Conclusion: Little research has addressed the question of how transportable evidence-based interventions developed for one ethnic group are to a range of ethnic and cultural groups.
Recommendation 11-3: Research funders should prioritize the evaluation and implementation of programs to promote mental, emotional, or behavioral health or prevent MEB disorders in ethnic minority communities. Priorities should include the testing of culturally appropriate adaptations of evidence-based interventions developed in one culture to determine if they work in other cultures and encouragement of their adoption when they do.
Finally, multiple opportunities for naturalistic research could enrich the prevention portfolio and convincing evidence that collaborations between researchers and communities can increase the relevance and sustainability of interventions, including through efforts to adapt existing evidence-based interventions.
Recommendation 11-4: Researchers and community organizations should form partnerships to develop evaluations of (1) adaptation of existing interventions in response to community-specific cultural characteristics; (2) preventive interventions designed based on research principles in response to community concerns; and (3) preventive interventions that have been developed in that community, have demonstrated feasibility of implementation and acceptability in the community, but lack experimental evidence of effectiveness.
On a practical level, for tested preventive interventions to become widespread, the available research suggests that successful interventions should include at least the availability of published material, such as handbooks, curriculum, and manuals describing the intervention and prescribing actions to be taken; certification of trainers or an electronic training system; high-quality, data-driven technical assistance; implementation fidelity measures; dissemination efforts that are organized around marketing and delivery; an information management system; and community demand for systems that work.
In addition to development and implementation of effective programs, the nation needs to support implementation of policies and broad prevention principles in order to create a comprehensive, sustained approach to prevention. Policies that support low-income families and promote healthy development are needed as the basic foundation for such an approach.