title: Adapting and disseminating effective public health interventions in another country: towards a systematic approach.
abstract: BACKGROUND
  Public health interventions that have proven effective in one country, are often adapted and disseminated in other countries. However, the process by which effective interventions are chosen for adaptation and dissemination in another country is often not conducted systematically.
  
  
  METHODS
  We propose a more systematic approach and describe the main steps that have to be taken in the assessment of the usefulness of effective interventions in another national context.
  
  
  RESULTS
  The following steps are proposed. Step 0: Point out the most relevant areas in public health (this is a collaborative effort by policy makers, scientists and practitioners). Step 1: Identification of potentially effective interventions (through systematic literature searches). Step 2: Assessing the levels of evidence and grades of recommendation for adoption. Step 3: Can the results of the trials be generalized to the national situation? Step 4: Can the intervention be implemented in the national situation?
  
  
  CONCLUSIONS
  A more systematic approach to the adaptation and dissemination can be adopted. The basic steps described should be worked out in more detail before they can be used in practice.
authors.affiliation: Department of Clinical Psychology, Vrije Universiteit Utrecht, The Netherlands. P.Ciujpers@psy.vu.nl
authors.forename: Pim
authors.initials: P
authors.lastname: Cuijpers
authors.forename: Ireen
authors.initials: I
authors.lastname: de Graaf
authors.forename: Ernst
authors.initials: E
authors.lastname: Bohlmeijer
mesh_terms: D003142:Communication; D019317:Evidence-Based Medicine; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D033181:Information Dissemination; D007391:International Cooperation; D009426:Netherlands; D011634:Public Health / Q000193:education*; D015980:Public Health Practice