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Review
. 2010:6:213-39.
doi: 10.1146/annurev-clinpsy-033109-132032.

Issues and challenges in the design of culturally adapted evidence-based interventions

Affiliations
Review

Issues and challenges in the design of culturally adapted evidence-based interventions

Felipe González Castro et al. Annu Rev Clin Psychol. 2010.

Abstract

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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Figures

Figure 1
Figure 1
A heuristic framework for the cultural adaptation of interventions.

References

    1. Addis ME, Cardemil EV. Does manualization improve therapy outcomes? Psychotherapy manuals can improve outcomes. In: Norcross JC, Beutler LE, Levant RF, editors. Evidence-Based Practice in Mental Health: Debate and Dialogue on the Fundamental Questions. Washington, DC: Am. Psychol. Assoc; 2006. pp. 131–40.
    1. Alberts JK, Miller-Rassulo, Hecht ML. A typology of drug resistance strategies. J Appl Commun Res. 1991;19:129–51.
    1. Am. Psychol. Assoc. Template for Developing Guidelines: Interventions for Mental Disorders and Psychosocial Aspects of Physical Disorders. Washington, DC: Am. Psychol. Assoc; 1995.
    1. Am. Psychol. Assoc. Presid. Task Force Evidence-Based Pract. Evidence-based practice in psychology. Am Psychol. 2006;61:271–85. - PubMed
    1. Anderson LP. Acculturative stress: a theory of relevance to Black Americans. Clin Psychol Rev. 1991;11:685–702.

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