The Life Cycle of an Innovation: Adoption versus Discontinuation of the Fluoride Mouth Rinse Program in Schools

Scheirer, Mary Ann

doi:10.2307/2137173

Cited by 66 publications

(43 citation statements)

References 23 publications

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“…They assert that the factors that influence the initial adoption of EBIs may differ from those that influence sustainability (115,122), and that different factors might be more influential at different time points (2). Whether various phases of the implementation process have different predictors that necessitate distinct conceptual frameworks is unknown (135).…”

Section: Conceptual Framework Of Factors Influencing Sustainabilitymentioning

confidence: 99%

“…They are outer contextual factors (e.g., sociopolitical context, funding environment), inner contextual or organizational factors (e.g., financial resources, leadership, program champions, organizational support, staff stability, policy alignment), processes (e.g., training, strategic planning, stakeholder engagement, partnerships), intervention characteristics (e.g., adaptability, fit with context and population, benefits/effectiveness), and implementer characteristics (e.g., skills, attitude, motivations) (15,115,118,135,139).…”

Section: Empirical Research On Intervention Sustainability Across DIVmentioning

confidence: 99%

“…Researchers have often conceptualized sustainability as the final stage in the overall life cycle of an intervention, including development, adoption, implementation (with potential adaptations), and sustainability (14,31,52,110,115,118). For example, the EPIS (Exploration, Preparation, Implementation, and Sustainment) model frames implementation as a process influenced by multilevel factors over time, starting with exploration and concluding with sustainment (2).…”

Section: Conceptualizing Sustainability As Process Versus Outcomementioning

confidence: 99%

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The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2024

Annual Review of Public Health

475

569

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intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most significant translational research problems. Adding to this challenge is uncertainty regarding the extent to which intervention adaptation and evolution are necessary to address the needs of populations that differ from those in which interventions were originally tested or implemented. This review critically examines and discusses conceptual and methodological issues in studying sustainability, summarizes the multilevel factors that have been found to influence the sustainability of interventions in a range of public health and health care settings, and highlights key areas for future research. AbstractThere is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient (17,97,109). Although numerous evidence-based public health interventions and clinical preventive strategies and treatments are available, it can be challenging to implement and sustain them outside of controlled settings, particularly if they were originally tested in narrow populations or unrepresentative circumstances (49). As a rapidly growing field, implementation science has focused on understanding factors and strategies that influence the initial adoption and integration of evidence-based interventions (EBIs) in real-world settings (103). Whereas significant advancements have been made in understanding the adoption and implementation of EBIs across a range of community and health care settings, less is known about their sustainability. Recently, experts have prioritized sustainability as an understudied area (45), identifying it as "one of the most significant translational research problems of our time" (103, p. 2) and as a persistent challenge across a range of settings and service delivery sectors, and across health behaviors and outcomes.Maximizing the public health impact of EBIs will require investing in sustainability research. This research will enable us to better understand what factors and processes influence the sustainability of interventions and how to plan proactively for the continuation of EBIs. Moreover, there has been growing consideration of the policy and ethical implications of developing effective health programs without investing in sustainability (118). Researchers, health leaders, advocates, policy makers, practitioners, and funders alike have concerns about the long-term impact and value of their investment in discontinued interventions. In addition to lost investments, time, and resources, there are other reasons for which advancing our understanding of the sustainability of EBIs has value (99, 122). Maintaining effective programs and practices is critical for achieving health benefits, particularly if there is a latency period betwee...

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Section: Conceptual Framework Of Factors Influencing Sustainabilitymentioning

confidence: 99%

Section: Empirical Research On Intervention Sustainability Across DIVmentioning

confidence: 99%

Section: Conceptualizing Sustainability As Process Versus Outcomementioning

confidence: 99%

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The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2024

Annual Review of Public Health

475

569

View full text Add to dashboard Cite

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“…Another key concept in systems theory is that change can only take place from within a system (Capra, 1997). External change agents therefore need to mobilise people who are inside the system to activate change (Scheirer, 1990).…”

Section: Discussion Of Implementation Processes From a Theoretical Pementioning

confidence: 99%

“…• A construction team is necessary to work towards a common goal -joining needs to take place between stakeholders, and a shared vision is needed to mobilise resources (Levine et al, 1992;Scheirer, 1990). …”

Section: Article Originalmentioning

confidence: 99%

Establishing support groups for HIV-infected women: Using experiences to develop guiding principles for project implementation

Visser

Mundell

2008

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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HIV-infected women need support to deal with their diagnosis as well as with the stigma attached to HIV. As part of their practical training, Master's-level psychology students negotiated with the staff of four clinics in townships in Tshwane, South Africa, to establish support groups for HIV+ women and offered to assist them in facilitating the groups. This study aimed to understand why the implementation of groups was successful in one clinic and not other clinics. The student reports on their experiences and interaction with clinic staff and clients were used as sources of data. Using qualitative data analysis, different dynamics and factors that could affect project implementation were identified in each clinic. The socio-ecological and systems theories were used to understand implementation processes and obstacles in implementation. The metaphor of building a bridge over a gorge was used to describe the different phases in and obstacles to the implementation of the intervention. Valuable lessons were learnt, resulting in the development of guiding principles for the implementation of support groups in community settings. Keywords: Support groups, HIV+ women, project implementation strategies, change in systems, socio-ecological theory. RésuméLes femmes séropositives ont besoin du soutien afin de faire face à leur diagnostique ainsi qu'avec la stigmatisation liée au VIH.Faisant partie du programme pratique de formation, les étudiants de maîtrise en psychologie ont négocié avec le personnel de quatre cliniques des townships (quartiers pour les Noirs) à Tshwane en Afrique du Sud. Le but fut d' établir des groupes de soutien pour des femmes séropositives. Ces étudiants ont également offert leur aide en animant les groupes. Le but de cette étude est de comprendre pourquoi l' exécution de groupes fut un succès dans une seule clinique et pas dans les autres. Les rapports des étudiants sur leurs expériences et leurs interactions avec le personnel et les malades ont été utilisés comme sources de données. En utilisant l'analyse qualitative des données, les dynamiques et les facteurs différents qui pourraient affecter l' exécution du projet furent identifiés dans chacune des cliniques. Les théories de systèmes socio-écologiques ont été utilisées afin de comprendre le processus de l' exécution ainsi que les obstacles à celle-ci. On a fait référence à la métaphore de bâtir un pont au dessus d'une gorge pour décrire les différentes phases du processus d' exécution et les obstacles face à l' exécution de l'intervention. On a appris des leçons importantes qui ont, par la suite, favorisé l'aménagement des principes directeurs des groupes de soutien dans un milieu communautaire.Mots clés : Groupes de soutien, femmes séropositives, stratégies de l' exécution d'un projet, changement de systèmes, théorie socio-écologique. Establishing support groups for HIV-infected women: Using experiences to develop guiding principles for project implementation Maretha J Visser, Jonathan P Mundell Maretha Visser is a counselling ...

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Letting Go: Conceptualizing Intervention De‐implementation in Public Health and Social Service Settings

McKay¹,

Morshed

Brownson

et al. 2018

American J of Comm Psychol

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The Life Cycle of an Innovation: Adoption versus Discontinuation of the Fluoride Mouth Rinse Program in Schools

Cited by 66 publications

References 23 publications

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Establishing support groups for HIV-infected women: Using experiences to develop guiding principles for project implementation

Letting Go: Conceptualizing Intervention De‐implementation in Public Health and Social Service Settings

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