Cultural adaptation and implementation of evidence-based parent-training: A systematic review and critique of guiding evidence
Open accessAbstract
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.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Without understanding forms of modification that occur, the systematic evaluation of processes and strategies that lead to more and less successful implementation may be hindered.
“Without understanding forms of modification that occur, the systematic evaluation of processes and strategies that lead to more and less successful implementation may be hindered [2, 17–19].”
From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [17]
We implemented a "stop rule" such that if no new aspects of adaptation were identified after examining 10 original sources from each additional systematic review, we ceased reviewing individual articles.
“After reviewing all articles from three systematic reviews [1, 17, 29], we implemented a “stop rule” such that if no new aspects of adaptation were identified after examining 10 original sources from each additional systematic review, we ceased reviewing individual articles.”
From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [17]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2011) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0319-7 · Cited by 8,721 · see citing works
Self-citationThe dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change
Chambers, D. A., Glasgow, R. E., & Stange, K. C. (2013) · Implementation Science · doi:10.1186/1748-5908-8-117 · Cited by 1,724 · see citing works
Rebooting psychotherapy research and practice to reduce the burden of mental illness
Kazdin, A. E., & Blase, S. L. (2011) · Perspectives on Psychological Science · doi:10.1177/1745691610393527 · Cited by 1,254 · see citing works
Culturally adapted mental health intervention: a meta-analytic review
Griner, D., & Smith, T. B. (2006) · Psychotherapy: Theory, Research, Practice, Training · doi:10.1037/0033-3204.43.4.531 · Cited by 1,236 · see citing works
Cultural adaptation of treatments: A resource for considering culture in evidence-based practice
Bernal, G., Jiménez-Chafey, M. I., & Domenech Rodríguez, M. M. (2009) · Professional Psychology: Research and Practice · doi:10.1037/a0016401 · Cited by 1,186 · see citing works
Bernal, G., Bonilla, J., & Bellido, C. (1995) · Journal of Abnormal Child Psychology · doi:10.1007/bf01447045 · Cited by 1,120 · see citing works
A stage model of behavioral therapies research: getting started and moving on from stage I.
Rounsaville, B. J., Carroll, K. M., & Onken, L. S. (2001) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.8.2.133 · Cited by 846 · see citing works
Culturally adapted psychotherapy and the legitimacy of myth: A direct-comparison meta-analysis.
Benish, S. G., Quintana, S., & Wampold, B. E. (2011) · Journal of Counseling Psychology · doi:10.1037/a0023626 · Cited by 661 · see citing works
Evidence-based psychosocial treatments for ethnic minority youth
Huey, S. J., & Polo, A. J. (2008) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410701820174 · Cited by 570 · see citing works
Sanders, M. R., Turner, K. M. T., & Markie-Dadds, C. (2002) · Prevention Science · doi:10.1023/a:1019942516231 · Cited by 296 · see citing works
Cabassa, L. J., & Baumann, A. A. (2013) · Implementation Science · doi:10.1186/1748-5908-8-90 · Cited by 290 · see citing works
Self-citationA Systematic Review of Strategies for Implementing Empirically Supported Mental Health Interventions
Powell, B. J., Proctor, E. K., & Glass, J. E. (2014) · Research on Social Work Practice · doi:10.1177/1049731513505778 · Cited by 268 · see citing works
Self-citationWriting implementation research grant proposals: ten key ingredients
Proctor, E. K., Powell, B. J., Baumann, A. A., Hamilton, A. M., & Santens, R. L. (2012) · Implementation Science · doi:10.1186/1748-5908-7-96 · Cited by 169 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 49
- Alegría M Chatterji P Wells K Cao Z Chen CN Takeuchi D Meng XL 2008 Disparity in depression treatment among racial and ethnic minority populations in the United States Psychiatry Services 59 1264 1272 http://dx.doi.org/10.1176/appi.ps.59.11.1264 PMC2668139 18971402 · DOI · Paper page
- Asgary-Eden V Lee CM 2011 So now we've picked an evidence-based program, what's next? Perspectives of service providers and administrators Professional Psychology: Research and Practice 42 2 169 175 10.1037/a0022745 · DOI
- Bekkema N Wiefferink C Mikolajczak J 2008 Implementing the Parent Management Training Oregon model in The Netherlands Emotional and Behavioural Difficulties 13 4 249 258 10.1080/13632750802442136 · DOI
