Efforts to help therapists improve their multicultural competence (MCC) rely on measures that can distinguish between different levels of competence. MCC is often assessed by asking clients to rate their experiences with their therapists. However, differences in client ratings of therapist MCC do not necessarily provide information about the relative performance of therapists and can be influenced by other factors including the client's own characteristics. In this study, we used a repeated measures design of 8,497 observations from 1,458 clients across 35 therapists to clarify the proportion of variability in MCC ratings attributed to the therapist versus the client and better understand the extent that an MCC measure detects therapist differences. Overall, we found that a small amount of variability in MCC ratings was attributed to the therapist (2%) and substantial amount attributed to the client (70%). These findings suggest that our measure of MCC primarily detected differences at the client level versus therapist level, indicating that therapist MCC scores were largely dependent on the client. Clinical implications and recommendations for future MCC research and measurement are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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确定治疗师在治疗师多元文化能力过程和结果中的贡献。

帮助治疗师提高其多元文化能力（MCC）的工作依赖于可以区分不同能力水平的措施。评估MCC通常是通过要求客户对他们与治疗师的经历进行评分。但是，治疗师MCC的客户评分差异不一定提供有关治疗师相对表现的信息，并且可能会受其他因素（包括客户自身特征）的影响。在这项研究中，我们使用了来自35位治疗师的1,458名患者的8,497项观察值的重复测量设计，以阐明归因于治疗师与服务对象的MCC评分差异的比例，并更好地了解MCC度量检测到治疗师差异的程度。全面的，我们发现，MCC评分的少量差异归因于治疗师（2％），而大量归因于服务对象（70％）。这些发现表明，我们对MCC的衡量主要是在客户水平与治疗师水平之间发现差异，表明治疗师的MCC评分很大程度上取决于客户。讨论了对未来MCC研究和测量的临床意义和建议。（PsycInfo数据库记录（c）2021 APA，保留所有权利）。讨论了对未来MCC研究和测量的临床意义和建议。（PsycInfo数据库记录（c）2021 APA，保留所有权利）。讨论了对未来MCC研究和测量的临床意义和建议。（PsycInfo数据库记录（c）2021 APA，保留所有权利）。