How to Adapt Effective Programs for Use in New Contexts

Card, Josefina J.; Solomon, Julie; Cunningham, Shayna D.

doi:10.1177/1524839909348592

Cited by 100 publications

(130 citation statements)

References 31 publications

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“…If program developers provide the option of several possible modifications, all of which align with the program model, facilitators can cover the core program components while flexibly addressing local needs (Card et al, 2011;Daele et al 2014;Harn et al, 2013;Pettigrew et al, 2013). Overall, our findings should be of interest to program developers and used to improve the format, design, and delivery of the program to reduce the need for adaptations that deviate from the program's theory.…”

Section: Intersections Between Multiple Adaptation Dimensionsmentioning

confidence: 74%

“…Practitioners need practical, research-based guidance on how to implement programs in accordance with program models but still be flexible enough to meet the needs of diverse populations and settings (Bopp et al, 2013;Card, Solomon, & Cunningham, 2011;Harn, Parisi, & Stoolmiller, 2013). Thus, we must develop a more comprehensive understanding of the multidimensional nature of adaptations in real-world contexts, and be able to measure them reliably in order to determine their effects on outcomes (Lillehoj, Griffin, & Spoth, 2004;Pankratz, Jackson-Newsom, Giles, Ringwalt, Bliss, & Bell, 2006;Segrott et al, 2014).…”

Section: Discussionmentioning

confidence: 95%

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Adaptations in a Community-Based Family Intervention: Replication of Two Coding Schemes

et al. 2015

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Although program adaptation is a reality in community-based implementations of evidence-based programs, much of the discussion about adaptation remains theoretical. The primary aim of this study was to replicate two coding systems to examine adaptations in large-scale, community-based disseminations of the Strengthening Families Program for Parents and Youth 10-14, a family-based substance use prevention program. Our second aim was to explore intersections between various dimensions of facilitator-reported adaptations from these two coding systems. Our results indicate that only a few types of adaptations and a few reasons accounted for a majority (over 70 %) of all reported adaptations. We also found that most adaptations were logistical, reactive, and not aligned with program's goals. In many ways, our findings replicate those of the original studies, suggesting the two coding systems are robust even when applied to self-reported data collected from community-based implementations. Our findings on the associations between adaptation dimensions can inform future studies assessing the relationship between adaptations and program outcomes. Studies of local adaptations, like the present one, should help researchers, program developers, and policymakers better understand the issues faced by implementers and guide efforts related to program development, transferability, and sustainability.

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Section: Intersections Between Multiple Adaptation Dimensionsmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 95%

Adaptations in a Community-Based Family Intervention: Replication of Two Coding Schemes

et al. 2015

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“…In diverse populations, adaptation may produce more effective programs than the original EBIs while also encouraging a sense of local ownership because the program is culturally tailored [10,18]. For these reasons, adaptation of EBIs is common and guidelines have been developed to facilitate the adaptation process [9,11,20].…”

Section: Introductionmentioning

confidence: 99%

Measuring the Value of Program Adaptation: A Comparative Effectiveness Study of the Standard and a Culturally Adapted Version of the Arthritis Self-Help Program

et al. 2013

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Background: Arthritis remains an important public health problem. Questions/Purposes: This study aims to determine the effects of an adapted (vs. the original) Arthritis Self-Help Program (ASHP) among older adults. Specifically, this study sought to determine (1) whether the adapted ASHP improved attendance, retention, and adherence with the use of self-management exercises, and (2) if the original ASHP's beneficial outcomes were maintained following program adaptation. Patient and Methods: Individuals age ≥60 with self-reported arthritis were recruited from eight New York City senior centers. Participants were assessed at baseline to assess their demographic and clinical status and at 6 and 24 weeks to ascertain study outcomes using validated measures. Results: Two-hundred-one participants (64 non-Hispanic African Americans, 86 Hispanics, and 51 non-Hispanic Whites) enrolled. Participants in the adapted (vs. original) ASHP had better average attendance in the six session program (4.7 vs. 3.2 classes attended, p<0.01) and program retention (93% vs. 74%, p<0.01). Adherence with use of the selfmanagement exercises (number of days using endurance, stretching, and relaxation exercises) was similar in both groups. Significant positive physical/psychosocial outcomes were documented in both the adapted and original program. Conclusion: The adapted ASHP improved program attendance and retention while maintaining improvements in physical and psychosocial functions. These results support future efforts to employ controlled designs to quantify the benefits of adapted evidence-based programs to ensure that adaptation maintains program effectiveness.

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“…Such diverse opinions suggest why Card, Solomon and Cunningham (2011) propose that a thorough needs assessment is required, prior to the commencement of any adaptation. Fixsen et al (2005) similarly suggest that any alteration of the core components of an evidence-based intervention requires a detailed description of the core intervention components and also each step required in the implementation process itself, with the eventual decision about adaptations made only after careful consideration and well-evaluated experiential learning.…”

Section: Identifying the Core Components Of An Evidence-based Intervementioning

confidence: 98%

Adapting Evidence-Based Interventions to Accommodate Cultural Differences: Where Does this Leave Effectiveness?

Doyle

Hungerford

2014

Issues in Mental Health Nursing

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Evidence-based interventions are an essential part of delivering contemporary mental health services. Many such interventions, however, are developed with and for mainstream population groups. Practitioners and researchers alike will often adapt tools, practices, processes or programmes to meet the needs of culturally diverse populations groups, but wonder if and how such adaptations will affect outcomes. This paper considers the processes by which evidence-based interventions can be adapted by health professionals in any context; and includes an example of a successful cultural adaptation to an evidence-based intervention. The successful implementation of the Aboriginal Mental Health First Aid programme in Australia illustrates the potential for adapted interventions to support improvements in the health outcomes of people from culturally diverse backgrounds. The paper concludes by outlining the steps mental health professionals can take when adapting evidence-based interventions for use in their own workplace settings.

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How to Adapt Effective Programs for Use in New Contexts

Cited by 100 publications

References 31 publications

Adaptations in a Community-Based Family Intervention: Replication of Two Coding Schemes

Adaptations in a Community-Based Family Intervention: Replication of Two Coding Schemes

Measuring the Value of Program Adaptation: A Comparative Effectiveness Study of the Standard and a Culturally Adapted Version of the Arthritis Self-Help Program

Adapting Evidence-Based Interventions to Accommodate Cultural Differences: Where Does this Leave Effectiveness?

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