- BigFoot DS Funderburk BW 2011 Honoring children, making relatives: The cultural translation of parent-child interaction therapy for American Indian and Alaska Native families Journal of Psychoactive Drugs 43 4 309 318 10.1080/02791072.2011.628924 22400462 · DOI
- Bjørkness R Manger T 2013 Can parent training alter parent practice and reduce conduct problems in ethnic minority children? A randomized controlled trial Prevention Science 14 52 63 10.1007/s11121-012-0299-9 23135877 · DOI
- Castro FG Barrera M Martinez CR 2004 The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit Prevention Science 5 41 45 10.1023/B:PREV.0000013980.12412.cd 15058911 · DOI · Paper page
- Chaffin M Valle LA Funderburk B Gurwitch R Silovsky J Bard D Kees M 2009 A motivational intervention can improve retention in PCIT for low-motivation child welfare clients Child Maltreatment 14 4 356 368 10.1177/1077559509332263 19258303 · DOI
- Chow JCC Jaffeee K Snowden L 2003 Racial/ethnic disparities in the use of mental health services in poverty areas American Journal of Public Health 93 792 797 http://dx.doi.org/10.2105/AJPH.93.5.792 12721146 PMC1447841 · DOI
- Colquhoun HL Brehaut JC Sales A Ivers N Grimshaw J Michie S Eva KW 2013 A systematic review of the use of theory in randomized controlled trials of audit and feedback Implementation Science 8 66 1 8 10.1186/1748-5908-8-66 23759034 PMC3702512 · DOI · Paper page
- Dawson L Zarin DA Emanuel EJ Friedman LM Chaudhari B Goodman SN 2009 Considering usual medical care in clinical trial design PLoS Medicine 6 e1000111 10.1371/journal.pmed.1000111 19787044 PMC2746285 · DOI · Paper page
- Dionner R Davis B Sheeber Madrigal L 2009 Initial evaluation of a cultural approach to implementation of evidence-based parenting interventions in American Indian communities Journal of Community Psychology 37 911 921 10.1002/jcop.20336 · DOI
- Domenech Rodríguez MM Bernal G 2012 Bridging the gap between research and practice in a multicultural world Bernal G Domenech Rodríguez MM Cultural Adaptations: Tools for Evidence-Based Practice with Diverse Populations 265 287 Washington, DC American Psychological Association Press
- Domenech Rodríguez MM Baumann AA Schwartz AL 2011 Cultural adaptation of an evidence based intervention: From theory to practice in a Latino/a community context American Journal Community Psychology 47 170 186 10.1007/s10464-010-9371-4 21116707 · DOI · Paper page
- Domenech Rodríguez M Wieling E 2004 Developing culturally appropriate evidence based treatments for interventions with ethnic minority populations Rastogi M Wieling E Voices of color: First person accounts of ethnic minority therapists 313 333 Thousand Oaks, CA Sage Publications
- Eccles MP Mittman BS 2006 Welcome to implementation science Implementation Science 1 1 10.1186/1748-5908-1-1 · DOI · Paper page
- Fergusson DM Horwood LJ Ridder EM 2004 Show me the child at seven: The consequences of conduct problems in childhood for psychosocial functioning in adulthood The Journal of Child Psychology and Psychiatry 46 837 849 10.1111/j.1469-7610.2004.00387.x 16033632 · DOI · Paper page
- Ferrer-Wreder L Snudell K Mansoory S 2012 Tinkering with perfection: Theory development in the intervention cultural adaptation field Child Youth Care Forum 41 149 171 10.1007/s10566-011-9162-6 · DOI
- Flottorp SA Oxman AD Krause J Musila NR Wensing M Godycki-Cwirko M Eccles MP 2013 A checklist for identifying determinants of practice: A systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice Implementation Science 8 35 1 11 10.1186/1748-5908-8-35 23522377 PMC3617095 · DOI · Paper page
- Foster EM Olchowski AE Webster-Stratton CH 2007 Is stacking intervention components cost-effective? An analysis of the Incredible Years Program Journal of the American Academy of Child & Adolescent Psychiatry 46 11 1414 1424 Retrieved from: http://www.sciencedirect.com/science/article/pii/S0890856709620384 18049291
- Hagen KA Ogden T Bjørnebekk G 2011 Treatment outcomes and mediators of parent management training: A one-year follow-up of children with conduct problems Journal of Clinical Child & Adolescent Psychology 40 165 178 10.1080/15374416.2011.546050 21391015 · DOI
- Herschell AD McNeil CB Urquiza AJ McGrath JM Zebell NM Timmer SG Porter A 2009 Evaluation of a treatment manual and workshops for disseminating, Parent–child Interaction Therapy Administration and Policy in Mental Health and Mental Health Services Research 36 1 63 81 10.1007/s10488-008-0194-7 19016321 · DOI
