Issues and challenges in the design of culturally adapted evidence-based interventions
Open accessAbstract
This article examines issues and challenges in the design of cultural adaptations that are developed from an original evidence-based intervention (EBI). Recently emerging multistep frameworks or stage models are examined, as these can systematically guide the development of culturally adapted EBIs. Critical issues are also presented regarding whether and how such adaptations may be conducted, and empirical evidence is presented regarding the effectiveness of such cultural adaptations. Recent evidence suggests that these cultural adaptations are effective when applied with certain subcultural groups, although they are less effective when applied with other subcultural groups. Generally, current evidence regarding the effectiveness of cultural adaptations is promising but mixed. Further research is needed to obtain more definitive conclusions regarding the efficacy and effectiveness of culturally adapted EBIs. Directions for future research and recommendations are presented to guide the development of a new generation of culturally adapted EBIs.
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Culturally adapted evidence-based treatments can be refined or supplemented to improve engagement, outcomes, or both.
“Culturally adapted EBTs could be refined or supplemented to increase engagement, enhanced beneficial outcomes, or both”
From Cognitive-Behavioral Group Therapy for Latino Youth with Type 1 Diabetes and Depression (2017) · cites this paper as González-Castro, Barrera, & Holleran-Steiker, 2010
Some researchers described tension between maintaining fidelity to standardized evidence-based interventions and making necessary cultural adaptations.
“Some researchers described the tension between maintaining fidelity to standardized, evidence-based interventions and making necessary cultural adaptations (Castro et al., 2010; Okamoto et al., 2016).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Castro et al., 2010
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- Authors
- Castro, F. G., Barrera, M., & Holleran Steiker, L. K.
- Affiliations
- Arizona State University (US)
- School of Social Work, University of Texas at Austin, Austin, Texas 78712
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2010-03-01
- Volume
- 6
- Issue
- 1
- Pages
- 213-239
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- PMC
- PMC4262835
- OpenAlex
- W2120679772
- Cited by
- 796
- References
- 98
- Citations by year
- 2026: 49 · 2025: 62 · 2024: 56 · 2023: 60 · 2022: 56 · 2021: 113 · 2020: 52 · 2019: 62 · 2018: 49 · 2017: 46 · 2016: 38 · 2015: 53 · 2014: 34 · 2013: 22 · 2012: 27
- FWCI
- 12.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Minority Health and Health Disparities (P20MD002316, P20MD002316-010003)
- Topics
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- cultural adaptation, evidence-based interventions, intervention design, adaptation framework, stage model, subcultural groups, cross-cultural psychology
- MeSH terms
- Acculturation, Adaptation, Psychological, Mental Disorders, Culture, Humans, Evidence-Based Medicine
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