期刊
AMERICAN JOURNAL OF PUBLIC HEALTH
卷 109, 期 -, 页码 S94-S101出版社
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.2018.304915
关键词
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资金
- National Institutes of Health: the National Institute on Minority Health and Health Disparities (NIMHD)
- National Institutes of Health: National Institute on Drug Abuse
- National Institutes of Health: Office of Research on Women's Health
- National Institutes of Health: Office of Disease Prevention
- NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES [ZIAMD000014] Funding Source: NIH RePORTER
Many evidence-based interventions (EBIs) have been developed to prevent or treat major health conditions. However, many EBIs have exhibited limited adoption, reach, and sustainability when implemented in diverse community settings. This limitation is especially pronounced in low-resource settings that serve health disparity populations. Often, practitioners identify problems with existing EBIs originally developed and tested with populations different from their target population and introduce needed adaptations to make the intervention more suitable. Although some EBIs have been extensively adapted for diverse populations and evaluated, most local adaptations to improve fit for health disparity populations are not well documentedor evaluated. As a result, empirical evidence is often lacking regarding the potential effectiveness of specific adaptations practitioners may be considering. We advocate an expansion in the emphasis of adaptation research from researcher-led interventions to research that informs practitioner-led adaptations. By presenting a research vision and strategies needed to build this area of science, we aim to inform research that facilitates successful adaptation and equitable implementation and delivery of EBIs that reduce health disparities.
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