The dynamic sustainability framework
Addressing the paradox of sustainment amid ongoing change
Bibliographic Data
| ID | 23324063 |
|---|---|
| Authors | David Chambers (0009-0002-1413-7801, National Institute of Mental Health, corresponding author), David A Chambers (0000-0002-5991-2827), Russell E Glasgow (0000-0003-4218-3231, University of Colorado Denver), Kurt C Stange (0000-0002-2189-0191, Case Western Reserve University) |
| Year | 2013 |
| Volume | 8 |
| Issue | 1 |
| Pages | 117-117 |
| Publication date | 2013-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Implementation Science (JOURNAL) |
| Journal identifiers | ISSN: 1748-5908 • E-ISSN: 1748-5908 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/1748-5908-8-117 |
| PMID | 24088228 |
| PMCID | PMC3852739 |
| OpenAlex | W2111534125 |
| Language | EN |
| Citations received | 218 |
| References cited | 46 |
BACKGROUND: Despite growth in implementation research, limited scientific attention has focused on understanding and improving sustainability of health interventions. Models of sustainability have been evolving to reflect challenges in the fit between intervention and context. DISCUSSION: We examine the development of concepts of sustainability, and respond to two frequent assumptions -'voltage drop,' whereby interventions are expected to yield lower benefits as they move from efficacy to effectiveness to implementation and sustainability, and 'program drift,' whereby deviation from manualized protocols is assumed to decrease benefit. We posit that these assumptions limit opportunities to improve care, and instead argue for understanding the changing context of healthcare to continuously refine and improve interventions as they are sustained. Sustainability has evolved from being considered as the endgame of a translational research process to a suggested 'adaptation phase' that integrates and institutionalizes interventions within local organizational and cultural contexts. These recent approaches locate sustainability in the implementation phase of knowledge transfer, but still do not address intervention improvement as a central theme. We propose a Dynamic Sustainability Framework that involves: continued learning and problem solving, ongoing adaptation of interventions with a primary focus on fit between interventions and multi-level contexts, and expectations for ongoing improvement as opposed to diminishing outcomes over time. SUMMARY: A Dynamic Sustainability Framework provides a foundation for research, policy and practice that supports development and testing of falsifiable hypotheses and continued learning to advance the implementation, transportability and impact of health services research.
Business · Context (archaeology) · Economic growth · Economics · Geography · Health administration · Health care · Health services research · Management science · Process management · Psychological intervention · Public health · Sustainability · Sustainability organizations · Sustainability science · Community Health and Development · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Health Policy
Sustainment and sustainability of the delegated management model of urban water service delivery
Ecovillages as spaces of place-based transformative learning
Developing the meaning-centered program for Chinese Americans with advanced cancer
The Foundation Review 8.2 Full Issue
Getting Real With Strategy
A research protocol for studying participatory processes in the use of evidence in child welfare systems
Reaching the Unreached
Mental Health Reform
Adapting Health through Early Awareness and Learning Program into a New Faith-Based Organization Context
Adaptation of an Evidence-Based Cardiovascular Health Intervention for Rural African Americans in the Southeast
Perceived sustainability of the school-based social and behavior change communication (SBCC) approach on malaria prevention in rural Ethiopia
Commentary
Trust and Mistrust in Shaping Adaptation and De-Implementation in the Context of Changing Screening Guidelines
Advancing recovery education for people experiencing housing instability
Training providers at Children’s Advocacy Centers to treat early childhood trauma
Co-creating fit
Balancing Fidelity and Adaptation
Empowering the (Extra)Ordinary
Coincidence analysis
Implementation of an interactive organ donation education program for Dutch lower-educated students
Provider Readiness and Adaptations of Competency Drivers During Scale-Up of the Family Check-Up
Building State Capability
Implementation research
Implementation, context and complexity
How to use and assess qualitative research methods
Beyond Adoption
Evidence-based intervention sustainability strategies
Advancing the Science and Practice of Social and Emotional Learning
The FRAME
Conceptualizing outcomes for use with the Consolidated Framework for Implementation Research (CFIR)
When complexity science meets implementation science
The sustainability of public health interventions in schools
Developing a comprehensive definition of sustainability
Implementation Research
Social Network Analysis for Program Implementation
Systematic review of the Exploration, Preparation, Implementation, Sustainment (Epis) framework
Understanding and applying the RE-AIM framework
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
Standards of Evidence for Efficacy, Effectiveness, and Scale-up Research in Prevention Science
“Scaling-out” evidence-based interventions to new populations or new health care delivery systems
User‐centered design for psychosocial intervention development and implementation.
