Cultural adaptation and intervention integrity: a response to Skarstrand, Sundell and Andreasson

Segrott, Jeremy; Holliday, Joanne; Rothwell, Heather; Foxcroft, David; Murphy, Simon; Scourfield, Jonathan; Hood, Kerenza; Moore, Linda

doi:10.1093/eurpub/cku039

Cited by 15 publications

(11 citation statements)

References 9 publications

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“…For example, an adapted version of the US-based Strengthening Families Program demonstrated no effect when introduced to Sweden 10. While attributed to differences between contexts, commentators argued that local adaptations had gone so far as to violate the intervention’s causal logic 11. New guidance is required to respond to these complexities and provide comprehensive and systematic decision-making tools.…”

Section: The Need For Guidance On Adapting Population Health Intervenmentioning

confidence: 99%

When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance

Evans

Craig

Hoddinott

et al. 2019

J Epidemiol Community Health

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Section: The Need For Guidance On Adapting Population Health Intervenmentioning

confidence: 99%

When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance

Evans

Craig

Hoddinott

et al. 2019

J Epidemiol Community Health

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“…This hypothesis agrees with the recommendations of the SFP 10-14 authors, who discourage the following: making changes to the order, general structure, or duration; implementing omissions, combinations, or lesson theme changes; and reorganizing or removing homework or content from sessions, as such actions could reduce the program's effectiveness . Other researchers also raised this issue and stated that the changes made in the adaptation process in Sweden resulted in a new intervention, recommending that an assessment should be made concerning the extent to which such modifications fit with existing program theories of change and logic models (Segrott et al 2014).…”

Section: Discussionmentioning

confidence: 99%

“…The tension between fidelity and adaptation is a recurring issue in implementation science (Aarons et al 2017;Parker et al 2019;Barrera Jr. et al 2017;Movsisyan et al 2019). In order to avoid compromising fidelity during the adaptation process, the core components of the program must be preserved (LoBraico et al 2019;Segrott et al 2014), in contrast to its discretionary components, which can be adjusted without departing from the intervention's underlying theory. The intervention's core components should be specified in its theory, which predicts certain relationships between the intervention and its outcomes (Movsisyan et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Cultural Adaptation Process of the Strengthening Families Program (10–14) Around the World: an Integrative Review

Menezes

Murta

2020

Trends in Psychol.

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Adapting evidence-based preventive interventions can be an efficient strategy when there are no local interventions with proven effectiveness, but the need for them is urgent. This study aims to investigate, via an integrative review, the cultural adaptation of the Strengthening Families Program (10-14). This intervention is an evidence-based substance abuse prevention program for families with adolescents 10 to 14 years old. The following databases were searched: MEDLINE, PsycINFO, and Science Direct. The search was done in November 2019. Six articles were selected according to the inclusion/exclusion criteria. Data were analyzed using a previously published coding system for modifications and adaptations of evidence-based interventions. The results showed that the majority of the SFP 10-14 adaptations had been systematically conducted by researchers and that they were focused on the superficial structure and intervention materials. Less common adaptations-of the intervention format and structure-were made by coalitions of stakeholders. Future studies should address the evaluation of family interventions culturally adapted to contexts with scarce resources and analyze their change mechanisms. Keywords Review. Family health. Adolescent health. Evidence-based practice. Prevention Adolescent health is imperiled by several risk behaviors such as self-harm, drunk driving, unprotected sex, and abuse of alcohol and other drugs. Health care access, ethnic disparities, identity development, peer influence, and parenting style, among other factors, are important mental-health determinants in this stage of life (Schwartz and Petrova 2019). Fragile bonds, for example a hostile or abusive family environment, further increase vulnerability and contribute to negative adolescent mental-health

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“…Uma questão largamente debatida nas pesquisas na área da adaptação cultural de intervenções diz respeito ao dilema entre manter a fidelidade à intervenção original e adaptá-la às características da população--alvo. A preservação da fidelidade durante o processo de adaptação cultural requer que a implementação da intervenção mantenha os seus componentes centrais e atividades e processos ligados aos resultados esperados (Segrott et al, 2013).…”

Section: Adaptação Cultural E Fidelidadeunclassified

Adaptação Cultural de Intervenções Preventivas em Saúde Mental Baseadas em Evidências

Menezes

Murta

2018

Psico-USF

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Resumo A adaptação cultural de intervenções preventivas em saúde mental baseada em evidências tem sido largamente praticada ao redor do mundo. No Brasil, estudos com esse foco são raros. Tal processo deve ser sistemático para alcançar, por um lado, a preservação dos componentes centrais da intervenção original e, por outro, a sensibilidade cultural para com a cultura adotante de modo a respeitar a sua identidade, valores e necessidades. Realizou-se uma revisão narrativa acerca de modelos de adaptação cultural de intervenções preventivas importadas - Planned Intervention Adaptation (PIA) Protocol; Strengthening Families Program Adaptation Model (SFP_Ad); e ADAPT-ITT - cujas etapas e características foram analisadas. Conclui-se que a adaptação cultural de programas preventivos em saúde mental deve basear-se em estudos empíricos, práticas colaborativas e sensibilidade ética. Estudos futuros devem investigar o custo-benefício do investimento na adaptação cultural de intervenções internacionais versus o desenvolvimento de intervenções locais, para os quais são necessárias capacidades diversas.

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Cultural adaptation and intervention integrity: a response to Skarstrand, Sundell and Andreasson

Cited by 15 publications

References 9 publications

When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance

When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance

Cultural Adaptation Process of the Strengthening Families Program (10–14) Around the World: an Integrative Review

Adaptação Cultural de Intervenções Preventivas em Saúde Mental Baseadas em Evidências

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