1. Describe concepts of reach and representativeness and how to operationalize them
2. Summarize challenges to assessment of reach and representativeness; and how to overcome these challenges
3. Identify how reach and representativeness relate to health equity
4. Examine potential trade-offs between reach and effectiveness

• The aim is to protect the scientific integrity of evidence-based treatments (EBTs) and promote dissemination by promoting the external and ecological validity of studies. The ultimate aim is to reduce heath disparities by making EBTs broadly available to diverse cultural groups.
• Cultural adaptations integrates multicultural and EBTs to consider culture and context systematically (historical, economic, ecological, and political influence)

LEARNING OBJECTIVES

1.  Explain the importance of and need to culturally adapting evidence-based interventions to fit to context, paying attention to target populations’ language, culture, and context.
2. Describe and integrate appropriate cultural adaptations frameworks for studying the processes and impact of adaptations on intervention adoption, implementation, and effectiveness.

1. Identify types and sources of non-EHR digital health data
2. Discuss access and security considerations for working with digital health data
3. Review key issues and challenges involved in working with digital health data