Directions for the Advancement of Culturally Adapted Preventive Interventions: Local Adaptations, Engagement, and Sustainability
- 1.3k Downloads
To advance the implementation and dissemination of culturally adapted interventions to diverse populations, greater attention should be devoted to three underdeveloped topics: (a) local adaptations of interventions when they are implemented in community settings, (b) participant engagement, and (c) the sustainability of adapted interventions. Several typologies have been developed for studying local adaptations, and some research indicates that such adaptations might add to intervention effectiveness. There is suggestive evidence of ethnocultural group disparities in intervention engagement and in the success of efforts to boost engagement. Theory and limited data indicate that interventions’ flexibility and fit with organizational culture and resources can be achieved through cultural adaptations. Furthermore, those adaptations should be associated with sustainability, but research has yet to test that hypothesis adequately. Several recommendations are made for advancing culturally adapted interventions through additional research on local adaptations during implementation, the many facets of participant engagement, and sustainability.
KeywordsCultural adaptation Local adaptation Engagement Sustainability
Compliance with Ethical Standards
This article was funded in part by the Robert Wood Johnson Foundation (grant number 72241) awarded to Dr. Castro (PI).
Conflict of Interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
Because this article is a review and analysis of previously published literature, informed consent is not applicable.
- Aarons, G. A., Green, A. E., Palinkas, L. A., Self-Brown, S., Whitaker, D. J., Lutzker, J. R., Silovsky, J. F., Hecht, D. B., & Chaffin, M. J. (2012). Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implementation Science, 7, 1–9. doi: 10.1186/1748-5908-7-32.CrossRefGoogle Scholar
- Berkel, C., Sandler, I. N., Brown, C. H., Gallo, C. G., Mauricio, A. M., Wolchik, S. A., & Jones, S. (2016). “Home practice is the program”: Correlates of parents’ practice of program skills in the New Beginnings Program effectiveness trial. Prevention Science.Google Scholar
- Blakely, C. H., Mayer, J. P., Gottschalk, R. G., Schmitt, N., Davidson, W. S., Roitman, D. B., & Emshoff, J. G. (1987). The fidelity-adaptation debate: Implications for the implementation of public sector social programs. American Journal of Community Psychology, 15, 253–268. doi: 10.1007/BF00922697.CrossRefGoogle Scholar
- Cardemil, E. V. (2010). Cultural adaptations to empirically supported treatments: A research agenda. Scientific Review of Mental Health Practice, 7, 8–21.Google Scholar
- Chipungu, S. S., Hermann, J., Sambrano, S., Nistler, M., Sale, E., & Springer, J. F. (2000). Prevention programming for African American youth: A review of strategies in CSAP’s national cross-site evaluation of high-risk youth programs. Journal of Black Psychology, 26, 360–385. doi: 10.1177/0095798400026004002.CrossRefGoogle Scholar
- Clarke, A. T., Marshall, S. A., Mautone, J. A., Soffer, S. L., Jones, H. A., Costigan, T. E., Patterson, A., Jawad, A. F., & Power, T. J. (2013). Parent attendance and homework adherence predict response to a family–school intervention for children with ADHD. Journal of Clinical Child & Adolescent Psychology, 44, 58–67. doi: 10.1080/15374416.2013.794697.CrossRefGoogle Scholar
- Cooper, B. R., Bumbarger, B. K., & Moore, J. E. (2015). Sustaining evidence-based prevention programs: Correlates in a large-scale dissemination initiative. Prevention Science, 16, 145–157.Google Scholar
- Cooper, B. R., Shrestha, G., Hyman, L., & Hill, L. (2016). Adaptations in a community-based family intervention: Replication of two coding schemes. Journal of Primary Prevention, 37, 33–52.Google Scholar
- Davidson, E. M., Liu, J. J., Bhopal, R., White, M., Johnson, M. R., Netto, G., Wabnitz, C., & Sheikh, A. (2013). Behavior change interventions to improve the health of racial and ethnic minority populations: A tool kit of adaptation approaches. Milbank Quarterly, 91, 811–851. doi: 10.1111/1468-0009.12034.CrossRefPubMedPubMedCentralGoogle Scholar
- Dillman Carpentier, F., Mauricio, A. M., Gonzales, N. A., Millsap, R. E., Meza, C. M., Dumka, L. E., Germán, M., & Genalo, M. T. (2007). Engaging Mexican origin families in a school-based preventive intervention. Journal of Primary Prevention, 28, 521–546. doi: 10.1007/s10935-007-0110-z.CrossRefPubMedPubMedCentralGoogle Scholar
- Gonzales, N. A., Lau, A., Murry, V., Pina, A., & Barrera, M., Jr. (2016). Culturally adapted preventive interventions for children and adolescents. In D. Cicchetti (Ed.), Developmental Psychopathology (3rd edition). doi: 10.1002/9781119125556.devpsy417.
