Evidence map›Paper›PMID 31764968›Full record

ArticleTranslational behavioral medicine2020

Conceptualizing and measuring sustainability of prevention programs, policies, and practices.

Lawrence A Palinkas, Suzanne E Spear, Sapna J Mendon, Juan Villamar, Charles Reynolds, Costella D Green, Charlotte Olson, Audrey Adade, C Hendricks Brown

Abstract read
In one paragraph

Article in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Lawrence A PalinkasSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
Suzanne E SpearDepartment of Health Sciences, California State University, Northridge, CA, USA.
Sapna J MendonSuzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA.
Juan VillamarCenter for Prevention Implementation Methodology (Ce-PIM) for Drug Abuse and HIV, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Charles ReynoldsCenter for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Rockville, MD, USA.
Costella D GreenCenter for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Rockville, MD, USA.
Charlotte OlsonCenter for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Rockville, MD, USA.
Audrey AdadeCenter for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville, MD, USA.
C Hendricks BrownCenter for Prevention Implementation Methodology (Ce-PIM) for Drug Abuse and HIV, Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Funding

Global Mental Health Research Fellowship: Interventions That Make a DifferenceT32MH096724 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2012 to 2026
$4.4M
Measuring Sustainment in Prevention Programs and InitiativesR34DA037516 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PALINKAS, LAWRENCE A · 2015 to 2017
$827k
NIDA NIH HHS R34 DA037516NIMH NIH HHS T32 MH096724
6 · The paper itself

Abstract

A large knowledge gap exists regarding the measurement of sustainability of evidence-based prevention programs for mental and behavioral health. We interviewed 45 representatives of 10 grantees and 9 program officers within 4 Substance Abuse and Mental Health Services Administration prevention grant initiatives to identify experiences with implementation and sustainability barriers and facilitators; what "sustainability" means and what it will take to sustain their programs; and which Consolidated Framework for Implementation Research (CFIR) elements are important for sustainability. Lists of sustainability determinants and outcomes were then compiled from each data set and compared with one another. Analysis of themes from interviews and free lists revealed considerable overlap between sustainability determinants and outcomes. Four sustainability elements were identified by all three data sets (ongoing coalitions, collaborations, and networks and partnerships; infrastructure and capacity to support sustainability; community need for program; and ongoing evaluation of performance and outcomes), and 11 elements were identified by two of three data sets (availability of funding; consistency with organizational culture; evidence of positive outcomes; development of a plan for implementation and sustainment; presence of a champion; institutionalization and integration of program; institutional support and commitment; community buy-in and support; program continuity; supportive leadership; and opportunities for staff training). All but one of the CFIR domain elements (pressure from other states, tribes, or communities) were endorsed as important to sustainability by 50% or more of participants. It may be more important to implement a standardized process of eliciting determinants and outcomes of sustainability than to implement a single standardized instrument.

Indexed as

PolicyHumansProgram EvaluationBehavioral healthMeasurementMethodologyPreventionQualitativeSustainability

Identifiers

PMID31764968
PMCPMC7020391

What OpenQuestion holds

Textmetadata
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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.