Prevention Science

, Volume 3, Issue 3, pp 241–246 | Cite as

Cultural Sensitivity and Adaptation in Family-Based Prevention Interventions

  • Karol L. Kumpfer
  • Rose Alvarado
  • Paula Smith
  • Nikki Bellamy


Because of the substantial impact of families on the developmental trajectories of children, family interventions should be a critical ingredient in comprehensive prevention programs. Very few family interventions have been adapted to be culturally sensitive for different ethnic groups. This paper examines the research literature on whether culturally adapting family interventions improves retention and outcome effectiveness. Because of limited research on the topic, the prevention research field is divided on the issue. Factors to consider for cultural adaptations of family-focused prevention are presented. Five research studies testing the effectiveness of the generic version of the Strengthening Families Program (SFP) compared to culturally-adapted versions for African Americans, Hispanic, Asian/Pacific Islander, and American Indian families suggest that cultural adaptations made by practitioners that reduce dosage or eliminate critical core content can increase retention by up to 40%, but reduce positive outcomes. Recommendations include the need for additional research on culturally-sensitive family interventions.

cultural issues parent training family therapy substance abuse prevention outcome research 


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  1. Aktan, G., Kumpfer, K. L., & Turner, C. (1996). Effectiveness of a family skills training program for substance abuse prevention with inner city African-American families. International Journal of the Addictions, 31, 158–175.Google Scholar
  2. Biglan, A., & Metzler, C. (1999). A public health perspective for research on family-focused interventions. In R. Ashery, E. Robertson, & K. Kumpfer (Eds.), Drug abuse prevention through family interventions (National Institute of Drug Abuse Research Monograph on family-focused prevention research). Rockville, MD: National Institute on Drug Abuse.Google Scholar
  3. Botvin, G. J., Schinke, S. P., Epstein, J. A., Diaz, T., & Botvin, E. M. (1995). Effectiveness of culturally-focused and generic skills training approaches to alcohol and drug abuse prevention among minority adolescents: Two-year follow-up results. Psychology of Addictive Behaviors, 9, 183–194.Google Scholar
  4. Boyd-Franklin, N. (1989). Block families in therapy:Amulti-systems approach. New York, NY: Guilford Press.Google Scholar
  5. Boyd-Franklin, N. (2001). Reaching out to larger systems. In interventions with multi-cultural families (Part 2). The Family Psychologist, 17(3), 1–4.Google Scholar
  6. Catalano, R. F., Hawkins, J. D., Krenz, C., Gilmore, M., Morrison, D., Wells, E., & Abbott, R. (1993). Using research to guide culturally appropriate drug abuse prevention. Journal of Consulting and Clinical Psychology, 61(5), 804–811.Google Scholar
  7. Cervantes, R. C. (1993). The Hispanic family intervention program: An empirical approach to substance abuse prevention. In R. S. Mayers, B. L. Kail, & T. D. Watts (Eds.), Hispanic substance abuse (pp. 157-173). Springfield, IL: Charles C. Thomas.Google Scholar
  8. Coie, J., Watt, N., Hawkins, S., Ramey, S., Markman, H., Long, B., & West, S. (1991, June). Prevention research: Conceptual model of strategies and procedures. Paper presented at the National Prevention Conference sponsored by NIMH, Washington, DC.Google Scholar
  9. Dent, C. W., Sussman, S., Ellickson, P., Brown, P., & Richardson, J. (1996). Is Current Drug Abuse Prevention Programming Generalizable Across Ethnic Groups? American Behavioral Scientist, 39(7), 911–918.Google Scholar
  10. Harachi, T. W., Catalano, R. F., & Hawkins, J. D. (1997). Effective recruitment for parenting programs within ethnic minority communities. Child and Adolescent Social Work Journal, 14(1), 23–39.Google Scholar
  11. Institute of Medicine (IOM). (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.Google Scholar
  12. Kameoka, V. A. (1996). The effects of a family-focused intervention on reducing risk for substance abuse among Asian and Pacific-Island youths and families: Evaluation of the Strengthening Hawaii's Families Project. Honolulu: University of Hawaii, Social Welfare Evaluation and Research Unit.Google Scholar
  13. Kazdin, A. E. (1993). Adolescent mental health: Prevention and treatment programs. American Psychologist, 48(2), 127–140.Google Scholar
  14. Kumpfer, K. L., & Alvarado, R. (1995). Strengthening families to prevent drug use in multi-ethnic youth. In G. Botvin, S. Schinke, & M. Orlandi (Eds.), Drug abuse prevention with multi-ethnic youth (pp. 253–292). Newbury Park, CA: Sage.Google Scholar
  15. Kumpfer, K. L., & DeMarsh, J. P. (1985). Prevention of chemical dependency in children of alcohol and drug abusers. NIDA Notes, 5, 2–3.Google Scholar
