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) 2020 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。

帮助治疗师提高多元文化能力（MCC）的努力依赖于区分不同能力水平的措施。MCC 的评估通常是要求客户评价他们与治疗师的体验。然而，治疗师MCC的客户评级差异并不一定提供有关治疗师相对表现的信息，并且可能受到包括客户自身特征在内的其他因素的影响。在这项研究中，我们使用了来自 35 名治疗师的 1,458 名来访者的 8,497 项观察的重复测量设计，以澄清治疗师与来访者之间 MCC 评级的变异比例，并更好地了解 MCC 测量检测治疗师差异的程度。全面的，我们发现，MCC 评级的少量变化归因于治疗师（2%），而大部分变化归因于客户（70%）。这些发现表明，我们对 MCC 的测量主要检测到客户层面与治疗师层面的差异，表明治疗师 MCC 分数在很大程度上取决于客户。讨论了未来 MCC 研究和测量的临床意义和建议。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。讨论了未来 MCC 研究和测量的临床意义和建议。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。讨论了未来 MCC 研究和测量的临床意义和建议。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。