ABSTRACT

Adapting evidence-based treatments for novel populations and nontraditional treatment settings provides rich opportunities for research, training, and supervision. Using both established and innovative methodologies, assessments, and definitions of treatment outcome in evidence-based treatment adaptation, implementation and research can facilitate the integration of rigorous approaches with novel techniques. Similarly, training and supervision of assessors and therapists can be adapted to novel samples and settings by combining established protocols with emerging techniques including technology-based procedures. Although innovation is essential, the use of adapted measures and novel patient samples also requires the establishment of validity and reliability. Additional challenges occur with the involvement of family members and caregivers, raising issues about consent and confidentiality in clinical research that investigators need to consider in the context of data collection, treatment, and supervision. Cultural considerations are especially crucial in research methods, therapist and assessor training, as well as in the development of adherence and other measures in these adaptations. Careful data collection in the context of these novel adaptations will help advance the field, expand measurement psychometrics, and disseminate these adaptations across populations and settings.