TY - JOUR
T1 - Building the Evidence Base to Inform Planned Intervention Adaptations by Practitioners Serving Health Disparity Populations
AU - Alvidrez, Jennifer
AU - Nápoles, Anna María
AU - Bernal, Guillermo
AU - Lloyd, Jacqueline
AU - Cargill, Victoria
AU - Godette, Dionne
AU - Cooper, Lisa
AU - Heart, Maria Yellow Horse Brave
AU - Das, Rina
AU - Farhat, Tilda
N1 - Publisher Copyright:
© 2019 American Public Health Association Inc.. All rights reserved.
PY - 2019/1
Y1 - 2019/1
N2 - Many evidence-based interventions (EBIs) have been developed to prevent or treat major health conditions. However, many EBIs have exhibited limited adoption, reach, and sustainability when implemented in diverse community settings. This limitation is especially pronounced in low-resource settings that serve health disparity populations. Often, practitioners identify problems with existing EBIs originally developed and tested with populations different from their target population and introduce needed adaptations to make the intervention more suitable. Although some EBIs have been extensively adapted for diverse populations and evaluated, most local adaptations to improve fit for health disparity populations are not well documented or evaluated. As a result, empirical evidence is often lacking regarding the potential effectiveness of specific adaptations practitioners may be considering. We advocate an expansion in the emphasis of adaptation research from researcher-led interventions to research that informs practitioner-led adaptations. By presenting a research vision and strategies needed to build this area of science, we aim to inform research that facilitates successful adaptation and equitable implementation and delivery of EBIs that reduce health disparities.
AB - Many evidence-based interventions (EBIs) have been developed to prevent or treat major health conditions. However, many EBIs have exhibited limited adoption, reach, and sustainability when implemented in diverse community settings. This limitation is especially pronounced in low-resource settings that serve health disparity populations. Often, practitioners identify problems with existing EBIs originally developed and tested with populations different from their target population and introduce needed adaptations to make the intervention more suitable. Although some EBIs have been extensively adapted for diverse populations and evaluated, most local adaptations to improve fit for health disparity populations are not well documented or evaluated. As a result, empirical evidence is often lacking regarding the potential effectiveness of specific adaptations practitioners may be considering. We advocate an expansion in the emphasis of adaptation research from researcher-led interventions to research that informs practitioner-led adaptations. By presenting a research vision and strategies needed to build this area of science, we aim to inform research that facilitates successful adaptation and equitable implementation and delivery of EBIs that reduce health disparities.
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U2 - 10.2105/AJPH.2018.304915
DO - 10.2105/AJPH.2018.304915
M3 - Article
C2 - 30699023
AN - SCOPUS:85060915818
SN - 0090-0036
VL - 109
SP - S94-S101
JO - American journal of public health
JF - American journal of public health
ER -