• Cultural Adaptation Across Implementation Stages with Evan Eschliman

  • Jun 19 2023
  • Duración: 1 h
  • Podcast

Cultural Adaptation Across Implementation Stages with Evan Eschliman

  • Resumen

  • This is a mind-blowing episode with Evan Eschliman where Dr. Bradley and Evan discussed:


    Cultural adaptation (CA) is a process of modifying evidence-based interventions to be more congruent with the cultural norms, values, and beliefs of a particular community. CA is critical to the successful implementation of evidence-based interventions, as it ensures that interventions are relevant and acceptable to the target population. To add to the discussion on the significance of CA to implementation, it is important to note that CA can also increase the reach and impact of interventions by overcoming cultural barriers that may prevent individuals from engaging in interventions.


    Local collaborators play a vital role in the CA process. They possess valuable knowledge and understanding of the cultural context and can help identify areas where modifications are needed. It is important to involve local collaborators in all stages of the CA process to ensure that interventions are adapted in a way that is respectful and appropriate to the community.


    Recalling the findings by stage of EPIS can provide valuable insights into the effectiveness of CA. For example, in the Exploration stage, identifying community needs and beliefs can inform the CA process and make interventions more acceptable. In the Preparation stage, involving local collaborators can facilitate the implementation process and increase buy-in from the community.


    When considering the common pitfalls and barriers of bringing CA and implementation in closer alignment, it is important to be aware of potential power imbalances and cultural biases. It is also important to recognize that CA is an ongoing process and may require adaptations as the cultural context changes over time. Unique strengths of bringing CA and implementation in closer alignment include increased relevance and acceptability of interventions, increased community engagement and ownership, and increased potential for sustainability.


    Overall, cultural adaptation is a critical component of successful implementation and has the potential to increase the reach and impact of evidence-based interventions. By involving local collaborators and being mindful of potential pitfalls and barriers, we can ensure that CA is conducted in a respectful and appropriate manner and that interventions are tailored to the unique needs of the community.


    Guest Bio:

    Evan L. Eschliman, MS (they/he) is currently a PhD Candidate in the Department of Health, Behavior and Society at the Johns Hopkins School of Public Health. Evan’s research uses multiple methods to uncover and document stigma’s negative health effects, with particular focuses on how structures and systems produce and reproduce stigma and how stigma can be intervened against in culturally and structurally responsive ways.


    Twitter: @EvanEschliman

    Instagram: @eschclamation


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