Post the following:Using one of the participant quotes in the Findings section of the Matheson et al. study, analyze it by first identifying the main themes in the quote.Provide an interpretation of the quote (what is the speaker saying?). Discuss how this would specifically inform one intervention recommendation for social work practice with clients. Your recommendation can be on the micro, mezzo, or macro level (choose one).Next, explain how you would adapt the practice recommendation that you identified so that it is culturally sensitive and relevant for a diverse cultural group (e.g., African American, Latinx, Asian American, or indigenous communities). Select only one group.Choose a surface structure or deep structure adaptation that Fennig reviewed and provide two strategies for application with your selected group. Be as specific as you can, using citations to support your ideas.
Prevention Science (2019) 20:11251135
https://doi.org/10.1007/s11121-019-01034-0
Binational Cultural Adaptation of the keepin it REAL Substance Use
Prevention Program for Adolescents in Mexico
Flavio F. Marsiglia 1 & Maria Elena Medina-Mora 2 & Anaid Gonzalvez 1 & Grace Alderson 1 & Mary Harthun 1 &
Stephanie Ayers 1 & Bertha Nuño Gutiérrez 3 & Maria Dolores Corona 4 & Miguel Angel Mendoza Melendez 2 &
Stephen Kulis 1
Published online: 5 July 2019
# Society for Prevention Research 2019
Abstract
Sharp increases in substance use rates among youth and the lack of evidence-based prevention interventions in Mexico are a
major concern. A team of investigators from Mexico and the USA are actively addressing this gap by culturally adapting keepin
it REAL (kiR)a former US SAMHSA model programfor Mexico. This paper reports on the processes and outcomes of the
cultural adaptation of kiR for adolescents in Mexico. Multiple forms of data informed this cultural adaptation, including focus
groups with students about gendered and violence experiences with substance use, feedback from teachers who previously
implemented the original versions of kiR, lesson fidelity observations, and external expert reviews. The culturally adapted version
of kiR integrates Ecological Validity and Cultural Sensitivity Models in the adaptation process. The process encompassed surface
structure adaptations, like updating language, graphics, and videos, as well as deep structure adaptation components including
cultural norms, attitudes, and beliefs salient among Mexican adolescents. Youth reported receiving alcohol offers from family
members, links between substance use and violence, and that shifting gender norms result in more females initiating substance
use offers. In adapted kiR activities, students practice navigating substance use offers in these contexts. This approach to cultural
adaptation led to a true collaborative between investigators in two countries. This study advances knowledge about how to
undertake cultural adaptations of efficacious US-based prevention programs in international settings.
Keywords Cultural adaptation . Substance use prevention . Adolescents . Mexico
