Sustainability

Number of Models:
information tooltip image The number of models that include elements aligned with the given construct.

26

Elements:
information tooltip image Components abstracted from each model and aligned with the given construct.

Adoption, Implementation and Institutionalization

Cost-efficacy and Feasibility

Developing Mechanisms to Maintain the Innovation Over Time

Expectation of sustainability

Feasibility, fidelity, penetration, acceptability, sustainability, uptake, costs

Integrate & Maintain

Integrating

Integration

Integration of Evidence into Practice

Maintain program/services

Maintenance

Maintenance and Evolution

Organizational and Financial Changes to sustain intervention

Phase 4: Spread of Effective CW Implementation Program

Practice Integration

Scale-Up

Stabilization

Sustainability

Sustainable Ongoing Learning System

Sustaining

Sustainment

Definition:
information tooltip image The definition of the construct.

1. Sustainability: the existence of structures and processes which allow a program to leverage resources to most effectively implement evidence-based policies and activities over time. It is the extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies. Sustainability (also referred to as Maintenance in the RE-AIM framework) also has referents at the individual level. At the individual level, it has been defined as the long-term effects of a program on outcomes 6 or more months after the most recent intervention contact.

2. Sustainability: "Extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations." A part of late implementation stages, sustainability of a treatment/innovation can be observed within aspects of organizational culture through "policies and practices." Often there is high sustainability when penetration is strong.

Related Models: