Abstract
This introduction examines major issues and challenges as presented in this special issue of Prevention Science, “Challenges to the Dissemination and Implementation of Evidence Based Prevention Interventions for Diverse Populations.” We describe the Fidelity-Adaptation Dilemma that became the origin of dynamic tensions in prevention science. It generated controversies and debates and new perspectives on the dissemination and implementation of evidence-based interventions (EBIs) within diverse populations. The five articles in this special issue address many of these challenges. These dynamic tensions have culminated in a reframing of this dilemma that now argues that fidelity and adaptation are both equally important imperatives. These five articles also examine the abiding challenges of engagement and sustainability. Also, two commentaries from expert research investigators reflect on these five articles and their contributions to prevention science. The current introduction describes this “second generation” of EBIs as they may contribute towards a reduction of the health disparities and inequities that disproportionately affect sectors of the major ethnocultural populations in the USA. We also present a systems analysis of approaches and challenges in the dissemination and implementation of EBIs within the contemporary integrative care environment. Finally, we mention an initiative for, “building a science of intervention adaptation,” that proposes systematic research and the creation of an archive of scientific data on the benefits and problems of intervention adaptation. Collectively, these new directions can integrate scientific rigor and sensitivity to cultural factors, for enhancing the effectiveness and reach of this second generation of evidence-based interventions with diverse ethnocultural populations.
Similar content being viewed by others
References
Aarons, G. A., Hurlburt, M., & McCue Horwitz, S. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health, 38, 4–23.
American Diabetes Association. (2017). Promoting health and reducing disparities in populations. Diabetes Care, 40(Suppl. 1), S6–S10.
Barrera, M., & Castro, F. G. (2006). A heuristic framework for the cultural adaptation of interventions. Clinical Psychology: Science and Practice, 13, 11–16.
Barrera, M., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptation of behavioral health interventions: A progress report. Journal of Consulting and Clinical Psychology, 81(2), 196–205.
Barrera, M., Berkel, C., & Castro, F. G. (2016). Directions for the advancement of culturally adapted preventive interventions: Local adaptations, engagement, and sustainability. Prevention Science, (this issue). doi:10.1007/s11121-016-0705-9.
Belgrave, F. Z., & Abrams, J. A. (2016). Reducing disparities and achieving equity in African American women’s health. American Psychologist, 71, 723–733.
Bernal, G., & Adames, C. (2017). Cultural adaptations: Conceptual, ethical, contextual, and methodological issues for working with ethnocultural and majority-world populations. Prevention Science, (this issue). doi:10.1007/s11121-017-0806-0.
Botvin, G. (2014). Transcountry cultural and contextual adaptation of prevention interventions: The role of partnerships in grounding adaptation. Panel presentation at the 22nd annual meeting of the society for prevention research, Washington, DC.
Burlew, A. K., Copeland, V. C., Ahuma-Jonas, C., & Calsyn, D. A. (2013). Does cultural adaptation have a role in substance abuse treatment? Social Work in Public Health, 28, 440–460.
Carroll, K. M., Ball, S. A., Jackson, R., Martino, S., Petry, N. M., Stitzer, M. L., Wells, E. A., & Weiss, R. D. (2011). Ten take home lessons from the first 10 years of the CTN and 10 recommendations for the future. The American Journal of Drug and Alcohol Abuse, 37, 275–282.
Castro, F. G., Barrera, M., & Martinez, C. (2004). The cultural adaptation of prevention interventions: Resolving the tensions between fidelity and fit. Prevention Science, 5, 41–45.
Castro, F. G., Barrera Jr., M., & Holleran Steiker, L. K. (2010). Issues and challenges in the design of culturally adapted evidence-based interventions. Annual Review of Clinical Psychology, 6, 213–239.
Chambers, D. A., & Norton, W. E. (2016). The adaptome. Advancing the science of intervention adaptation. American Journal of Preventive Medicine, 51, S124–S131.
Curry, L., & Nunez-Smith, M. (2015). Mixed methods in health sciences research: A practical primer. Los Angeles: Sage.
Dawson-McClure, S., Calzada, E. J., & Brotman, L. M. (2017). Engaging parents in preventive interventions for young children: Working with cultural diversity within low-income, urban neighborhoods. Prevention Science. (this issue). doi:10.1007/s11121-017-0763-7.
Department of Health and Human Services (DHHS). (2016). Facing addiction in America: The Surgeon General’s report on alcohol, drugs, and health. Washington: HHS.
Department of Health and Human Services [DHHS]. (2001). Mental health: Culture, race, and ethnicity—A supplement to mental health: A report of the Surgeon General. Rockville: DHHS.
Donovan, D. M., Daley, D. C., Brigham, G. S., Hodgkins, C. C., Perl, H., & Floyd, A. S. (2011). How practice and science are balanced and blended in the NIDA Clinical Trials Network: The bidirectional process in the development of the STAGE-12 protocol as an example. The American Journal of Drug and Alcohol Abuse, 37, 408–416.
