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Authors
Advisor(s)
Abstract(s)
Family evidence-based interventions (FEBIs) are
effective in creating lasting improvements and preventing
children’s behavioral health problems, even in genetically atrisk
children. Most FEBIs, however, were designed for
English-speaking families. Consequently, providers have difficulty
engaging non-English-speaking populations in their
own country or in other countries where the content, language,
and recruitment methods of the FEBIs do not reflect their
culture. The practical solution has been to culturally adapt
existing FEBIs. Research suggests this can increase family
engagement by about 40 %. This article covers background,
theory, and research on FEBIs and the need to engage more
diverse families. Steps for culturally adapting FEBIs with fidelity
are presented based on our own and local implementers’
experiences in 36 countries with the Strengthening Families
Program. These steps, also previously recommended by a
United Nations Office on Drugs and Crime panel of experts
in family skills interventions, include: (1) creating a cultural
advisory group, (2) assessing specific needs of cultural subgroups,
(3) language translation, (4) hiring implementers from
the culture, (5) developing culturally adapted training systems,
(6) making cultural adaptations cautiously during repeated
delivery, (7) continuous implementation quality and outcome
evaluation to assure effectiveness in comparison with the original
FEBI, (8) developing local and international dissemination
partnerships, and (9) securing funding support for
sustainability. Future efficacy trials should compare existing
FEBIs to culturally adapted versions to determine comparative
cost effectiveness.
Description
Keywords
Prevention Evidence-based family interventions Ethnic and minority families Cultural adaptation models Outcome effectiveness
Citation
Publisher
Springer