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A systematic review of adaptations of evidence-based public health
interventions globally.
Implement Sci. 2018 09 26;13(1):125
Authors: Escoffery C, Lebow-Skelley E, Haardoerfer R, Boing E, Udelson H,
Wood R, Hartman M, Fernandez ME, Mullen PD
Abstract
BACKGROUND: Adaptations of evidence-based interventions (EBIs) often occur.
However, little is known about the reasons for adaptation, the adaptation
process, and outcomes of adapted EBIs. To address this gap, we conducted a
systematic review to answer the following questions: (1) What are the
reasons for and common types of adaptations being made to EBIs in community
settings as reported in the published literature? (2) What steps are
described in making adaptations to EBIs? and (3) What outcomes are assessed
in evaluations of adapted EBIs?
METHODS: We conducted a systematic review of English language publications
that described adaptations of public health EBIs. We searched Ovid PubMed,
PsycINFO, PsycNET, and CINAHL and citations of included studies for adapted
public health EBIs. We abstracted characteristics of the original and
adapted populations and settings, reasons for adaptation, types of
modifications, use of an adaptation framework, adaptation steps, and
evaluation outcomes.
RESULTS: Forty-two distinct EBIs were found focusing on HIV/AIDS, mental
health, substance abuse, and chronic illnesses. More than half (62%)
reported on adaptations in the USA. Frequent reasons for adaptation
included the need for cultural appropriateness (64.3%), focusing on a new
target population (59.5%), and implementing in a new setting (57.1%).
Common adaptations were content (100%), context (95.2%), cultural
modifications (73.8%), and delivery (61.9%). Most study authors conducted a
community assessment, prepared new materials, implemented the adapted
intervention, evaluated or planned to evaluate the intervention, determined
needed changes, trained staff members, and consulted experts/stakeholders.
Most studies that reported an evaluation (k = 36) included behavioral
outcomes (71.4%), acceptability (66.7%), fidelity (52.4%), and feasibility
(52.4%). Fewer measured adoption (47.6%) and changes in practice (21.4%).
CONCLUSIONS: These findings advance our understanding of the patterns and
effects of modifications of EBIs that are reported in published studies and
suggest areas of further research to understand and guide the adaptation
process. Furthermore, findings can inform better reporting of adapted EBIs
and inform capacity building efforts to assist health professionals in
adapting EBIs.
PMID: 30257683
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
<https://www.ncbi.nlm.nih.gov/home/about/policies>.
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