (2015). Konstruktion und Validierung eines multimethodalen berufsbezogenen Tests zur Messung interkultureller Kompetenz, Diagnostica 61 (1) p. 3-21.</ref> define intercultural competence as a global behavioral orientation with a multidimensional structure. On that basis a test to measure intercultural competence was developed. It integrates self-estimation and situational judgement questions. Through expert interviews and a literature review 25 intercultural competences were identified, then reduced to 17. This model was then confirmed in two studies.

The dimensions include the following main dimensions:
* Communication
* Learning
* Social Interaction
* Self-management
* Creating synergies
* Self-knowledge

Schnabel et al. (2015) <ref name="schnabel2015">Deborah B.L. Schnabel, Augustin Kelava, Fons J.R. van de Vijver, Lena Seifert, Examining psychometric properties, measurement invariance, and construct validity of a short version of the Test to Measure Intercultural Competence (TMIC-S) in Germany and Brazil, International Journal of Intercultural Relations, Volume 49, November 2015, Pages 137-155, ISSN 0147-1767, http://dx.doi.org/10.1016/j.ijintrel.2015.08.002. (http://www.sciencedirect.com/science/article/pii/S014717671530050X)</ref> also published a short version of it.  TMIC-S measures six malleable abilities that support handling novel or difficult cross-cultural situations comprising 25 self-report and six situational judgment items.

* [[Cultural competence/Test to Measure Intercultural Competence]]

=== Discussion of assessment tools ===

Several tools use are questionnaires that ask users for self-assessment in fairly abstract terms. Few items refer to precise behavior and opinions about situations. While one can achieve good reliability we can wonder about their construct validity. Do they really measure cultural competence or rather people's perception of cultural competence ?

We also wonder whether some hierarchical component models of cultural compentency are accurate. Research conducted with the Global Perspective Inventory (above) does support the idea that components could be fairly independent. It seems logical that being able enter in intercultural dialogue requires prior knowledge, some openness, etc. but not necessarily acceptance. E.g., missionaries often do (or did) possess extended knowledge about cultures and were able to communicate but did not necessarily respect other cultures.

== Technologies for cultural literacy ==

According to Anstadt (2015), an environment like Second Life has several affordances:
* The ability to role play simulations without compromising the identity of the individual. Yet at the same time there, is a relationship between users virtual lives and their real lives. 
* A simulated environment offers the potential for a range of experiences that is not available in "real live", including connecting with people that otherwise cannot be met.

== Links ==

; Some Wikipedia articles
* [https://en.wikipedia.org/wiki/Cultural_competence Cultural competence] (Wikipedia)
* [https://en.wikipedia.org/wiki/Intercultural_competence Intercultural competence]
* [https://en.wikipedia.org/wiki/Intercultural_communication_principles Intercultural communication principles]
* [https://en.wikipedia.org/wiki/Intercultural_relations Intercultural relations]

; Researcher's blog posts
* [https://illinois.edu/blog/view/915/113048 Some Thoughts on Assessing Intercultural Competence], May 15, 2014 1:15 pm by   Darla K. Deardorff

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[[category:literacy]]