Sundell Knut, Ferrer-Wreder Laura, Fraser Mark W
National Board of Health and Welfare, Stockholm, Sweden
Department of Psychology, Stockholm University, Stockholm, Sweden.
Eval Health Prof. 2014 Jun;37(2):203-30. doi: 10.1177/0163278712469813. Epub 2013 Jan 4.
The spread of evidence-based practice throughout the world has resulted in the wide adoption of empirically supported interventions (ESIs) and a growing number of controlled trials of imported and culturally adapted ESIs. This article is informed by outcome research on family-based interventions including programs listed in the American Blueprints Model and Promising Programs. Evidence from these controlled trials is mixed and, because it is comprised of both successful and unsuccessful replications of ESIs, it provides clues for the translation of promising programs in the future. At least four explanations appear plausible for the mixed results in replication trials. One has to do with methodological differences across trials. A second deals with ambiguities in the cultural adaptation process. A third explanation is that ESIs in failed replications have not been adequately implemented. A fourth source of variation derives from unanticipated contextual influences that might affect the effects of ESIs when transported to other cultures and countries. This article describes a model that allows for the differential examination of adaptations of interventions in new cultural contexts.
循证实践在全球的传播，导致基于实证的干预措施（ESIs）得到广泛采用，并且越来越多的针对引进的和经过文化调适的ESIs的对照试验出现。本文基于对以家庭为基础的干预措施的结果研究，这些干预措施包括美国蓝图模式和有前景的项目中列出的项目。这些对照试验的证据参差不齐，由于它既包括ESIs成功和失败的复制，因此为未来有前景项目的转化提供了线索。对于复制试验中结果参差不齐的情况，至少有四种解释似乎合理。一种与各试验之间的方法差异有关。第二种涉及文化调适过程中的模糊性。第三种解释是，失败复制中的ESIs没有得到充分实施。第四个变异来源来自于意想不到的背景影响，当ESIs被移植到其他文化和国家时，这些影响可能会影响其效果。本文描述了一个模型，该模型允许对新的文化背景下干预措施的调适进行差异检验。
