Dynamic Sustainability Framework

D and/or I:
information tooltip image The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.


Socio-Ecological Levels:
information tooltip image The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.


Number of Times Cited:
information tooltip image The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.



Field of Origin:
information tooltip image The field of study in which the model originated.

Health Services Research

information tooltip image Whether the model is for the use of practitioners and/or researchers.

Researcher and Practitioner

information tooltip image These are ratings given by users of the site.

information tooltip image Name of the construct developed by classifying/aligning the elements abstracted from models.

Adaptation and evolution, Context – Inner setting, Evaluation, Outcomes – Quality Improvement/Practice or Policy Change, Stakeholders

information tooltip image The original publication(s) of the model.

Chambers DA, Glasgow RE, Stange KC. The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change Implementation Science 2013;8:117

information tooltip image Citations of studies that have used the model as an outline for their study.

Carlin E, Blondell SJ, Cadet-James Y, Campbell S, Williams M, Engelke C, Taverner D, Marriott R, Edmonds K, Atkinson D, Marley JV. Study protocol: a clinical trial for improving mental health screening for Aboriginal and Torres Strait Islander pregnant women and mothers of young children using the Kimberley Mum’s Mood Scale. BMC Public Health. 2019 Nov 14;19(1):1521. doi: 10.1186/s12889-019-7845-3.

Lewis CC, Scott K, Marti CN, Marriott BR, Kroenke K, Putz JW, Mendel P, Rutkowski D. Implementing measurement-based care (iMBC) for depression in community mental health: a dynamic cluster randomized trial study protocol. Implement Sci. 2015 Sep 7;10:127. doi: 10.1186/s13012-015-0313-2.

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