Cultural adaptations of behavioral health interventions: A progress report.
Open accessAbstract
OBJECTIVE: To reduce health disparities, behavioral health interventions must reach subcultural groups and demonstrate effectiveness in improving their health behaviors and outcomes. One approach to developing such health interventions is to culturally adapt original evidence-based interventions. The goals of the article are to (a) describe consensus on the stages involved in developing cultural adaptations, (b) identify common elements in cultural adaptations, (c) examine evidence on the effectiveness of culturally enhanced interventions for various health conditions, and (d) pose questions for future research. METHOD: Influential literature from the past decade was examined to identify points of consensus. RESULTS: There is agreement that cultural adaptation can be organized into 5 stages: information gathering, preliminary design, preliminary testing, refinement, and final trial. With few exceptions, reviews of several health conditions (e.g., AIDS, asthma, diabetes) concluded that culturally enhanced interventions are more effective in improving health outcomes than usual care or other control conditions. CONCLUSIONS: Progress has been made in establishing methods for conducting cultural adaptations and providing evidence of their effectiveness. Future research should include evaluations of cultural adaptations developed in stages, tests to determine the effectiveness of cultural adaptations relative to the original versions, and studies that advance our understanding of cultural constructs' contributions to intervention engagement and efficacy.
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Culturally adapting programs involves systematically modifying a program to fit and address cultural beliefs, values, and practices of a specific population, which increases participant engagement and attendance.
“Culturally adapting programs involve systematically modifying a program, including deletions or additions, changes in manner or intensity, and modifications to cultural aspects to fit and address the cultural beliefs, values, and practices of a specific population to ensure cultural relevance adoption, and acceptability of programs, which in turn increases participant engagement and attendance (B”
From Exploring Cultural Adaptations: A Scoping Review on Adolescent Mental Health and Substance Use Prevention Programs (2025) · cites this paper as Barrera, 2013
The Definitions of Basic Terms section defines cultural adaptation as systematic modification to fit a group’s cultural patterns, meanings, and values, and describes changes intended to improve engagement. But the Conclusions and Directions for Future Research section says adaptations might have better or worse effects on participation and sustained involvement; it does not establish that they increase engagement or attendance. Page numbers are unavailable in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredHead-to-head comparisons of adapted and nonadapted interventions are rare.
“Head-to-head comparisons of adapted and nonadapted interventions are rare [34]”
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- Authors
- Barrera, M., Castro, F. G., Strycker, L. A., & Toobert, D. J.
- Affiliations
- Oregon Research Institute (US)
- The University of Texas at El Paso (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2013
- Volume
- 81
- Issue
- 2
- Pages
- 196-205
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC3965302
- OpenAlex
- W2082609801
- Cited by
- 783
- References
- 13
- Citations by year
- 2026: 74 · 2025: 76 · 2024: 73 · 2023: 74 · 2022: 74 · 2021: 101 · 2020: 81 · 2019: 56 · 2018: 57 · 2017: 35 · 2016: 28 · 2015: 23 · 2014: 15 · 2013: 10 · 2012: 3
- FWCI
- 53.80
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01 HL077120)
- Topics
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- cultural adaptation, behavioral health interventions, health disparities, subcultural groups, intervention effectiveness, cultural constructs, intervention engagement, AIDS, asthma, diabetes mellitus
- MeSH terms
- Behavioral Medicine, Culture, Disease, Humans, Outcome Assessment, Health Care, Consensus, Research Report
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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 ›
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