Table 4 Key Informant recommendations for researchers, funders, and policymakers to implement evidence based practices in minoritized communities

Community Characteristics

 • Design Interventions with a focus on equity and resource-limited settings. Develop customizable program options that minimize infrastructure demands, focusing on solutions that utilize available resources.

 • Cultural and Local Adaptations are Key. Prioritize the inclusion of culturally relevant materials and training modules and offer intervention elements that can readilty be culturally tailored. Ensure the intervention reflects and respects the community it serves by incorporating community feedback early and throughout the development and implementation process.

 • Champion Accessibility for All. Provide curriculum and material in multiple formats, languages, and tailored to diverse literacy levels. Allow for program flexibility. Incentivize Equitabily to Enhance Participation. Recognize that low-income and diverse populations may face more structural barriers to participation (i.e., gift cards, food, insurance-based incentives, etc.).

Intra-Organizational

 • Build and Leverage Existing Systems for Cross-Agency Referrals for EBP promotion and awareness (e.g., health systems, medical providers, social service organizations serving aging populations, etc.)

 • Strengthen Feedback Channels with a Commitment to Continuous Care: Establish consisten and transparent mechanism with referring providers to enhance program recognition and ensure continuous care (e.g., patient experiences, pre/post-EBP data, etc.).

Evidence-based Program

 • Adapt EBP Curriculum for Diverse Populations. Provide guidelines for how curriculum may be modified for local populations (language, literacy level, scenarios, culturally tailored meals, etc.)

 • Reflect Diversity in EBP and Outreach Efforts. incorporate diverse representation and people of color in EBP and outreach materials.

 • Acknowledge and Address Social Determinants for Program Adherence. Tailor content to be sensitive to social determinants and support resources needed for program adherence (access to healthy food sources, prepaid phones, reliance on public transportation, access to safe spaces to exercise, internet access, etc.)

 • Provide Culturally Relevant Translation and Tailoring.

 • Provide technical assistance with data collection and submission to reduce local data administration.

 • Share EBP Particiapnt Data for Local Enhancement and Quality Improvement.

Fidelity

 • Provide guidance on adapting or local modification of EBPs to improve accessibility (limited literacy, reading proficiency, language translation, transportation, virtual sessions) while still valid to the original EBP.

 • Conduct studies of equivalence for adapted, modified, or ability-to-customize EBPs so that concerns about fidelity do not undermine the use of effective programs.

Staffing and training

 • Promote career advancement for local EBP staffing or volunteers such as EBP training certificates, e.g., “master training” or “certificate in health education.”

 • Expand Medicare reimbursement model to more EBP programs.

Marketing, cost, and payment sources

 • Develop sustainable funding or reimbursement streams to support implementation ramp-up and sustainability of EBP programming (i.e., staff turnover, volunteer management, participant recruitment efforts, evaluation, etc.)

 • Provide customizable recruitment materials for EBP programs and marketing