Qualitative approaches to use of the RE-AIM framework
‘We all need to be on the same page’
Co-producing active lifestyles as whole-system-approach
Taking stock
Context matters—the phased development of an adaptable food literacy intervention
Real-world public health interventions demonstrate how research evidence informs program scale-up
Understanding Factors to Implement a Peer‐Led Exercise Program Aiming to Reduce Risk of Falls in a Community Setting
Strategies to Overcome Implementation Challenges of Multiple Family Group Therapy for Adolescents Living With HIV in Ghana
Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone
Development of a scalable weight loss intervention for low-income workers through adaptation of interactive obesity treatment approach (iOTA)
Physical and occupational therapists' perceptions of sustainability of a knowledge translation intervention to improve the use of outcome measures in inpatient rehabilitation
Redesigning Implementation Measurement for Monitoring and Quality Improvement in Community Delivery Settings
Targeting Personal Recovery of People With Complex Mental Health Needs
A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice
Dissemination and Implementation Science Approaches for Occupational Safety and Health Research
Applying a User Centred Design Approach to Optimise a Workplace Initiative for Wide-Scale Implementation
Enhancing core components for a digital “healthy eating” resource in early childhood and care settings
Development of an acceptance based PrEP intervention (ACTPrEP) to engage young black MSM in the South utilizing the Adaptome Model of intervention adaptation
Study protocol
Tensions and Paradoxes of Scaling Up
Study protocol
A narrative account of implementation lessons learnt from the dissemination of an up-scaled state-wide child obesity management program in Australia
The transportability of Memory Specificity Training (MeST)
A Narrative Inquiry Into Global Systems Change to Support Families When a Parent Has a Mental Illness
Barriers and facilitators to adoption, implementation and sustainment of obesity prevention interventions in schoolchildren– a Dedipac case study
Physical Activity Behaviors of Children Who Register for the Universal, State-Wide Active Kids Voucher
Use of a Living Lab Approach to Implement a Smoke-Free Campus Policy
School-level factors associated with the sustainment of weekly physical activity scheduled in Australian elementary schools
A cross-country study of mis-implementation in public health practice
Blending Insights from Implementation Science and the Social Sciences to Mitigate Inequities in Screening for Hereditary Cancer Syndromes
An introduction to implementation science for the non-specialist
Process Evaluation of a School-Based High-Intensity Interval Training Program for Older Adolescents
Feasibility of a school-based peer-led high-intensity interval training intervention
Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana
Using the Principles of Complex Systems Thinking and Implementation Science to Enhance Maternal and Child Health Program Planning and Delivery
Shaping Group Antenatal Care in Brussels Metropolitan Region
Organizational Characteristics of Hospitals Meeting STRIDE Program Adoption Benchmarks to Support Mobility for Hospitalized Persons
Can complex programs be sustained? A mixed methods sustainability evaluation of a national infant and young child feeding program in Bangladesh and Vietnam
Minimal intervention delivered by 2-1-1 information and referral specialists promotes smoke-free homes among 2-1-1 callers
Rapidly adapting an effective health promoting intervention for older adults—choose to move—for virtual delivery during the Covid-19 pandemic
Adaptation and Validation of the Program Sustainability Assessment Tool (PSAT) for Use in the Elementary School Setting
Co-design of a digital dietary intervention for adults at risk of type 2 diabetes
The Adaptome
Enabling Transdisciplinary Collaboration
Adherence to Psychological First Aid after Exposure to a Traumatic Event at Work among EMS Workers
Challenges and successes in the sustainment of Dutch community-level smoking cessation interventions for residents with a low socioeconomic position
Evaluation of a Complex Intervention to Strengthen Participation-Centred Care for Children with Special Healthcare Needs
An Evidence-Based Practice Developed in-situ
Development and Application of the Scale-Up Reflection Guide (SRG)
Aerial Imagery as a Window into Local Wisdom for Community Development
A Critical Review and 10-Year Update on Prospects for a Clinical Science of Mindfulness-Based Intervention
Sustaining health professional education programs
Community and Participatory Evidence and Research Synthesis
Exploring implementation experiences following WHO mhGAP training in primary health care in Lagos, Nigeria
Insights from a cross-sector review on how to conceptualise the quality of use of research evidence
Teachers’ Experiences of Facilitators and Barriers to Implement Theme-Based Cooperative Learning in a Swedish Context
Making the connection between health equity and sustainability
Implementation of basic life support education for the lay public in China
Theory-Informed Design of a Tailored Strategy for Implementing Household TB Contact Investigation in Uganda
The sustainability of new programs and innovations
Organizing Care for Patients with Chronic Illness
Planning for the sustainability of community-based health programs
Making research relevant
The challenge of complexity in health care
A Glossary for Dissemination and Implementation Research in Health
A stage model of behavioral therapies research
Implementing evidence-based interventions in health care
Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs
Self-management education
The iron cage revisited institutional isomorphism and collective rationality in organizational fields
Fostering implementation of health services research findings into practice
Diffusion of Innovations in Service Organizations
Developing and evaluating complex interventions
The sustainability of health promotion interventions for different levels of social organization
The Science of Sustaining Health Behavior Change
Is Sustainability Possible? A Review and Commentary on Empirical Studies of Program Sustainability
System Dynamics Modeling for Public Health
An Agenda for Research on the Sustainability of Public Health Programs
National Institutes of Health Approaches to Dissemination and Implementation Science
The Iron Cage Revisited
Efficacy and Effectiveness Trials
| Unique citing works | 218 |
|---|---|
| Citations per year | 18,17 |
| Citation span | 2014 - 2026 (13) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 199 |