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How to Institutionalize Health Promotion Programs
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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“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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Metadata
- 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
- 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
- Locations
- American Journal of Health Promotion (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Community Health and Development
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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