Cultural adaptation process for international dissemination of the strengthening families program

Eval Health Prof. 2008 Jun;31(2):226-39. doi: 10.1177/0163278708315926.


The Strengthening Families Program (SFP) is an evidence-based family skills training intervention developed and found efficacious for substance abuse prevention by U.S researchers in the 1980s. In the 1990s, a cultural adaptation process was developed to transport SFP for effectiveness trials with diverse populations (African, Hispanic, Asian, Pacific Islander, and Native American). Since 2003, SFP has been culturally adapted for use in 17 countries. This article reviews the SFP theory and research and a recommended cultural adaptation process. Challenges in international dissemination of evidence-based programs (EBPs) are discussed based on the results of U.N. and U.S. governmental initiatives to transport EBP family interventions to developing countries. The technology transfer and quality assurance system are described, including the language translation and cultural adaptation process for materials development, staff training, and on-site and online Web-based supervision and technical assistance and evaluation services to assure quality implementation and process evaluation feedback for improvements.

MeSH terms

  • Cultural Characteristics*
  • Diffusion of Innovation*
  • Evidence-Based Medicine
  • Family / ethnology*
  • Health Promotion / organization & administration*
  • Humans
  • Quality Control
  • Staff Development / organization & administration