Linking Sustainability Research to Intervention Types
Open accessAbstract
Researchers, funders, and managers of health programs and interventions have become concerned about their long-term sustainability. However, most research about sustainability has not considered the nature of the program to be sustained. Health-related interventions may differ in their likelihood of sustainability and in the factors likely to influence continuation. I suggest a framework for analyzing the sustainability of 6 types of interventions: (1) those implemented by individual providers; (2) programs requiring coordination among multiple staff; (3) new policies, procedures, or technologies; (4) capacity or infrastructure building; (5) community partnerships or collaborations; and (6) broad-scale system change. Hypotheses for future research and strategies that program managers might use to achieve sustainability also differ by program or intervention type.
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No agreed-upon definition exists for the term healthcare program sustainability.
“To make matters worse, no agreed-upon definition exists for the term healthcare program sustainability [106].”
From Community-Based Healthcare Programs Sustainability Impact on the Sustainability of Host Organizations: A Structural Equation Modeling Analysis (2019) · cites this paper as [106]
Scheirer et al. posit an intervention typology based on who and what is required for continued implementation, hypothesizing what factors are most salient for sustainment success of each type.
“Scheirer et al. [54] posit an intervention typology based on who and what is required for continued implementation—which hypothesizes what factors are most salient for sustainment success of each type.”
Intervention targets have been categorized as: change behavior of individuals; change coordinated behaviors among multiple staff; change policies, procedures, and technologies; increase organizational or system-level capacity or improve infrastructure; create or strengthen collaborative partnerships or coalitions; and change systems.
“Intervention targets have been categorized as: change behavior of individuals; change coordinated behaviors among multiple staff; change policies, procedures, and technologies; increase organizational or system-level capacity or improve infrastructure; create or strengthen collaborative partnerships or coalitions; and change systems [32].”
From Towards a common terminology: a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies (2014) · cites this paper as [32]
Scheirer proposed that one size does not fit all with interventions, and that sustainability research and planning might differ based on intervention structure.
“Scheirer (117) proposed that one size does not fit all with interventions, and that sustainability research and planning might differ based on intervention structure (e.g., what the interventions are and how they are implemented).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [117]
Scheirer proposed six types of interventions or programs distinguished by their structure: individual providers; coordination among multiple staff; new policies/procedures/technologies; capacity/infrastructure building; collaborative partnerships/coalitions; and broad-scale system change.
“Scheirer proposed six types of interventions or programs distinguished by their structure, namely (a) interventions implemented by individual providers; (b) interventions requiring coordination among multiple staff; (c) new policies, procedures, and technologies; (d) capacity or infrastructure building; (e) collaborative partnerships or coalitions; and (f) broad-scale system change.”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [117]
Strategies that might influence sustainability may be related to intervention types.
“Strategies that might influence sustainability may be related to intervention types [37].”
From Successful Organizational Strategies to Sustain Use of A-CHESS: A Mobile Intervention for Individuals With Alcohol Use Disorders (2015) · cites this paper as [37]
Efforts to successfully sustain an intervention like A-CHESS require support from leadership and a project champion, an understanding of how the innovation fits within the organizational mission, training for all staff involved in the implementation, seeking continued financial resources, integrating a new practice into organization policies and procedures, and continuous monitoring.
“Efforts to successfully sustain such an intervention require support from leadership and a project champion, an understanding of how the innovation fits within the organizational mission, training for all staff involved in the implementation, seeking continued financial resources, integrating a new practice into organization policies and procedures, and continuous monitoring [37].”
From Successful Organizational Strategies to Sustain Use of A-CHESS: A Mobile Intervention for Individuals With Alcohol Use Disorders (2015) · cites this paper as [37]
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- Authors
- Scheirer, M. A.
- Affiliations
- Mary Ann Scheirer is with Scheirer Consulting, Princeton, NJ.
- Corresponding author
- Scheirer, Mary Ann
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2013-04
- Volume
- 103
- Issue
- 4
- Pages
- e73-e80
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3673273
- OpenAlex
- W2152056361
- Cited by
- 161
- References
- 48
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 10 · 2023: 15 · 2022: 13 · 2021: 9 · 2020: 22 · 2019: 9 · 2018: 15 · 2017: 10 · 2016: 8 · 2015: 23 · 2014: 11 · 2013: 5
- FWCI
- 28.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- intervention sustainability, intervention types, capacity building, community partnerships, system change, research framework
- MeSH terms
- Community Health Services, Community-Institutional Relations, Community Participation, Cooperative Behavior, Health Plan Implementation, Health Planning, Health Planning Guidelines, Health Policy, Health Services Research, Humans, Organizational Innovation, Program Evaluation, Public Health Practice, Program Development, Evidence-Based Practice, Capacity Building
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