title: Cultural Adaptation and Implementation of Evidence-Based Parent-Training: A Systematic Review and Critique of Guiding Evidence.
abstract: With advances in knowledge regarding efficacious evidence-based interventions, there have been significant attempts to culturally adapt, implement, and disseminate parent training interventions broadly, especially across ethnic and cultural groups. We sought to examine the extent to which researchers and developers of evidence-based parent training programs have used cultural adaptation models, tested implementation strategies, and evaluated implementation outcomes when integrating the interventions into routine care by conducting a systematic review of the literature for four evidence-based parent training interventions: Parent-Child Interaction Therapy (PCIT), The Incredible Years (IY), Parent Management Training-Oregon Model (PMTO™), and the Positive Parenting Program (Triple P). A total of 610 articles across the four programs were identified. Of those, only eight documented a rigorous cultural adaptation process, and only two sought to test the effectiveness of implementation strategies by using rigorous research designs. Our findings suggest that there is much work to be done to move parent-training intervention research towards a more rigorous examination of cultural adaptation and implementation practices.
authors.affiliation: Brown School, Washington University in St. Louis. 600 S. Euclid, CB 8217, St. Louis, Missouri 63110.
authors.forename: Ana A
authors.initials: AA
authors.lastname: Baumann
authors.affiliation: Brown School, Washington University in St. Louis. One Brookings Drive, Campus Box 1196, St. Louis, Missouri 63130.
authors.forename: Byron J
authors.initials: BJ
authors.lastname: Powell
authors.affiliation: Brown School, Washington University in St. Louis. One Brookings Drive, Campus Box 1196, St. Louis, Missouri 63130.
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Kohl
authors.affiliation: Prevention Research Center, Washington University in St. Louis. 621 Skinker Boulevard, St. Louis, Missouri 63130. United States.
authors.forename: Rachel G
authors.initials: RG
authors.lastname: Tabak
authors.affiliation: Department of Counseling & Family Therapy, Saint Louis University. 3500 Lindell Blvd., St. Louis, Missouri 63103.
authors.forename: Valentina
authors.initials: V
authors.lastname: Penalba
authors.affiliation: Brown School, Washington University in St. Louis. One Brookings Drive, Campus Box 1196, St. Louis, Missouri 63130.
authors.forename: Enola E
authors.initials: EE
authors.lastname: Proctor
authors.affiliation: Utah State University. E. Eccles Jones, Education Building, Logan, Utah 84322.
authors.forename: Melanie M
authors.initials: MM
authors.lastname: Domenech-Rodriguez
authors.affiliation: School of Social Work, Columbia University. 1255 Amsterdam Avenue, Mail Code 4600, New York, New York 10027.
authors.forename: Leopoldo J
authors.initials: LJ
authors.lastname: Cabassa
keywords: cultural adaptation; evidence-based practice; implementation research; parent training programs