Elliott, D., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5, 47–53.
Franz, I., Stemmler, M., Hahlweg, K., Pluck, J., & Heinrichs, N. (2015). Experiences in disseminating evidence-based prevention programs in real-world settings. Prevention Science, 16, 789–800. doi:10.1007/s11121-015-0554-y.
Gonzales, N. A. (2017). Expanding the cultural adaptation framework for population-level impact. Prevention Science, (this issue). doi:10.1007/s11121-017-0808-y.
Gottfredson, D. C., Cook, T. D., Gardner, F. E. M., Gorman-Smith, D., Howe, G. W., Sandler, I. N., & Zafft, K. M. (2015). Standards of evidence for efficacy, effectiveness, and scale up research in prevention science: Next generation. Prevention Science, 16, 893–926.
Hansen, W. B. (2014). Measuring fidelity. In Z. Sloboda & H. Petras (Eds.), Defining prevention science (pp. 335–359). New York: Springer.
Henry, D., Tolan, P., Gorman-Smith, D., & Schoeny, M. (2016). Alternatives to randomized control trial designs for community-based prevention evaluation. Prevention Science, (this issue). doi:10.1007/s11121-016-0706-8.
Holden, K., McGregor, B., Thandi, P., Fresh, E., Sheats, K., Belton, A., Mattox, G., & Satcher, D. (2014). Toward culturally centered integrative care for addressing mental health disparities among ethnic minorities. Psychological Science, 11, 357–368.
Kogan, S. M., Lei, M., Brody, G. H., Futris, T. G., Sperr, M., & Anderson, T. (2015). Implementing family-centered prevention in rural African American communities: A randomized effectiveness trial of the Strong African American Families program. Prevention Science. doi:10.1007/s11121-015-0614-3.
Kumpfer, K., Magalhaes, C., & Xie, J. (2016). Cultural adaptation and implementation of family evidence-based interventions with diverse populations. Prevention Science, (this issue). doi:10.1007/s11121-016-0719-3.
Lau, A. S. (2006). Making a case for selective and directed cultural adaptations of evidence-based treatments: Examples from parent training. Clinical Psychology: Science and Practice, 13, 295–310.
Leviton, L. C. (2017). Generalizing about public health interventions: A mixed methods approach to external validity. Annual Review of Public Health, 38, 371–391.
Lowenson, R., & Simpson, S. (2017). Strengthening integrated care through population-focused primary care services: International experiences outside the United States. Annual Review of Public Health, 38, 413–429.
Mejia, A., Leijten, P., Lachman, J. M. & Parra-Cardona, J. R. (2016). Different strokes for different folks? Contrasting approaches to cultural adaptation of parenting interventions. Prevention Science, (this issue). doi:10.1007/s11121-016-0671-2
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(4), 324–344.
Padwa, H., Teruya, C., Tran, E., Lovinger, K., Antonini, V. P., Overholt, C., & Urada, D. (2016). The implementation of integrated behavioral health protocols in primary care settings in Project Care. Journal of Substance Abuse Treatment, 62, 74–83.
Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlin, P., Hurlburt, M., & Landsverk, J. (2011). Mixed methods design in implementation research. Administration and Policy in Mental Health, 38, 44–53.
Ringwald, C. L., Vincus, A., Ennett, S., Johnson, R., & Rohrbach, L. A. (2004). Reasons for teachers’ adaptation of substance use prevention curricula in schools with non-White student populations. Prevention Science, 5, 61–67.
Rohrbach, L. A. (2014). Design of prevention interventions. In Z. Sloboda & H. Petras (Eds.), Defining prevention science (pp. 275–291). New York: Springer.
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. (2013). Addressing core challenges for the next generation of Type 2 translation research and systems: The translation to population impact (TSci impact) framework. Prevention Science, 14, 319–351.
Supplee, L. H., & Meyer, A. L. (2015). The intersection between prevention science and evidence-based policy: How the SPR evidence standards support human service prevention programs. Prevention Science, 16, 938–942.
Walley, A. Y., Tetrault, J. M., & Friedman, P. D. (2012). Integration of substance use treatment and medical care: A special report of JSAT. Journal of Substance Abuse Treatment, 43, 377–381.
Wisdom, J. P., Chor, K. H. B., Hoagwood, K. E., & Horwitz, S. M. (2014). Innovation adoption: A review of theories and constructs. Administration and Policy in Mental Health, 41, 480–502.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
This article has been developed and supported in part by Research Grant 38150 to Felipe González Castro from the Robert Wood Johnson Foundation.
Ethical Approval
This is not applicable, as this article is not based on an empirical study.
Informed Consent
Informed consent is not applicable, as this article was developed without the inclusion of human participants.
Conflict of Interest
Felipe González Castro asserts that he has no conflicts of interest that would influence the information that is presented within this article.
Rights and permissions
About this article
Cite this article
Castro, F.G., Yasui, M. Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation. Prev Sci 18, 623–629 (2017). https://doi.org/10.1007/s11121-017-0809-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11121-017-0809-x