Sustainability
Number of Models:
The number of models that include elements aligned with the given construct.
26 Elements:
Components abstracted from each model and aligned with the given construct.
Adoption, Implementation and InstitutionalizationCost-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:
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:
- ACE Star Model of Knowledge Transformation
- Active Implementation Framework
- CDC DHAP's Research-to-Practice Framework
- Choosing Wisely Deimplementation Framework
- Conceptual Model of Implementation Research
- Conduct and Utilization of Research in Nursing (CURN)
- Dissemination and Implementation Framework for an Early Childhood Obesity Prevention Program
- Dissemination of Evidence-based Interventions to Prevent Obesity
- EQ-DI Framework
- Exploration, Preparation, Implementation, Sustainment (EPIS) model (Conceptual Model of Evidence-based Practice Implementation in Public Service Sectors)
- Facilitating Adoption of Best Practices (FAB) Model
- Framework for Dissemination of Evidence-Based Policy
- Framework for Enhancing the Value of Research for Dissemination and Implementation
- Framework for the Dissemination & Utilization of Research for Health-Care Policy & Practice
- Framework for the Transfer of Patient Safety Research into Practice
- Framework of Dissemination in Health Services Intervention Research
- General theory of implementation
- Interacting Elements of Integrating Science, Policy, and Practice
- Knowledge Exchange Framework
- Model for Predictors of Adoption
- Practical, Robust Implementation and Sustainability Model (PRISM)
- RE-AIM 1.0 Framework
- RE-AIM 2.0/Contextually Expanded RE-AIM
- Replicating Effective Programs Framework
- Sticky Knowledge
- Technology Transfer Model
Assessment Instruments:
External link to measures on the GEM site for the given construct.
- Clinical Sustainability Assessment Tool (CSAT)
- Implementation Strategy Usability Scale
- Intervention Scalability Assessment Tool (ISAT)
- Iterative, Practical, Robust Implementation and Sustainability Model (iPRISM) Webtool
- Normalization Process Theory Interview Guide
- Policy Coalition Evaluation Tool (PCET)
- Practical, Robust Implementation and Sustainability Model Interview Guide
- Program Sustainability Index
- Stages of Implementation Completion (SIC)