Adapting evidence-based programs to new contexts: What needs to be changed?

Edward Smith, Linda Caldwell

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Evidence-based substance use prevention programs have proliferated in schools and are being adopted by districts in rural settings and internationally. Little attention, however, has been paid to the adaptation process that occurs when these programs are moved to different contexts. In this commentary, the authors draw upon their experience with program adaptation to identify 6 areas for consideration when school-based programs are introduced in rural areas and in other countries. A key conclusion that emerges is that evidence-based programs should not be changed randomly but should be modified based on a careful review of program content, the theoretical underpinnings involved, and the context of the new environment.

Original languageEnglish (US)
Pages (from-to)37-41
Number of pages5
JournalJournal of Rural Health
Issue numberSUPPL. 1
StatePublished - Sep 2007

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Adapting evidence-based programs to new contexts: What needs to be changed?'. Together they form a unique fingerprint.

Cite this