Directions for the Advancement of Culturally Adapted Preventive Interventions: Local Adaptations, Engagement, and Sustainability
Directions for the Advancement of Culturally Adapted Preventive Interventions: Local Adaptations, Engagement, and Sustainability
复制标题
推进适应文化的预防干预措施的方向：当地适应、参与和可持续性
DOI：
10.1007/s11121-016-0705-9
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发表时间：
2017-08-01
影响因子：
3.5
通讯作者：
Castro, Felipe Gonzalez
中科院分区：
文献类型：
--
作者：
Barrera, Manuel, Jr.;Berkel, Cady;Castro, Felipe Gonzalez
为了推动实施和向不同人群传播适应文化的干预措施，应更加关注三个尚未得到充分发展的专题：（a）在社区环境中实施干预措施时，对干预措施进行地方调整;（B）参与者的参与;（c）经调整的干预措施的可持续性。为研究当地的适应情况，已经制定了几种类型学，一些研究表明，这种适应情况可能会增加干预措施的有效性。有证据表明，在干预参与和努力促进参与的成功方面，民族文化群体存在差异。理论和有限的数据表明，干预措施的灵活性和与组织文化和资源的适应性可以通过文化适应来实现。此外，这些适应措施应与可持续性相联系，但研究尚未充分验证这一假设。提出了几项建议，通过对实施过程中的当地适应性、参与者参与的许多方面和可持续性进行更多研究，推进适应文化的干预措施。
To advance the implementation and dissemination of culturally adapted interventions to diverse populations, greater attention should be devoted to three underdeveloped topics: (a) local adaptations of interventions when they are implemented in community settings, (b) participant engagement, and (c) the sustainability of adapted interventions. Several typologies have been developed for studying local adaptations, and some research indicates that such adaptations might add to intervention effectiveness. There is suggestive evidence of ethnocultural group disparities in intervention engagement and in the success of efforts to boost engagement. Theory and limited data indicate that interventions' flexibility and fit with organizational culture and resources can be achieved through cultural adaptations. Furthermore, those adaptations should be associated with sustainability, but research has yet to test that hypothesis adequately. Several recommendations are made for advancing culturally adapted interventions through additional research on local adaptations during implementation, the many facets of participant engagement, and sustainability.