Even if an intervention is evidence-based, it may not meet a rural community's particular needs. When
looking for the right obesity intervention, it's important to consider audience factors such as:
- Learning style
- Setting of the intervention
It is not always possible to find the right match for all these components. Some model programs may include
activities that don’t match the culture of the participants. In these cases, it may be necessary to
evaluate the source of the mismatch and what the effect may be. Following that evaluation, an existing model
might be adapted to fit the target population.
For a detailed overview of changes and adaptations for rural programs, see Considerations When Adapting a
Program in the Rural Community Health Toolkit.
Cultural Adaptation of Prevention Interventions: Resolving Tensions between Fidelity and Fit
Castro, F.G., Barrera, M., & Martinez, C.R.; Prevention Science, 5(1), March 2004