ArticleBMJ open2017
What makes a sustainability tool valuable, practical and useful in real-world healthcare practice? A mixed-methods study on the development of the Long Term Success Tool in Northwest London.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Evaluation of measures of sustainability and sustainability determinants for use in community, public health, and clinical settings: a systematic review.Implementation science : IS · 2022Pooled it
- Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare.Implementation science : IS · 2018Pooled it
- Perceived Barriers and Potential Strategies for People Who Use Drugs in Accessing Oral Healthcare: A Qualitative Study of Service Providers.Community dentistry and oral epidemiology · 2026Article
- Implementation and Evaluation of a Patient-Focused eHealth Intervention, My Kidneys My Health, in Primary Care and General Nephrology Clinics: Multimethods Study.Journal of medical Internet research · 2025Article
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- The Role and Influence of Federally Established Health Policy Advisory Bodies in Canada.Healthcare policy = Politiques de sante · 2025Article
- "We all see things through a different lens based on our life experiences": co-production of a web-based implementation toolkit with stakeholders across the health and social care system.Frontiers in health services · 2024Article
- Unpacking the 'process of sustaining'-identifying threats to sustainability and the strategies used to address them: a longitudinal multiple case study.Implementation science communications · 2023Article
- Wellbeing while waiting evaluating social prescribing in CAMHS: study protocol for a hybrid type II implementation-effectiveness study.BMC psychiatry · 2023Article
- The Perils of a "My Work Here is Done" perspective: a mixed methods evaluation of sustainment of an evidence-based intervention for transient ischemic attack.BMC health services research · 2022Article
- Gift of time: learning together to embed a palliative approach to care in long-term care.BMJ open quality · 2022Article
- Maintaining Implementation through Dynamic Adaptations (MIDAS): protocol for a cluster-randomized trial of implementation strategies to optimize and sustain use of evidence-based practices in Veteran Health Administration (VHA) patients.Implementation science communications · 2022Article
- Conceptualising interventions to enhance spread in complex systems: a multisite comprehensive medication review case study.BMJ quality & safety · 2022Article
- A Research Protocol for Implementation and Evaluation of a Patient-Focused eHealth Intervention for Chronic Kidney Disease.Global implementation research and applications · 2022Article
- Will reached communities become 'hard to reach' again?The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Article
- Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review.Health research policy and systems · 2020Article
- Participatory Design of a Personalized Genetic Risk Tool to Promote Behavioral Health.Cancer prevention research (Philadelphia, Pa.) · 2020Article
- An explanatory model of factors enabling sustainability of let's talk in an adult mental health service: a participatory case study.International journal of mental health systems · 2020Article
- The unpredictable journeys of spreading, sustaining and scaling healthcare innovations: a scoping review.Health research policy and systems · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough improvement initiatives show benefits to patient care, they often fail to sustain. Models and frameworks exist to address this challenge, but issues with design, clarity and usability have been barriers to use in healthcare settings. This work aimed to collaborate with stakeholders to develop a sustainability tool relevant to people in healthcare settings and practical for use in improvement initiatives.
designTool development was conducted in six stages. A scoping literature review, group discussions and a stakeholder engagement event explored literature findings and their resonance with stakeholders in healthcare settings. Interviews, small-scale trialling and piloting explored the design and tested the practicality of the tool in improvement initiatives.
settingNational Institute for Health Research Collaboration for Leadership in Applied Health Research and Care for Northwest London (CLAHRC NWL).
participantsCLAHRC NWL improvement initiative teams and staff.
resultsThe iterative design process and engagement of stakeholders informed the articulation of the sustainability factors identified from the literature and guided tool design for practical application. Key iterations of factors and tool design are discussed. From the development process, the Long Term Success Tool (LTST) has been designed. The Tool supports those implementing improvements to reflect on 12 sustainability factors to identify risks to increase chances of achieving sustainability over time. The Tool is designed to provide a platform for improvement teams to share their own views on sustainability as well as learn about the different views held within their team to prompt discussion and actions.
conclusionThe development of the LTST has reinforced the importance of working with stakeholders to design strategies which respond to their needs and preferences and can practically be implemented in real-world settings. Further research is required to study the use and effectiveness of the tool in practice and assess engagement with the method over time.
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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.