Does Cultural Adaptation Have a Role in Substance Abuse Treatment?

Burlew, Ann Kathleen; Copeland, Valire Carr; Ahuama-Jonas, Chizara; Calsyn, Donald A.

doi:10.1080/19371918.2013.774811

Cited by 61 publications

(33 citation statements)

References 72 publications

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“…Similarly to other studies (e.g., Acevedo et al, 2012; Montgomery, Burlew, Kosinski, & Forcehimes, 2011), the current study suggests that African American and White substance users may have different treatment needs that may call for culturally-tailored interventions (Burlew, Copeland, Ahuama-Jonas, & Calsyn, 2013). For example, Brown, Hill and Giroux (2004) conducted a focus group with rural African American cocaine users who suggested that interventions should involve friends and family and provide direct resources (job, car, housing) or assistance in receiving these resources in treatment.…”

Section: Discussionsupporting

confidence: 79%

Initial abstinence status and contingency management treatment outcomes: Does race matter?

Montgomery¹,

Carroll²,

Petry³

2015

Journal of Consulting and Clinical Psychology

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Objective Limited research has evaluated African American substance users’ response to evidence-based treatments. This study examined the efficacy of contingency management (CM) in African American and White cocaine users. Method A secondary analysis evaluated effects of race, treatment condition, and baseline cocaine urine sample results on treatment outcomes of African American (n = 444) and White (n = 403) cocaine abusers participating in one of six randomized clinical trials comparing CM to standard care. Results African American and White patients who initiated treatment with a cocaine-negative urine sample remained in treatment for similar durations and submitted a comparable proportion of negative samples during treatment regardless of treatment type; CM was efficacious in both races in terms of engendering longer durations of abstinence in patients who began treatment abstinent. Whites who began treatment with a cocaine positive sample remained in treatment longer and submitted a higher proportion of negative samples when assigned to CM than standard care. African Americans who initiated treatment with a cocaine positive sample, however, did not remain in treatment longer with CM compared with standard care, and gains in terms of drug use outcomes were muted in nature relative to Whites. This interaction effect persisted through the 9-month follow-up period. Conclusions CM is not equally effective in reducing drug use among all subgroups, specifically African American patients who are using cocaine upon treatment entry. Future research on improving treatment outcomes in this population is needed.

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Section: Discussionsupporting

confidence: 79%

Initial abstinence status and contingency management treatment outcomes: Does race matter?

Montgomery¹,

Carroll²,

Petry³

2015

Journal of Consulting and Clinical Psychology

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“…By definition, an EBI’s effectiveness is determined by its capacity for, “producing Y outcomes for X population at time T, [and] in setting S.” (Gottfredson, Cook, Gardner, et al, 2015, p. 286). However, when an EBI exhibits a lower effectiveness across one or more of these factors, this would indicate an erosion in the EBI’s social validity as implemented within a new population (Burlew et al, 2013; Lau 2006). As a remedy, strategic modifications would be indicated to improve the original EBI’s performance because it: (a) exhibits lowered effectiveness in changing targeted outcomes for a subcultural group, or (b) the new subcultural group exhibits unique social or clinical problems that are not addressed by the original EBI (Barrera & Castro, 2006; Lau, 2006).…”

Section: Linking Ebis To the Elimination Of Health Disparities And Inmentioning

confidence: 99%

Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation

Castro

Yasui

2017

Prev Sci

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This introduction examines major issues and challenges as presented in this special issue of Prevention Science, “Challenges to the Dissemination and Implementation of Evidence Based Prevention Interventions for Diverse Populations.” We describe the Fidelity-Adaptation Dilemma that became the origin of dynamic tensions in prevention science. It generated controversies and debates and new perspectives on the dissemination and implementation of evidence-based interventions (EBIs) within diverse populations. The five articles in this special issue address many of these challenges. These dynamic tensions have culminated in a reframing of this dilemma, that now argues that fidelity and adaptation are both equally important imperatives. These five articles also examine the abiding challenges of engagement and sustainability. Also, two commentaries from expert research investigators reflect on these five articles and their contributions to prevention science. The current introduction describes this “second generation” of EBI’s as they may contribute towards a reduction of the health disparities and inequities that disproportionately affect sectors of the major ethnocultural populations in the U.S. We also present a systems analysis of approaches and challenges in the dissemination and implementation of EBI’s within the contemporary integrative care environment. Finally, we mention an initiative for, “building a science of intervention adaptation,” that proposes systematic research and the creation of an archive of scientific data on the benefits and problems of intervention adaptation. Collectively these new directions can integrate scientific rigor and sensitivity to cultural factors, for enhancing the effectiveness and reach of this second generation of evidence-based interventions with diverse ethnocultural populations.

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“…The adaptations of the deep structural dimension contemplate the cultural, social, historical, environmental and psychological factors that influence the behaviors of the population in focus. It refers to the values or meanings, leading to the revision or modification of the central components of the intervention 27 . The modification of these should be guided by the inclusion of specific risk and protective factors of the population 21 .…”

Section: The Adoption / Preparationmentioning

confidence: 99%

“…The initial results indicate that adaptation to the context, denominated cultural adaptation according to authors, should be explored as a process and not as a punctual stage as presented in the literature 4,9,11,19,[25][26][27] . The experiences of the implantation of practices based on evidence in new contexts highlight the need of adaptation in order to increase the cultural relevance of the intervention as well as to make the program compatible with the language, dialect, values and cultural meanings of the new audience [28][29][30] .…”

mentioning

confidence: 99%

“…Cultural adaptation of evidence-based programs needs to be conducted in a planned, systematic and collaborative way 19 . Burlew et al 27 identified three most common approaches to cultural adaptation: community involvement at all stages; review of the literature on etiological precursors of the problems to be prevented (risk and protective factors of the target audience); and involvement of experts in decisionmaking.…”

mentioning

confidence: 99%

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A ciência baseada em evidências nas políticas públicas para reinvenção da prevenção ao uso de álcool e outras drogas

Pedroso

Juhásová

Merchán-Hamann

2019

Interface (Botucatu)

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The evidence-based public policies need to address the social vulnerabilities in order to overcome the inequities. This narrative literature review analyzes the challenges of adaptation in the dissemination of the evidence-based alcohol and drugs prevention practices within the context of the Brazilian public policies. The critique of existing models is based on the theories of "Diffusion of Innovations" (Rogers) and "Implementation of the evidence-based practices" (Aarons et al). We concluded that the implantation of an evidence-based preventive action, if culturally not relevant, risks not impacting on the vulnerabilities. The adaptations may promote higher levels of acceptance and adhesion. In spite of that, if those adaptations are performed without the evidence base, they may reduce the effectiveness, as well as de-characterize the innovation, ending up in the reproduction of the inequities it aimed to reduce.

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Does Cultural Adaptation Have a Role in Substance Abuse Treatment?

Cited by 61 publications

References 72 publications

Initial abstinence status and contingency management treatment outcomes: Does race matter?

Initial abstinence status and contingency management treatment outcomes: Does race matter?

Advances in EBI Development for Diverse Populations: Towards a Science of Intervention Adaptation

A ciência baseada em evidências nas políticas públicas para reinvenção da prevenção ao uso de álcool e outras drogas

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