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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

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Published on: June 6, 2020

Adapting evidence-based programs to new contexts: what needs to be changed?

Edward Smith1, Linda Caldwell

  • 1Prevention Research Center, The Pennsylvania State University, University Park, PA 16802, USA. Eas8@psu.edu

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|February 6, 2008
PubMed
Summary

Evidence-based substance use prevention programs require careful adaptation for new settings. Modifying programs randomly can undermine effectiveness; context-specific reviews are essential for successful implementation.

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Area of Science:

  • Public Health
  • Education
  • Substance Abuse Prevention

Background:

  • Evidence-based substance use prevention programs are increasingly adopted in schools.
  • Limited research exists on adapting these programs for diverse contexts like rural areas and international settings.

Purpose of the Study:

  • To identify key considerations for adapting school-based substance use prevention programs.
  • To guide modifications of evidence-based programs for rural and international contexts.

Main Methods:

  • The authors draw upon practical experience in program adaptation.
  • A commentary identifying six critical areas for program modification.

Main Results:

  • Six areas requiring careful consideration during program adaptation were identified.
  • Random program changes are discouraged in favor of context-informed modifications.

Conclusions:

  • Successful adaptation of evidence-based programs necessitates a thorough review of content, theory, and the new environment.
  • Context-specific modifications are crucial for maintaining program integrity and effectiveness.