From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health

[EN]Background Applying established frameworks for cultural adaptation of evidence-based programs (EBPs) is essential to ensure cost-effectiveness, adoption, and sustainability while advancing health equity. However, adaptation processes often lack systematic approaches, particularly outside academi...

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Autores: Corpus Espinosa, Claudia, Mac Fadden, Isotta, Lima-Serrano, Marta
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:dnet:gredos______::da05b26054d798795805d339cd6cbb49
Acceso en línea:http://hdl.handle.net/10366/171138
Access Level:acceso abierto
Palabra clave:Mental health
Cultural adaptation
Qualitative analysis
Stakeholders
63 Sociología
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spelling From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental healthCorpus Espinosa, ClaudiaMac Fadden, IsottaLima-Serrano, MartaMental healthCultural adaptationQualitative analysisStakeholders63 Sociología[EN]Background Applying established frameworks for cultural adaptation of evidence-based programs (EBPs) is essential to ensure cost-effectiveness, adoption, and sustainability while advancing health equity. However, adaptation processes often lack systematic approaches, particularly outside academic contexts. Purpose This study explores how cultural adaptation processes of prevention programs are delivered to address adolescent substance use and common mental health issues, from the perspective of the main stakeholders involved in these processes. In parallel, it aims to empirically refine and specify the 11 stages synthesized in prior work that integrated insights from multiple cultural adaptation processes and frameworks. Methods A qualitative analysis was conducted using content analysis of 22 semi-structured interviews with stakeholders from the quadruple helix model: 6 from Academia, 6 from Non-governmental organizations (NGOs), and 10 from Public administration, selected globally. Stakeholders were identified via brainstorming and purposive-convenience sampling, based on their roles in adapting, implementing, evaluating, or funding prevention programs addressing adolescent substance use and mental health issues. Despite extensive recruitment efforts, no representation from the Business helix was achieved, as only one business contact agreed to be interviewed, which was not considered sufficient for inclusion. Results The qualitative analysis refined and expanded the stages of a cultural adaptation sequence that reflects how cultural adaptation processes are conducted in practice: building synergies, local needs assessment, program selection, initial cultural adaptation, advisory group consultation, staff training, piloting, program refinement and readiness for implementation, implementation, monitoring and evaluation, and dissemination and sustainability. Notably, not all stakeholders followed or applied the steps uniformly. Furthermore, academics were the only group to report using formal cultural adaptation models, while NGOs and the Public administration relied on experiential and contextual knowledge. Conclusions Findings underscore the importance of translating scientific knowledge into practice contexts while ensuring continuous evaluation, dissemination, and sustainability of adapted EBPs targeting adolescent substance use and mental health issues. Collaborative efforts and co-creative strategies are crucial to maintaining cultural relevance. This study contributes by offering empirical refinement and operational specification of an 11-step cultural adaptation sequence identified in a prior scoping review. Linking evidence from prior literature with practice provides greater clarity and applicability for implementers seeking to culturally adapt prevention programs across diverse contexts.The first author acknowledges the support of the Secretaría de Ciencia, Humanidades, Tecnología e Innovación (SECIHTI) of Mexico for the scholarship Nº CVU 1007341. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.Oxford University Press202620262026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10366/171138reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)InglésNº CVU 1007341Attribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:dnet:gredos______::da05b26054d798795805d339cd6cbb492026-06-07T06:28:51Z
dc.title.none.fl_str_mv From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
title From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
spellingShingle From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
Corpus Espinosa, Claudia
Mental health
Cultural adaptation
Qualitative analysis
Stakeholders
63 Sociología
title_short From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
title_full From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
title_fullStr From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
title_full_unstemmed From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
title_sort From evidence to practice: stakeholder-driven methods to culturally adapting prevention programs addressing substance use and mental health
dc.creator.none.fl_str_mv Corpus Espinosa, Claudia
Mac Fadden, Isotta
Lima-Serrano, Marta
author Corpus Espinosa, Claudia
author_facet Corpus Espinosa, Claudia
Mac Fadden, Isotta
Lima-Serrano, Marta
author_role author
author2 Mac Fadden, Isotta
Lima-Serrano, Marta
author2_role author
author
dc.subject.none.fl_str_mv Mental health
Cultural adaptation
Qualitative analysis
Stakeholders
63 Sociología
topic Mental health
Cultural adaptation
Qualitative analysis
Stakeholders
63 Sociología
description [EN]Background Applying established frameworks for cultural adaptation of evidence-based programs (EBPs) is essential to ensure cost-effectiveness, adoption, and sustainability while advancing health equity. However, adaptation processes often lack systematic approaches, particularly outside academic contexts. Purpose This study explores how cultural adaptation processes of prevention programs are delivered to address adolescent substance use and common mental health issues, from the perspective of the main stakeholders involved in these processes. In parallel, it aims to empirically refine and specify the 11 stages synthesized in prior work that integrated insights from multiple cultural adaptation processes and frameworks. Methods A qualitative analysis was conducted using content analysis of 22 semi-structured interviews with stakeholders from the quadruple helix model: 6 from Academia, 6 from Non-governmental organizations (NGOs), and 10 from Public administration, selected globally. Stakeholders were identified via brainstorming and purposive-convenience sampling, based on their roles in adapting, implementing, evaluating, or funding prevention programs addressing adolescent substance use and mental health issues. Despite extensive recruitment efforts, no representation from the Business helix was achieved, as only one business contact agreed to be interviewed, which was not considered sufficient for inclusion. Results The qualitative analysis refined and expanded the stages of a cultural adaptation sequence that reflects how cultural adaptation processes are conducted in practice: building synergies, local needs assessment, program selection, initial cultural adaptation, advisory group consultation, staff training, piloting, program refinement and readiness for implementation, implementation, monitoring and evaluation, and dissemination and sustainability. Notably, not all stakeholders followed or applied the steps uniformly. Furthermore, academics were the only group to report using formal cultural adaptation models, while NGOs and the Public administration relied on experiential and contextual knowledge. Conclusions Findings underscore the importance of translating scientific knowledge into practice contexts while ensuring continuous evaluation, dissemination, and sustainability of adapted EBPs targeting adolescent substance use and mental health issues. Collaborative efforts and co-creative strategies are crucial to maintaining cultural relevance. This study contributes by offering empirical refinement and operational specification of an 11-step cultural adaptation sequence identified in a prior scoping review. Linking evidence from prior literature with practice provides greater clarity and applicability for implementers seeking to culturally adapt prevention programs across diverse contexts.
publishDate 2026
dc.date.none.fl_str_mv 2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/171138
url http://hdl.handle.net/10366/171138
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Nº CVU 1007341
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
collection GREDOS. Repositorio Institucional de la Universidad de Salamanca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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