Systems contexts for designing culturally adapted prevention interventions

In the field of prevention science, evidence-based interventions (EBIs) are validated intervention programs “that work” in preventing targeted social or health problems. This chapter reviews fundamental aspects of EBIs and their mechanisms of effect. It offers considerations and steps for conducting culturally relevant modifications of an original EBI. Such modifications can incorporate one or more cultural factors for making the adapted EBI more culturally relevant. The chapter uses a general systems perspective to examine multilevel influences on the well-being of Hispanic and other international migrant populations. These influences include the process of acculturation, cultural stress, changing family dynamics, and challenging social conditions. Each of several factors can be considered in the design and development of an adapted EBI that exhibits both cultural fit and scientifically based effectiveness. A summary of key issues, future direction, and emerging principles and guidelines for cultural adaptation is also presented.