- Honeycutt AA Khavjou OA Jones DJ Cuellar J Forehand RL 2013 Helping the Noncompliant Child: An Assessment of Program Costs and Cost-Effectiveness Journal of Child and Family Studies 1 6 10.1007/s10826-013-9862-7 PMC4308978 25642124 · DOI
- Institute of Medicine 2003 Unequal treatment: Confronting racial and ethnic disparities in health care Washington DC National Academies Press 25032386
- Institute of Medicine 2009 Initial national priorities for comparative effectiveness research Washington, DC The National Academies Press
- Kohl PL Schurer J Bellamy JL 2009 The state of parent training: Program offerings and empirical support Families in Society 90 3 247 254 10.1606/1044-3894.3894 PMC4238885 25419082 · DOI
- Kumpfer KL Alvarado R Smith P Bellamy N 2002 Cultural sensitivity and adaptation in family-based prevention interventions Prevention Science 3 241 246 10.1023/A:1019902902119 12387558 · DOI · Paper page
- Landsverk J Brown CH Reutz JR Palinkas L Horwitz SM 2011 Design elements in implementation research: A structured review of child welfare and child mental health studies Administration and Policy in Mental Health and Mental Health Services Research 38 1 54 63 10.1007/s10488-010-0315-y 20953974 PMC3050572 · DOI
- Martinez CR Jr Eddy JM 2005 Effects of culturally adapted parent management training on Latino youth behavioral health outcomes Journal of Consulting and Clinical Psychology 73 5 841 851 10.1037/0022-006X.73.5.841 16287384 · DOI
- Matos M Bauermeister JJ Bernal G 2009 Parent-Child Interaction Therapy for Puerto Rican Preschool Children with ADHD and Behavior Problems: A Pilot Efficacy Study Family Process 48 2 232 252 10.1111/j.1545-5300.2009.01279.x 19579907 · DOI
- Matos M Torres R Santiago R Jurado M Rodríguez IXA 2006 Adaptation of parent–child interaction therapy for Puerto Rican families: A preliminary study Family Process 45 2 205 222 10.1111/j.1545-5300.2006.00091.x 16768019 · DOI
- McCabe K Yeh M 2009 Parent-Child Interaction Therapy for Mexican Americans: A randomized clinical trial Journal of Clinical Child & Adolescent Psychology 38 753 759 10.1080/15374410903103544 20183659 · DOI
- McCabe K Yeh M Lau A Argote CB 2012 Parent-child interaction therapy for Mexican Americans: results of a pilot randomized clinical trial at follow-up Behavior Therapy 43 3 606 618 Retrieved from: http://www.sciencedirect.com/science/article/pii/S0005789411001390# 22697448 PMC7194395
- Ogden T Hagen KA Askeland E Christensen B 2009 Implementing and evaluating evidence-based treatments of conduct problems in children and youth in Norway Research on Social Work Practice 19 5 582 591 10.1177/1049731509335530 · DOI
- Parra Cardona JR Domenech-Rodriguez M Forgatch M Sullivan C Bybee D Holtrop K Bernal G 2012 Culturally Adapting an Evidence-Based Parenting Intervention for Latino Immigrants: The Need to Integrate Fidelity and Cultural Relevance Family Process 51 1 56 72 10.1111/j.1545-5300.2012.01386.x 22428711 PMC3313069 · DOI
- Powell BJ Hausmann-Stablile C McMillen JC 2013 Mental health clinicians' experiences of implementing evidence-based treatments Journal of Evidence-Based Social Work 10 5 396 409 10.1080/15433714.2012.664062 24066630 PMC3824394 · DOI
- Powell BJ McMillen JC Proctor EK Carpenter CR Griffey RT Bunger AC York JL 2012 A compilation of strategies for implementing clinical innovations in health and mental health Medical Care Research and Review 69 2 123 157 10.1177/1077558711430690 22203646 PMC3524416 · DOI · Paper page
- Proctor EK Brownson RC 2012 Measurement issues in dissemination and implementation research Brownson RC Colditz GA Proctor EK Dissemination and implementation research in health: Translating science to practice 261 280 New York Oxford University Press
- Rabin BA Brownson RC 2012 Developing terminology for dissemination and implementation research Brownson RC Colditz GA Proctor EK Dissemination and implementation research in health: Translating science to practice 23 51 New York Oxford University Press
- Raghavan R Inoue M Ettner SL Hamilton BH 2010 A preliminary analysis of the receipt of mental health services consistent with national standards among children in the child welfare system American Journal of Public Health 100 4 742 749 10.2105/AJPH.2008.151472 19608950 PMC2836330 · DOI · Paper page
- Reid MJ Webster-Stratton C Beauchaine TP 2001 Parent training in Head Start: A comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers Prevention Science 2 4 209 227 10.1023/A:1013618309070 11833925 · DOI
- Resnicow K Soler R Braithwaite RL Ahluwalia JS Butler J 2000 Cultural sensitivity in substance use prevention Journal of Community Psychology 28 271 290 10.1002/(SICI)1520-6629(200005)28:3<271∷AID-JCOP4>3.0.CO;2-I · DOI
