Cultural Adaptation Process for International Dissemination of the Strengthening Families Program
Abstract
The Strengthening Families Program (SFP) is an evidence-based family skills training intervention developed and found efficacious for substance abuse prevention by U.S researchers in the 1980s. In the 1990s, a cultural adaptation process was developed to transport SFP for effectiveness trials with diverse populations (African, Hispanic, Asian, Pacific Islander, and Native American). Since 2003, SFP has been culturally adapted for use in 17 countries. This article reviews the SFP theory and research and a recommended cultural adaptation process. Challenges in international dissemination of evidence-based programs (EBPs) are discussed based on the results of U.N. and U.S. governmental initiatives to transport EBP family interventions to developing countries. The technology transfer and quality assurance system are described, including the language translation and cultural adaptation process for materials development, staff training, and on-site and online Web-based supervision and technical assistance and evaluation services to assure quality implementation and process evaluation feedback for improvements.
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Kumpfer et al. developed a nine-step model based on their experiences with the Strengthening Families Program.
“Kumpfer et al. (2008) developed a model based on their experiences with the Strengthening Families Program, which consists of nine steps.”
From Exploring Cultural Adaptations: A Scoping Review on Adolescent Mental Health and Substance Use Prevention Programs (2025) · cites this paper as Kumpfer et al. (2008)
Content analysis was guided by two frameworks for adapting EBPs (Barrera & Castro, 2006; Kumpfer et al., 2008).
“A content analysis approach was used, guided by two frameworks for adapting EBPs (Barrera & Castro, 2006; Kumpfer et al., 2008), to identify common program adaptation steps.”
From Exploring Cultural Adaptations: A Scoping Review on Adolescent Mental Health and Substance Use Prevention Programs (2025) · cites this paper as Kumpfer et al., 2008
There is evidence that family-based interventions to reduce substance use reach more minority participants if they are adapted to fit local culture and context.
“For example, there is evidence that family-based interventions to reduce substance use reach more minority participants if they are adapted to fit local culture and context (e.g., to reflect sociocultural values of Hispanic populations and rural settings) (59, 69, 82).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [69]
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References 44 · Cited by 230
- Authors
- Kumpfer, K. L., Pinyuchon, M., de Melo, A. T., & Whiteside, H. O.
- Affiliations
- University of Utah (US)
- Thaksin University (TH)
- Gabinete de Atendimento à Família, Viana do Castelo, Portugal
- LutraGroup, International SFP Training and Evaluation Center
- ORCID
- Kumpfer, Karol L.
- Venue
- Evaluation & the Health Professions
- Publisher
- SAGE Publications
- Published
- 2008-06
- Volume
- 31
- Issue
- 2
- Pages
- 226-239
- ISSN
- 0163-2787 (ISSN-L)
- 1552-3918
- OpenAlex
- W2107894557
- Cited by
- 230
- References
- 44
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 14 · 2023: 9 · 2022: 9 · 2021: 16 · 2020: 27 · 2019: 10 · 2018: 12 · 2017: 9 · 2016: 15 · 2015: 22 · 2014: 19 · 2013: 16 · 2012: 22
- FWCI
- 12.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Evaluation & the Health Professions (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- Strengthening Families Program, cultural adaptation, international dissemination, evidence-based programs, family skills training, substance use prevention, technology transfer, quality assurance, language translation, employee training, technical assistance, process evaluation, developing countries
- MeSH terms
- Cultural Characteristics, Diffusion of Innovation, Family, Health Promotion, Humans, Quality Control, Staff Development, Evidence-Based Medicine
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