  16. Kumpfer, K. L., DeMarsh, J. P., & Child, W. (1989). Strengthening Families Program: Children's Skill Training Curriculum Manual (prevention services to children of substance-abusing parents). Salt Lake City: Department of Health, Alcohol and Drug Research Center.Google Scholar
  17. Kumpfer, K. L., Molgaard, V., & Spoth, R. (1996). The Strengthening Families Program for prevention of delinquency and drug use in special populations. In R. De V Peters & R. J. McMahon (Eds.), Childhood disorders, substance abuse, and delinquency: Prevention and early intervention approaches. Newbury Park, CA: Sage.Google Scholar
  18. Kumpfer, K. L., & Turner, C. W. (1990-1991). The social ecology model of adolescent substance abuse: Implications for prevention. The International Journal of the Addictions, 25(4A), 435–463.Google Scholar
  19. Kumpfer, K. L., Wamberg, K., & Martinez, D. (1996). Strengthening Hispanic Families Program. Paper presented at the Center for Substance Abuse Prevention, High Risk Youth Conference, Washington, DC.Google Scholar
  20. Kumpfer, K. L., & Whiteside, H. O. (2000). Strengthening Families Program. Department of Health Promotion and Education, University of Utah, Salt Lake City, UT 84112.Google Scholar
  21. McGoldrick, M., & Giordano, J. (1996). Ethnicity and family therapy (2nd ed.). New York: Guilford.Google Scholar
  22. McMahon, R. J. (1999). Parent training. In S. W. Russ & T. H. Ollendick (Eds.), Handbook of psychotherapies with children and families (pp. 153–180). New York: Kluwer Academic/Plenum Press.Google Scholar
  23. Mock, M. (2001). Working with Asian American families. In interventions with multi-cultural families (Part 2). The Family Psychologist, 17(3), 5–7.Google Scholar
  24. Newcomb, M. D. (1995). Drug use etiology among ethnic minority adolescents: Risk and protective factors. In G. Botvin, S. Shinke, & M. A. Orlandi (Eds.), Drug abuse prevention with multiethnic youth. Thousand Oak, CA: Sage.Google Scholar
  25. Resnicow, K., Soler, R., Braithwaite, R., Ahulwalia, J., & Butler, J. (2000). Cultural sensitivity in substance use prevention. Journal of Community Psychology, 28, 271–290.Google Scholar
  26. Sanders, M. R. (2000). Community-based parenting and family support interventions and the prevention of drug abuse. Addictive Behaviors, 25(6), 929–942.Google Scholar
  27. Santisteban, D. A., Muir-Malcom, J. A., Mitrani, J. B., & Szapocznik, J. (2001). Integrating the study of ethnic culture and family psychology intervention science. In H. A. Liddle, D. A. Santisteban, R. F Levant, & J. H. Bray (Eds.), Family psychology: Science-based interventions (pp. 331–351). Washington, DC: American Psychological Association.Google Scholar
  28. Spoth, R., Guyll, M., & Day, S. X. (2002). Universal familyfocused interventions in alcohol-use disorder prevention: Cost-effectiveness and cost-benefit analyses of two interventions. Journal of Studies on Alcohol, 63(2), 219–228.Google Scholar
  29. Taylor, T. K., & Biglan, A. (1998). Behavioral family interventions for improving child rearing:Areview of the literature for clinicians and policy makers. Clinical Child and Family Psychology Review, 1, 41–60.Google Scholar
  30. Tobler, N. S., & Kumpfer, K. L. (2000). Meta-analysis of Family Based Strengthening Programs. Report to CSAP/SAMHSA, Rockville, MD.Google Scholar
  31. Tobler, N., & Stratton, H. (1997). Effectiveness of school-based drug prevention programs: A meta-analysis of the research. Journal of Primary Prevention, 18(1), 71–128.Google Scholar
  32. Turner, W. (2000). Cultural considerations in family-based primary prevention programs in drug abuse. Journal of Primary Prevention, 21(3), 285–303.Google Scholar
  33. Turner, C., Sales, L., & Sambrano, S. (1998). Predictors of substance abuse in the High Risk Youth grantee study. Presentation at CSAP High Risk Youth Grantee Conference.Google Scholar
  34. Weinberger, D. A., Tublin, S. K., Ford, M. E., & Feldman, S. S. (1990). Preadolescents' social-emotional adjustment and selective attrition in family research. Child Development, 61, 1374–1386.Google Scholar
  35. Whitbeck, L., & Smith, J. (2001). Outcomes of a culturally-modified family program for Ojibway Indian families.Washington, DC: Society for Prevention Research.Google Scholar
  36. Wong, L., & Mock, M. (1997). Developmental and life cycle issues of Asian Americans: Asian American young adults. In E. Lee (Ed.), Working with Asian Americans: A guide for Clinicians (pp. 196–207). New York: Guilford.Google Scholar

Copyright information

© Society for Prevention Research 2002

Authors and Affiliations

  • Karol L. Kumpfer
    • 1
  • Rose Alvarado
    • 1
  • Paula Smith
    • 1
  • Nikki Bellamy
    • 2
  1. 1.Department of Health Promotion and EducationUniversity of UtahSalt Lake City
  2. 2.Division of Knowledge Development and EvaluationCenter for Substance Abuse PreventionRockville

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