title: Directions for the Advancement of Culturally Adapted Preventive Interventions: Local Adaptations, Engagement, and Sustainability.
abstract: To advance the implementation and dissemination of culturally adapted interventions to diverse populations, greater attention should be devoted to three underdeveloped topics: (a) local adaptations of interventions when they are implemented in community settings, (b) participant engagement, and (c) the sustainability of adapted interventions. Several typologies have been developed for studying local adaptations, and some research indicates that such adaptations might add to intervention effectiveness. There is suggestive evidence of ethnocultural group disparities in intervention engagement and in the success of efforts to boost engagement. Theory and limited data indicate that interventions' flexibility and fit with organizational culture and resources can be achieved through cultural adaptations. Furthermore, those adaptations should be associated with sustainability, but research has yet to test that hypothesis adequately. Several recommendations are made for advancing culturally adapted interventions through additional research on local adaptations during implementation, the many facets of participant engagement, and sustainability.
authors: Psychology Department, Arizona State University, Box 871104, Tempe, AZ, 85287-1104, USA. Manuel.Barrera@asu.edu.
authors: Manuel
authors: 0000-0002-2070-4828
authors: M
authors: Barrera
authors: Psychology Department, Arizona State University, Box 871104, Tempe, AZ, 85287-1104, USA.
authors: Cady
authors: C
authors: Berkel
authors: Psychology Department, Arizona State University, Box 871104, Tempe, AZ, 85287-1104, USA.
authors: Felipe González
authors: FG
authors: Castro
mesh_terms: D000223:Adaptation, Psychological; D018864:Cultural Diversity; D055317:Evidence-Based Practice; D006801:Humans; D011314:Preventive Health Services / Q000458:organization & administration*
keywords: Cultural adaptation; Engagement; Local adaptation; Sustainability