A Continuum of Approaches Toward Developing Culturally Focused Prevention Interventions: From Adaptation to Grounding

Abstract

The purpose of this article is to describe a conceptual model of methods used to develop culturally focused interventions. We describe a continuum of approaches ranging from non-adapted/surface-structure adapted programs to culturally grounded programs, and present recent examples of interventions resulting from the application of each of these approaches. The model has implications for categorizing culturally focused prevention efforts more accurately, and for gauging the time, resources, and level of community engagement necessary to develop programs using each of the different methods. The model also has implications for funding decisions related to the development and evaluation of programs, and for planning of participatory research approaches with community members.

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Acknowledgments

Resources used for preparation of this article were funded by the National Institutes of Health/National Institute on Drug Abuse (R34 DA031306, P.I.-Okamoto) and the National Institutes of Health/National Institute on Minority Health and Health Disparities (R01 MD006110, P.I.-Kulis, and P20 MD002316, P.I.-Marsiglia). The authors would like to acknowledge Ms. Jessica Valdez and Ms. Michela Lauricella for their assistance in preparing this manuscript.

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Correspondence to Scott K. Okamoto.

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Okamoto, S.K., Kulis, S., Marsiglia, F.F. et al. A Continuum of Approaches Toward Developing Culturally Focused Prevention Interventions: From Adaptation to Grounding. J Primary Prevent 35, 103–112 (2014). https://doi.org/10.1007/s10935-013-0334-z

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Keywords

  • Cultural adaptation
  • Culturally grounded prevention
  • Community-based participatory research
  • Health disparities