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Cited by 23Health Policy Implementation ScienceSubstance Abuse Treatment and OutcomesCommunity Health and Development

Long-Term Sustainability of Evidence-Based Prevention Interventions and Community Coalitions Survival: a Five and One-Half Year Follow-up Study

Johnson, Knowlton, Collins, David, Shamblen, Steve, Kenworthy, Tara, Wandersman, Abraham·2017·Prevention Science
DOI 10.1007/s11121-017-0784-2
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Abstract

This study examines (1) coalition survival, (2) prevalence of evidence-based prevention interventions (EBPIs) to reduce substance abuse implemented as part of the Tennessee Strategic Prevention Framework (SPF) State Incentive Grant (SIG), (3) EBPI sustainability, and (4) factors that predict EBPI sustainability. Secondary data were collected on 27 SPF SIG-funded coalitions and 88 EBPI and non-EBPI implementations. Primary data were collected by a telephone interview/web survey five and one-half years after the SPF SIG ended. Results from secondary data show that 25 of the 27 coalitions survived beyond the SPF SIG for one to five and one-half years; 19 coalitions (70%) were still active five and one-half years later. Further, 88 EBPIs and non-EBPIs were implemented by 27 county SPF SIG coalitions. Twenty-one (21) of 27 coalitions (78%) implemented one to three EBPIs, totaling 37 EBPI implementations. Based on primary survey data on 29 of the 37 EBPI implementations, 28 EBPIs (97%) were sustained between two and five and one-half years while 22 EBPI implementations (76%) were sustained for five and one-half years. When controlling for variability among coalitions (nesting of EBPIs in coalitions), increases in data resources (availability of five types of prevention data) was a strong predictor of length of EBPI sustainability. Positive change in extramural funding resources and level of expertise during SPF SIG implementation, as well as level of coalition formalization at the end of the SPF SIG predicted EBPI sustainability length. One intervention attribute (trialability) also predicted length of sustainability. Implications are discussed.

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  • Studies suggest that some factors may be uniquely important for sustaining coalitions, including board/team functioning, data/evaluation resources, and planning for sustainability.

    “Studies suggest that some factors may be uniquely important for sustaining coalitions, including board/team functioning, data/evaluation resources, and planning for sustainability (56, 64, 96, 127, 145).”

    From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [64]

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Authors
Johnson, K., Collins, D., Shamblen, S., Kenworthy, T., & Wandersman, A.
Affiliations
  • Pacific Institute For Research and Evaluation (US)
  • University of South Carolina (US)
Corresponding author
Johnson, Knowlton
ORCID
Venue
Prevention Science
Publisher
Springer Science and Business Media LLC
Published
2017-04-11
Volume
18
Issue
5
Pages
610-621
ISSN
  • 1389-4986 (ISSN-L)
  • 1573-6695
DOI
10.1007/s11121-017-0784-2
OpenAlex
W2607129793
Cited by
23
References
42
Citations by year
2026: 3 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 5 · 2018: 3
FWCI
3.53
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (unspecified)
Locations
  • Prevention Science (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Pacific Institute for Research and Evaluation (US)
  • University of South Carolina
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Community Health and Development
Keywords
intervention sustainability, community coalitions, substance use prevention, extramural funding, trialability, long-term follow-up
MeSH terms
Follow-Up Studies, Humans, Substance-Related Disorders, Evidence-Based Practice

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