Systems contexts for designing culturally adapted prevention interventions

Felipe Castro, Tara G. Bautista, Maria Isabel Hombrados Mendieta, Sandra Oviedo Ramirez, Nazanin M. Heydarian, Allyson S. Hughes

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations


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.

Original languageEnglish (US)
Title of host publicationThe Oxford Handbook of Acculturation and Health
PublisherOxford University Press
Number of pages22
ISBN (Electronic)9780190215217
StatePublished - Jan 1 2016


  • Community engagement
  • Cultural adaptation
  • Cultural factor
  • Deep-structure analysis
  • Ecological systems model
  • Fidelity-adaptation dilemma
  • Intervention effectiveness
  • Logic model
  • Segmented assimilation
  • Subcultural group

ASJC Scopus subject areas

  • General Psychology


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