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Imported “Evidence-Based” or Locally Grown Interventions: A False Dichotomy and Some Hard Choices in Implementation Science.

When public health programs are expanding to new areas or territories, it is often recommended by policy-makers and donors that existing evidence-based practices (EBPs) are to be adapted and implemented. While rationale behind this approach is understandable, proper adaptation to culturally differen...

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Published in:Substance Use & Misuse Vol. 50; no. 8/9; pp. 1092 - 1097
Main Author: Dumchev, Kostyantyn
Format: glossary Journal Article
Published: Taylor & Francis Ltd Jun/Jul2015
Online Access:View this record in EBSCOhost
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      dt: Jun/Jul2015
      vid: 50
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/10826084.2015.1007755
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        atl: Imported “Evidence-Based” or Locally Grown Interventions: A False Dichotomy and Some Hard Choices in Implementation Science.
      aug:
        au: Dumchev, Kostyantyn
        affil: Ukrainian Institute on Public Health Policy, Kyiv, Ukraine
      sug:
        subj:
          Program Implementation
          Professional Practice, Evidence-Based
          Transcultural Care
          Organizational Change
          Substance Abuse Prevention and Control
          Ukraine
          Substance Abuse, Intravenous Complications
          HIV Infections
          Persons Who Use Intravenous Drugs Psychosocial Factors
          Substance Abuse Therapy
          Psychotherapy Methods
      ab: When public health programs are expanding to new areas or territories, it is often recommended by policy-makers and donors that existing evidence-based practices (EBPs) are to be adapted and implemented. While rationale behind this approach is understandable, proper adaptation to culturally different settings may be no less intensive than development of a new intervention based on the local context. A narrow understanding of implementation science concept may lead to overlooking valuable indigenous practices, which may be summarized into effective and potentially more sustainable models. This paper examines from practical standpoint the process and common caveats in cross-cultural adaptation of EPBs and argues for closer attention to available local experiences.
      pubtype: Academic Journal
      doctype:
        glossary
        Journal Article
      ougenre: Article
    language: English
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