Abstract
The commentary of Segrot et al on the Swedish Strengthening Families Program (SFP) trial is important. The spread of evidence-based practice has resulted in an increased interest in empirically supported interventions (ESIs) and a growing number of controlled trials of imported and culturally adapted interventions. Evidence from selected case examples of replication trials of family-based US Blueprints model and promising programs appears mixed.1 We are beginning to learn from these successes and failures that features of both ESIs and the research designs used to test them may contribute to outcomes, that is, whether transport from one cultural context to another is successful in terms of program implementation and observed outcomes. To understand the contradictory results from studies of imported ESIs, at least four explanations are available. The first has …
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