This demand has also been driven by several professional groups, including clinical researchers and scientist-practitioners who feel a professional responsibility to develop and deliver interventions supported by research evidence. Other groups, including the National Registry of Evidence-Based Prevention Programs (NREPP) ( Schinke et al. 2006).ĭivision 12 of the American Psychological Association (APA) has taken a leadership role in establishing criteria for determining that a psychological intervention is evidence based and in maintaining a catalog of interventions that meet these criteria ( Am. The growing demand for EBIs has emerged despite clinicians' concerns that it may be premature and may impose unrealistic constraints on clinical practice ( Bernal & Scharrón-del-Río 2001, Norcross et al.
The cultural adaptation of EBIs has emerged as an intervention strategy and will likely grow in prominence as a result of two trends ( La Roche & Christopher 2008, Lau 2006): ( a) the growing demand for EBIs and ( b) the growing diversification of the American population. Within this context, we examine the literature on treatment and prevention interventions thus, we use the term evidence-based interventions (EBIs) to refer to interventions of two types: ( a) those developed to treat existing disorders, usually within clinical settings, i.e., evidence-based treatments (EBTs) and ( b) interventions developed for preventing disorders within various at-risk populations, i.e., evidence-based prevention interventions (EBPIs). The cultural adaptation of evidence-based interventions is a specific topic where these two equally important professional values have clashed, particularly as embodied by the fidelity-adaptation dilemma ( Castro et al. This dynamic tension can foment controversy, raise contentious issues, and launch a search for common ground. Within this duality, a dynamic tension has emerged between the standardized nomothetic scientific top-down approach that demands fidelity in its implementation and the idiographic casewise bottom-up approach that demands sensitivity and responsiveness to each person's unique needs. The essence of the clinical method involves the application of nomothetic principles filtered through an individual case conceptualization and informed by clinical judgment for effectively treating each person.
#KEYGEN EBP ASSOCIATION 2010 MOVIES MANUALS#
Subsequently, tested-and-effective treatment procedures have been incorporated into treatment manuals and other media to facilitate consistency in treatment delivery ( Chambless & Hollon 1998).įrom the perspective of clinical practice, clinical psychologists have equal respect for an in-depth understanding of the person and of human variation ( Sue & Sue 1999). This research tradition has promoted disciplinary standards of evidence for determining that an intervention is efficacious in producing one or more targeted outcomes ( Flay et al. Overview of Culture and Intervention AdaptationsĬlinical psychologists have a deep respect for scientific principles that have contributed to the development of interventions and the substantiation of their effectiveness in relieving human suffering and remediating problems in living. Directions for future research and recommendations are presented to guide the development of a new generation of culturally adapted EBIs. Further research is needed to obtain more definitive conclusions regarding the efficacy and effectiveness of culturally adapted EBIs. Generally, current evidence regarding the effectiveness of cultural adaptations is promising but mixed. 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. 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.
Recently emerging multistep frameworks or stage models are examined, as these can systematically guide the development of culturally adapted EBIs. This article examines issues and challenges in the design of cultural adaptations that are developed from an original evidence-based intervention (EBI).
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