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. 2023 Mar 21;11:1007328. doi: 10.3389/fpubh.2023.1007328

Table 3.

Selected ERIC implementation strategies as can be expanded with cultural factors.

Implementation strategy Possible expansion with cultural factors
1. Develop academic partnerships • Partner with a university or academic unit for the purpose of sharing training and bringing research skills to an implementation project. Intervention project staff can invite the participation of Latinx academic scholars who with their disciplinary expertise can describe and explain how cultural factors can aid in tailoring the intervention for greater cultural relevance for community residents from the major Latinx acculturation sectors (low acculturation, bicultural, high acculturation).
2. Intervene with patients/consumers to enhance uptake and adherence • Develop strategies with Latinx patients of different levels of acculturation to encourage and problem solve around adherence to an intervention by describing and explaining the cultural factors that are most salient and relevant for residents of the local community.
3. Invoke patients/consumers and family members • Engage or include patients/consumers and families from local Latinx community neighborhoods in the implementation effort this includes the application of select Latinx cultural factors.
4. Obtain and use patients/consumers and family feedback • Develop strategies to increase patient/consumer and family feedback on the implementation effort that is designed with cultural flexibility for best acceptability to major acculturation sectors (low acculturated, bicultural, high acculturated) who are residents of the local Latinx community.
5. Promote adaptability • Identify the ways a clinical intervention can be tailored to meet the local needs and clarify which elements of the innovation must be maintained to preserve fidelity, and what must be modified or new modules added to increase the intervention's cultural relevance for each of the major cultural sectors from the local Latinx community.
6. Tailor strategies • Tailor the implementation strategies to address barriers and leverage facilitators that were identified through earlier data collection, to examine the relevance and application of certain relevant Latinx cultural factors.

Adapted from Powell et al. (24).