Evidence map›Paper›PMID 26062907›Full record

ArticleImplementation science : IS2015

Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support.

Enola Proctor, Douglas Luke, Annaliese Calhoun, Curtis McMillen, Ross Brownson, Stacey McCrary, Margaret Padek

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 233 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
233citing papers in PubMed, 15 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

233 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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173 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Enola ProctorGeorge Warren Brown School of Social Work, Washington University in St. Louis, One Brookings Drive, Campus, Box 1196, St. Louis, MO, USA. ekp@wustl.edu.
Douglas LukeGeorge Warren Brown School of Social Work, Washington University in St. Louis, One Brookings Drive, Campus, Box 1196, St. Louis, MO, USA. dluke@wustl.edu.
Annaliese CalhounBridgespan Group, 2 Copley Pl #3700b, Boston, MA, USA. annaliese@go.wustl.edu.
Curtis McMillenSchool of Social Service Administration, The University of Chicago, 969 E. 60th Street, Chicago, IL, USA. cmcmillen@uchicago.edu.
Ross BrownsonGeorge Warren Brown School of Social Work, Washington University in St. Louis, One Brookings Drive, Campus, Box 1196, St. Louis, MO, USA. rbrownson@wustl.edu.
Stacey McCraryGeorge Warren Brown School of Social Work, Washington University in St. Louis, One Brookings Drive, Campus, Box 1196, St. Louis, MO, USA. Stacey.mccrary@wustl.edu.
Margaret PadekGeorge Warren Brown School of Social Work, Washington University in St. Louis, One Brookings Drive, Campus, Box 1196, St. Louis, MO, USA. Mpadek2@brownschool.wustl.edu.

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Worksite Policies and neighborhood Influences on Obesity and Cancer RiskU54CA155496 · NCI · WASHINGTON UNIVERSITY · PI COLDITZ, GRAHAM A. · 2011 to 2016
$9.0M
OPERATIONS CORE (285-351)P30MH068579 · NIMH · WASHINGTON UNIVERSITY · PI MCMILLEN, J. CURTIS · 2004 to 2008
$7.0M
IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
SUSTAINABILITY OF EVIDENCE-BASED HEALTHCARE: THE CONCEPTUAL AND METHODOLOGICAL AGR13HS020775 · AHRQ · WASHINGTON UNIVERSITY · PI PROCTOR, ENOLA K · 2011 to 2011
$48k
AHRQ HHS 1R13HS020775AHRQ HHS R13 HS020775NCI NIH HHS THI1 U54 CA155496-01NCI NIH HHS U54 CA155496NCRR NIH HHS UL1 RR024992NIMH NIH HHS P30 MH068579NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

backgroundLittle is known about how well or under what conditions health innovations are sustained and their gains maintained once they are put into practice. Implementation science typically focuses on uptake by early adopters of one healthcare innovation at a time. The later-stage challenges of scaling up and sustaining evidence-supported interventions receive too little attention. This project identifies the challenges associated with sustainability research and generates recommendations for accelerating and strengthening this work.

methodsA multi-method, multi-stage approach, was used: (1) identifying and recruiting experts in sustainability as participants, (2) conducting research on sustainability using concept mapping, (3) action planning during an intensive working conference of sustainability experts to expand the concept mapping quantitative results, and (4) consolidating results into a set of recommendations for research, methodological advances, and infrastructure building to advance understanding of sustainability. Participants comprised researchers, funders, and leaders in health, mental health, and public health with shared interest in the sustainability of evidence-based health care.

resultsPrompted to identify important issues for sustainability research, participants generated 91 distinct statements, for which a concept mapping process produced 11 conceptually distinct clusters. During the conference, participants built upon the concept mapping clusters to generate recommendations for sustainability research. The recommendations fell into three domains: (1) pursue high priority research questions as a unified agenda on sustainability; (2) advance methods for sustainability research; (3) advance infrastructure to support sustainability research.

conclusionsImplementation science needs to pursue later-stage translation research questions required for population impact. Priorities include conceptual consistency and operational clarity for measuring sustainability, developing evidence about the value of sustaining interventions over time, identifying correlates of sustainability along with strategies for sustaining evidence-supported interventions, advancing the theoretical base and research designs for sustainability research, and advancing the workforce capacity, research culture, and funding mechanisms for this important work.

Indexed as

Evidence-Based PracticeProgram EvaluationDelivery of Health CareHumansProgram DevelopmentTranslational Research, Biomedical

Identifiers

PMID26062907
PMCPMC4494699

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.