title: Going Global: A Model for Evaluating Empirically Supported Family-Based Interventions in New Contexts.
abstract: The spread of evidence-based practice throughout the world has resulted in the wide adoption of empirically supported interventions (ESIs) and a growing number of controlled trials of imported and culturally adapted ESIs. This article is informed by outcome research on family-based interventions including programs listed in the American Blueprints Model and Promising Programs. Evidence from these controlled trials is mixed and, because it is comprised of both successful and unsuccessful replications of ESIs, it provides clues for the translation of promising programs in the future. At least four explanations appear plausible for the mixed results in replication trials. One has to do with methodological differences across trials. A second deals with ambiguities in the cultural adaptation process. A third explanation is that ESIs in failed replications have not been adequately implemented. A fourth source of variation derives from unanticipated contextual influences that might affect the effects of ESIs when transported to other cultures and countries. This article describes a model that allows for the differential examination of adaptations of interventions in new cultural contexts.
authors.affiliation: National Board of Health and Welfare, Stockholm, Sweden knut.sundell@socialstyrelsen.se.
authors.forename: Knut
authors.initials: K
authors.lastname: Sundell
authors.affiliation: Department of Psychology, Stockholm University, Stockholm, Sweden.
authors.forename: Laura
authors.initials: L
authors.lastname: Ferrer-Wreder
authors.affiliation: School of Social Work, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Fraser
mesh_terms: D002986:Clinical Trials as Topic / Q000379:methods; D065246:Culturally Competent Care / Q000379:methods; D003469:Culture; D036262:Empirical Research; D055317:Evidence-Based Practice / Q000379:methods; D005190:Family; D006801:Humans; D038622:Internationality; D008962:Models, Theoretical; D015203:Reproducibility of Results
keywords: adaptation; evidence-based interventions; evidence-based practice; globalization; transportability