How to Institutionalize Health Promotion Programs

Steckler, Allan; Goodman, Robert M.

doi:10.4278/0890-1171-3.4.34

Cited by 146Public Health Policies and EducationCommunity Health and DevelopmentSchool Health and Nursing Education

How to Institutionalize Health Promotion Programs

Steckler, Allan, Goodman, Robert M.·1989·American Journal of Health Promotion

DOI 10.4278/0890-1171-3.4.34

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Abstract

This article presents six implications for practice that suggest how to optimize the institutionalization of health promotion programs. These six implications were derived from a study of ten health promotion programs funded by the Virginia State Health Department and operated by local schools- and community health agencies. Institutionalization refers to the long-term survival of health promotion programs, i.e., survival well beyond an initial grant funding period. To generate the implications for practice, a multiple case design for cross-case comparisons was applied to the ten health promotion programs. In brief, the six practice implications are: 1) cultivating a “program champion”; 2) favoring organizations with mature “subsystems”; 3) favoring organizations in which health promotion “fits” with the organization's mission; 4) avoiding brokering relationships; 5) altering lengths of funding periods; and 6) funding existing worthy programs. The significance of these practice implications for both funding and implementing agencies is briefly discussed.

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The early literature on sustainability focused largely on institutionalization and routinization.
“Whereas the early literature on sustainability focused largely on institutionalization and routinization (e.g., integrating a new set of practices into the routine operations of an organization) (129, 149), there has been recognition over the past 20 years that institutionalization may impede organizations or communities from adopting more effective practices when new evidence emerges (135).”
From The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care (2018) · cites this paper as [129]

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IMPLEMENTATION ANALYSIS AND ASSESSMENT**The chapter is revised from an earlier paper of the same title that appeared in Policy Analysis, Volume 1, No. 3, pp. 531–566 (Copyright by The Regents of the University of California), and the portions used from the earlier work are included with the permission of The Regents of the University of California. Work on the paper was supported by a grant from the National Science Foundation. A number of individuals commented on earlier drafts: Richard Elmore, Lucille Fuller, Eleanor Holmes, Laura Kemp, and Jeanette Veasey, all at the time at the University of Washington; Robert Levine, Congressional Budget Office, and Arnold J. Meltsner, University of California, Berkeley. The author, however, is solely responsible for the views expressed.
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Authors: Steckler, A., & Goodman, R. M.
Venue: American Journal of Health Promotion
Publisher: SAGE Publications
Published: 1989-03
Volume: 3
Issue: 4
Pages: 34-43
ISSN: 0890-1171 (ISSN-L)
2168-6602
DOI: 10.4278/0890-1171-3.4.34
OpenAlex: W2079137308
Cited by: 146
References: 32
Citations by year: 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 8 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 1 · 2012: 3
FWCI: 14.45
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: American Journal of Health Promotion (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
Health Sciences › Health Professions › General Health Professions › Community Health and Development
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: institutionalization, health promotion programs, program sustainability, program champions, organizational subsystems, organizational mission alignment, program funding, school health promotion, community health agencies

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How to Institutionalize Health Promotion Programs

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