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Cited by 78Dental Health and Care UtilizationHealth Policy Implementation ScienceInnovation Diffusion and Forecasting

The Life Cycle of an Innovation: Adoption versus Discontinuation of the Fluoride Mouth Rinse Program in Schools

Scheirer, Mary Ann·1990·Journal of Health and Social Behavior
DOI 10.2307/2137173
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Abstract

Reasons for adoption and for discontinuation of a dental caries prevention innovation (the fluoride mouth rinse program) are examined by using recent theory on decision processes within organizations. Greer's (1977) analysis of three theoretical approaches for the study of innovation adoption--classical, organizational, and political--are used as an organizing framework to analyze these two parts of an overall life cycle for innovations. The results from both descriptive and multivariate analyses support the relevance of "political" and "classical" diffusion models for both adoption and discontinuation. Organizational structure variables--e.g., demographic indicators, administrative structures, and financial measures--show little explanatory strength for either outcome. Both outcomes seem to be dominated by "political" influences from strong interpersonal communications rather than by formal decision-making processes. The results suggest that political contingency theories may explain the processes by which organizations adopt and discontinue innovations, whereas classical diffusion theory explains the content of these processes.

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  • Some researchers assert that the factors that influence the initial adoption of evidence-based interventions may differ from those that influence sustainability.

    “They assert that the factors that influence the initial adoption of EBIs may differ from those that influence sustainability (115, 122), and that different factors might be more influential at different time points (2).”

    From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [115]

  • The empirical literature suggests that important categories of factors influence sustainability across settings and are dynamically related: outer contextual factors, inner contextual/organizational factors, processes, intervention characteristics, and implementer characteristics.

    “To date, the empirical literature suggests the existence of important categories of factors that influence sustainability across settings and are dynamically related. They are outer contextual factors (e.g., sociopolitical context, funding environment), inner contextual or organizational factors (e.g., financial resources, leadership, program champions, organizational support, staff stability, po”

    From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [115]

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Authors
Scheirer, M. A.
Corresponding author
Scheirer, Mary Ann
Venue
Journal of Health and Social Behavior
Publisher
SAGE Publications
Published
1990-06
Volume
31
Issue
2
Pages
203
ISSN
0022-1465 (ISSN-L)
DOI
10.2307/2137173
OpenAlex
W2001170158
Cited by
78
References
30
Citations by year
2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 3 · 2013: 2 · 2012: 4
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Health and Social Behavior (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01de006895-02)
  • National Institute of Dental and Craniofacial Research (DE-06895)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Innovation Diffusion and Forecasting
Keywords
innovation adoption, fluoride mouthwash, diffusion of innovations, organizational decision processes, interpersonal communication, school health programs
MeSH terms
Dental Caries, Diffusion of Innovation, Fluorides, Topical, Follow-Up Studies, Humans, Mouthwashes, Surveys and Questionnaires, School Health Services, Multivariate Analysis

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