Univ Iowa, Dept Psychol & Quantitat Fdn, N334 Lindquist Ctr, Iowa City, IA 52240 USA;Univ Iowa, Dept Psychol & Quantitat Fdn, N334 Lindquist Ctr, Iowa City, IA 52240 USA;Univ Denver, Dept Counseling Psychol, Denver, CO 80208 USA;Univ Utah, Dept Educ Psychol, Salt Lake City, UT 84112 USA;Univ Denver, Dept Counseling Psychol, Denver, CO 80208 USA;
Kivlighan, D. Martin, III;Adams, Marie C.;Drinane, Joanna M.;Tao, Karen W.;Owen, Jesse;
Given the continued racial/ethnic diversification of the United States, it is not uncommon for therapy groups to consist of members with diverse racial/ethnic backgrounds and various cultural identities. Scholars have underscored how this cultural diversity can directly impact many processes and outcomes of group-based interventions (Chen. Kakkad, & Balzano, 2008). However, there is presently a paucity of empirical research testing the relationship between cultural processes of therapy groups and members' outcomes. Moreover, no psychometrically sound measure of the cultural process that unfolds in group therapy currently exists. As such, this study sought to adapt the Multicultural Orientation Inventory to develop and validate the Multicultural Orientation Inventory-Group Version (MCO-G), a measure assessing the cultural humility, cultural comfort, and cultural missed opportunities in therapy groups. Data for this validation study consisted of 208 members of 49 therapy groups across 10 university counseling centers. Confirmatory factor analyses supported a 3-factor structure of the MCO-G Inventory, wherein the 3 factors corresponded with the underlying constructs of cultural humility, cultural comfort, and cultural missed opportunities. This study provides initial evidence for the estimated internal and convergent validity of the MCO-G, as measured by clients' perceptions of a higher-order group therapeutic factor and improvement in therapy. Results provide initial support for the psychometric properties of the MCO-G. Moreover, groups' cultural humility and cultural missed opportunities were related to members' improvement in therapy. Clinical implications and future research are discussed.