- Hansen, W. B., Pankratz, M. M., Dusenbury, L., Giles, S. M., Bishop, D. C., Albritton, J., Albritton, L. P., & Strack, J. (2013). Styles of adaptation: Impact of frequency and valence of adaptation on preventing substance use. Health Education, 113, 345–63. doi: 10.1108/09654281311329268.CrossRefGoogle Scholar
- Leviton, L. C. (2013). The template for systematic study of adaptations of evidence-based and evidence informed interventions. Robert Wood Johnson Foundation, unpublished.Google Scholar
- Mauricio, A. M., Tein, J.-Y., Gonzales, N., Millsap, R., Dumka, L., & Berkel, C. (2014). Participation patterns among Mexican-American parents enrolled in a universal intervention and their association with child externalizing outcomes. American Journal of Community Psychology, 54, 370–383. doi: 10.1007/s10464-014-9680-0.CrossRefPubMedGoogle Scholar
- McGraw, S. A., Sellers, D. E., Johnson, C. C., Stone, E. J., Bachman, K. J., Bebchuk, J., & Edmundson, E. W. (1996). Using process data to explain outcomes an illustration from the Child and Adolescent Trial for Cardiovascular Health (CATCH). Evaluation Review, 20, 291–312. doi: 10.1177/0193841X9602000304.
- Miller-Day, M., Pettigrew, J., Hecht, M. L., Shin, Y., Graham, J., & Krieger, J. (2013). How prevention curricula are taught under real-world conditions: Types of and reasons for teacher curriculum adaptations. Health Education, 113, 324–344. doi: 10.1108/09654281311329259.CrossRefPubMedPubMedCentralGoogle Scholar
- Nix, R. L., Bierman, K. L., McMahon, R. J., & The Conduct Problems Prevention Research Group. (2009). How attendance and quality of participation affect treatment response to parent management training. Journal of Consulting & Clinical Psychology, 77, 429–438. doi: 10.1037/a0015028.CrossRefGoogle Scholar
- Orrell-Valente, J. K., Pinderhughes, E. E., Valente, E., & Laird, R. D. (1999). If it’s offered, will they come? Influences on parents’ participation in a community-based conduct problems prevention program. American Journal of Community Psychology, 27, 753–783. doi: 10.1023/A:1022258525075.CrossRefPubMedPubMedCentralGoogle Scholar
- Resnicow, K., Soler, R., Braithwaite, R. L., Ahluwalia, J. S., & Butler, J. (2000). Cultural sensitivity in substance use prevention. Journal of Community Psychology, 28, 271–290. doi: 10.1002/(SICI)1520-6629(200005)28:3<271::AID-JCOP4>3.0.CO;2-I.CrossRefGoogle Scholar
- Rogers, E. M. (1993). Diffusion and re-invention of project D.A.R.E. In T. E. Blacker & E. M. Rogers (Eds.), Organizational aspects of health communication campaigns: What works? (pp. 139–162). Newbury Park, CA: Sage.Google Scholar
- Sandler, I., Wolchik, S., Berkel, C., Jones, S., Mauricio, A., Tein, J.-Y., Winslow, E. (under review). Effectiveness trial of the New Beginnings Program (NBP) for divorcing and separating parents: Translation from and experimental prototype to an evidence-based community service. In M. Israelashvili & J. L. Romano (Eds.), Cambridge Handbook of International Prevention Science. Cambridge: Cambridge University Press.Google Scholar
- Schoenfelder, E., Sandler, I. N., Millsap, R. E., Wolchik, S. A., Berkel, C., & Ayers, T. S. (2012). Responsiveness to the family bereavement program: What predicts responsiveness? What does responsiveness predict? Prevention Science, 14, 545–556. doi: 10.1007/s11121-012-0337-7.CrossRefGoogle Scholar
- Smith, J. D., Knoble, N. B., Zerr, A. A., Dishion, T. J., & Stormshak, E. A. (2014). Family check-up effects across diverse ethnic groups: Reducing early-adolescence antisocial behavior by reducing family conflict. Journal of Clinical Child & Adolescent Psychology, 43, 400–414. doi: 10.1080/15374416.2014.888670.CrossRefGoogle Scholar
- Spoth, R., Rohrbach, L. A., Greenberg, M., Leaf, P., Brown, C. H., Fagan, A., Catalano, R. F., Pentz, M. A., Sloboda, Z., Hawkins, J. D., & Society for Prevention Research Type 2 Translational Task Force Members and Contributing Authors. (2013). Addressing core challenges for the next generation of type 2 translation research and systems: The translation science to population impact (TSci Impact) framework. Prevention Science, 14, 319–351. doi: 10.1007/s11121-012-0362-6.CrossRefPubMedPubMedCentralGoogle Scholar
- Sundell, K., Beelmann, A., Hasson, H., & von Thiele Schwarz, U. (2015). Novel programs, international adoptions, or contextual adaptations? Meta-analytical results from German and Swedish intervention research. Journal of Clinical Child & Adolescent Psychology. doi: 10.1080/15374416.2015.1020540.Google Scholar
- Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., Daleiden, E. L., Ugueto, A. M., Ho, A., Martin, J., Gray, J., Alleyne, A., Langer, D. A., Southam-Gerow, M. A., Gibbons, R. D., & Research Network on Youth Mental Health. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69, 274–82. doi: 10.1001/archgenpsychiatry.2011.147.CrossRefPubMedGoogle Scholar
- Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7, 1–19. doi: 10.1186/1748-5908-7-17.CrossRefGoogle Scholar