Issues and challenges in the design of culturally adapted evidence-based interventions

Felipe Castro, Manuel Barrera, Lori K. Holleran Steiker

Research output: Contribution to journalReview articlepeer-review

477 Scopus citations


This article examines issues and challenges in the design of cultural adaptations that are developed from an original evidence-based intervention (EBI). Recently emerging multistep frameworks or stage models are examined, as these can systematically guide the development of culturally adapted EBIs. 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. 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. Generally, current evidence regarding the effectiveness of cultural adaptations is promising but mixed. Further research is needed to obtain more definitive conclusions regarding the efficacy and effectiveness of culturally adapted EBIs. Directions for future research and recommendations are presented to guide the development of a new generation of culturally adapted EBIs.

Original languageEnglish (US)
Pages (from-to)213-239
Number of pages27
JournalAnnual Review of Clinical Psychology
StatePublished - Apr 27 2010


  • Adaptation models
  • Cultural adaptation

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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