- Sigmarsdóttir M Guðmundsdóttir EV 2013 Implementation of parent management training—oregon model (PMTO™) in Iceland: Building sustained fidelity Family Process 52 2 216 227 10.1111/j.1545-5300.2012.01421.x 23763682 · DOI
- Smith T Domenech Rodríguez MM Bernal G 2011 Culture Journal of Clinical Psychology 67 166 175 10.1002/jclp.20757 21105069 · DOI
- Stirman SW Miller C Toder K Calloway A 2013 Development of a framework and coding system for modifications made to evidence-based programs and interventions Implementation Science 8 65 10.1186/1748-5908-8-65 23758995 PMC3686699 · DOI · Paper page
- Tabak RG Khoong EC Chambers DA Brownson RC 2012 Bridging research and practice: Models for dissemination and implementation research American Journal of Preventive Medicine 43 3 337 350 10.1016/j.amepre.2012.05.024 22898128 PMC3592983 · DOI · Paper page
- Turner KMT Sanders MR 2006 Dissemination of evidence-based parenting and family support strategies: Learning from the triple P—Positive parenting program system approach Aggression & Violent Behavior 11 2 176 193 10.1016/j.avb.2005.07.005 · DOI
- Turner KM Richards M Sanders MR 2007 Randomised clinical trial of a group parent education programme for Australian Indigenous families Journal of Paediatrics and Child Health 43 6 429 437 10.1111/j.1440-1754.2007.01053.x 17535171 · DOI
- United States Department of Health and Human Services 2001 Mental health: Culture, race, and ethnicity: A supplement to mental health: A report of the surgeon general Rockville, MD U.S. Department of Health and Human Services 20669516
- Webster-Stratton C 2009 Affirming diversity: Multi-cultural collaboration to deliver the incredible years parent programs International Journal of Child Health and Human Development 2 1 17 32 Retrieved from: http://incredibleyears.com/research-library
Cited by
Sorted by citations
Wiltsey Stirman, S., Baumann, A. A., & Miller, C. J. (2019) · Implementation Science · doi:10.1186/s13012-019-0898-y · Cited by 1,329 · see citing works
Self-citationWiltsey Stirman, S., Gamarra, J. M., Bartlett, B. A., Calloway, A., & Gutner, C. A. (2017) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12218 · Cited by 138 · see citing works
Implementing evidence-based treatment protocols: flexibility within fidelity
Kendall, P. C., & Frank, H. E. (2018) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12271 · Cited by 132 · see citing works
Social responsibility on the Internet: Addressing the challenge of cyberbullying
Cohen-Almagor, R. (2018) · Aggression and Violent Behavior · doi:10.1016/j.avb.2018.01.001 · Cited by 97 · see citing works
Sit, H. F., Ling, R., Lam, A. I. F., Chen, W., Latkin, C. A., & Hall, B. J. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00650 · Cited by 93 · see citing works
Māori and autism: A scoping review
Tupou, J., Curtis, S., Taare-Smith, D., Glasgow, A., & Waddington, H. (2021) · Autism · doi:10.1177/13623613211018649 · Cited by 35 · see citing works
Understanding the implementation of the parenting program: Findings from a mixed methods pilot study
Czymoniewicz-Klippel, M. T., Chesnut, R. P., DiNallo, J. M., & Perkins, D. F. (2017) · Children and Youth Services Review · doi:10.1016/j.childyouth.2017.09.016 · Cited by 20 · see citing works
- Authors
- Baumann, A. A., Powell, B. J., Kohl, P. L., Tabak, R. G., Penalba, V., Proctor, E. K., Domenech-Rodriguez, M. M., & Cabassa, L. J.
- Affiliations
- Washington University in St. Louis (US)
- Columbia University (US)
- Corresponding author
- Baumann, Ana A.
- Venue
- Children and Youth Services Review
- Publisher
- Elsevier BV
- Published
- 2015-06
- Volume
- 53
- Pages
- 113-120
- ISSN
- 0190-7409 (ISSN-L)
- PMC
- PMC4419735
- OpenAlex
- W2011216086
- Cited by
- 267
- References
- 13
- Citations by year
- 2026: 27 · 2025: 20 · 2024: 25 · 2023: 25 · 2022: 32 · 2021: 37 · 2020: 29 · 2019: 19 · 2018: 18 · 2017: 20 · 2016: 14 · 2015: 1
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Children and Youth Services Review (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - USU (Utah State University) (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- NIMH R25 MH080916
- UL1 TR0000448
- NICHD 1R01HD061454
- CDC 1 U01/CE001627
- Doris Duke Charitable Foundation
- Centers for Disease Control and Prevention (the Prevention Research Centers Program) (U48/DP001903)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- cultural adaptation, implementation research, Parent-Child Interaction Therapy, Triple P-Positive Parenting Program, implementation outcomes, ethnic and cultural groups, child behavior problems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review