How do researchers conceptualize and plan for the sustainability of their NIH R01 implementation projects?

Johnson, Alekhya Mascarenhas; Moore, Julia E.; Chambers, David A.; Rup, Jennifer; Dinyarian, Camellia; Straus, Sharon E.

doi:10.1186/s13012-019-0895-1

Cited by 54Health Policy Implementation ScienceHealth Sciences Research and EducationHealth and Medical Research Impacts

How do researchers conceptualize and plan for the sustainability of their NIH R01 implementation projects?

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Johnson, Alekhya Mascarenhas, Moore, Julia E., Chambers, David A., Rup, Jennifer, Dinyarian, Camellia, Straus, Sharon E.·2019·Implementation Science

DOI 10.1186/s13012-019-0895-1PMC PMC6506963

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Abstract

BACKGROUND: Inadequate sustainability of implementation of evidence-based interventions has led to calls for research on how sustainability can be optimized. To advance our understanding of intervention sustainability, we explored how implementation researchers conceptualized and planned for the sustainability of their implemented interventions with studies funded by the United States (US) National Institutes of Health (NIH). METHODS: We used sequential, mixed methods to explore how researchers conceptualized and planned for the sustainability of the health interventions using (1) a document review of all active and completed US NIH R01 Grants and Equivalents reviewed within the Dissemination and Implementation Research in Health (DIRH) Study Section between 2004 and 2016 and (2) a qualitative content analysis of semi-structured interviews with NIH R01 DIRH grant recipients. RESULTS: We found 277 R01 profiles within the DIRH study section listed on the US NIH RePORTER website including 84 that were eligible for screening. Of the 84 unique projects, 76 (90.5%) had primary implementation outcomes. Of the 76 implementation project profiles, 51 (67.1%) made references to sustainability and none referred to sustainability planning. In both profiles and interviews, researchers conceptualized sustainability primarily as the continued delivery of interventions, programs, or implementation strategies. Few researchers referenced frameworks with sustainability constructs and offered limited information on how they operationalized frameworks. Researchers described broad categories of approaches and strategies to promote sustainability and key factors that may influence researchers to plan for sustainability, such as personal beliefs, self-efficacy, perception of their role, and the challenges of the grant funding system. CONCLUSIONS: We explored how US NIH R01 DIRH grant recipients conceptualized and planned for the sustainability of their interventions. Our results identified the need to test, consolidate, and provide guidance on how to operationalize sustainability frameworks, and to develop strategies on how funders and researchers can advance sustainability research.

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Use of frameworks to explicitly guide hypothesis formation is the minority, even within implementation efforts using theory to guide other aspects of the research process.
“Despite its explanatory power, use of frameworks to explicitly guide hypothesis formation are the minority, even within implementation efforts using theory to guide other aspects of the research process [38–40].”
From Ten recommendations for using implementation frameworks in research and practice (2020) · cites this paper as [40]

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Nevedal, A., Reardon, C. M., Jackson, G. L., Cutrona, S. L., White, B. S., Gifford, A. L., Orvek, E., DeLaughter, K. L., White, L., King, H. A., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12610085
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Deimplementation of inappropriate feeding practices in early care and education: a Hybrid Type 3 cluster-randomized trial
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Additional file 3: of How do researchers conceptualize and plan for the sustainability of their NIH R01 implementation projects?
Johnson, A. M., Moore, J., Chambers, D., Rup, J., Dinyarian, C., & Straus, S. (2019) · Figshare · doi:10.6084/m9.figshare.8105630
Self-citation
Additional file 1: of How do researchers conceptualize and plan for the sustainability of their NIH R01 implementation projects?
Johnson, A. M., Moore, J., Chambers, D., Rup, J., Dinyarian, C., & Straus, S. (2019) · Figshare · doi:10.6084/m9.figshare.8105618
Self-citation
Additional file 2: of How do researchers conceptualize and plan for the sustainability of their NIH R01 implementation projects?
Johnson, A. M., Moore, J., Chambers, D., Rup, J., Dinyarian, C., & Straus, S. (2019) · Figshare · doi:10.6084/m9.figshare.8105627
Self-citation
Advancing sustainability research: challenging existing paradigms
Chambers, D. (2011) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2011.00238.x · Cited by 14 · see citing works
Self-citation
Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support
Proctor, E., Luke, D., Calhoun, A., McMillen, C., Brownson, R., McCrary, S., & Padek, M. (2015) · Implementation Science · doi:10.1186/s13012-015-0274-5 · Cited by 429 · see citing works

Authors: Johnson, A. M., Moore, J. E., Chambers, D. A., Rup, J., Dinyarian, C., & Straus, S. E.
Affiliations: St. Michael's Hospital (CA)
National Institutes of Health (US)
Corresponding author: Straus, Sharon E.
ORCID: Moore, Julia E.
Chambers, David A.
Straus, Sharon E.
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2019-05-09
Volume: 14
Issue: 1
Pages: 50-50
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/s13012-019-0895-1
PMC: PMC6506963
OpenAlex: W2946928234
Cited by: 53
References: 23
Citations by year: 2026: 4 · 2025: 4 · 2024: 9 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 19 · 2019: 5
FWCI: 10.57
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (tdm)
Locations: Implementation Science (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
TSpace (University of Toronto) (submittedVersion, cc-by)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Research Impacts
Keywords: intervention sustainability, sustainability planning, implementation research, NIH R01 grants, dissemination and implementation research, research funding, sustainability framework, evidence-based interventions, grant recipients
MeSH terms: Implementation Science, Financing, Organized, Humans, Interviews as Topic, National Institutes of Health (U.S.), Planning Techniques, Research Personnel, United States

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How do researchers conceptualize and plan for the sustainability of their NIH R01 implementation projects?

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