ArticleHealth research policy and systems2022
Understanding the sustainment of population health programmes from a whole-of-system approach.
Article in Health research policy and systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The trial behind it
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- What makes community-based, multilevel physical activity promotion last? A systematic review with narrative synthesis on factors for sustainable implementation.Perspectives in public health · 2025Pooled it
- mHealth to support resistance training using outdoor gyms: the ecofit hybrid type 3 implementation-effectiveness trial.Translational behavioral medicine · 2026Trial
- 'We all need to be on the same page': sustainment of healthy food retail practices in Australian public settings.Health promotion international · 2026Article
- Application of a typology for sustainment of Public health interventions using real-world case studies.Implementation science communications · 2026Article
- Impact of Youth Community Health Volunteers on Community Health Screening Program Outcomes for Older Adults: Mixed Methods Evaluation Study.Journal of medical Internet research · 2025Article
- Characterisation of At-Scale Community Health Interventions Aimed to Improve Healthy Eating Behaviour in Australia: A Rapid Review.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Review
- Where Do Professional Sports Clubs and Organisations Sit Within a Local Health Promotion System? A Social Network Analysis Study.International journal of environmental research and public health · 2025Article
- Involving national stakeholders in a systems approach to map drivers of childhood obesity and actions to prevent childhood obesity in Denmark: the Generation Healthy Kids Study.Health research policy and systems · 2025Article
- A cross-sectional study assessing barriers and facilitators to the sustainability of physical activity and nutrition interventions in early childhood education and care settings.The international journal of behavioral nutrition and physical activity · 2025Article
- Global reform population health management as stewarded by Higher Expert Medical Science Safety (HEMSS).Frontiers in artificial intelligence · 2025Article
- Rethinking Barriers and Enablers in Qualitative Health Research: Limitations, Alternatives, and Enhancements.Qualitative health research · 2024Article
- Real-world public health interventions demonstrate how research evidence informs program scale-up.Health promotion international · 2024Article
- Increasing participation in resistance training using outdoor gyms: A study protocol for the ecofit type III hybrid effectiveness implementation trial.Contemporary clinical trials communications · 2024Article
- Co-creating active communities: processes and outcomes of linking public rehabilitation programs with civic engagement for active living in a Danish municipality.Research involvement and engagement · 2023Article
- 'A Different Ball Game': Adaptation of a men's health program for implementation in rural Australia.BMC public health · 2023Article
- Models of care for people with dementia approaching end of life: A rapid review.Palliative medicine · 2023Review
- Making the connection between health equity and sustainability.Frontiers in public health · 2023Article
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPopulation health prevention programmes are needed to reduce the prevalence of chronic diseases. Nevertheless, sustaining programmes at a population level is challenging. Population health is highly influenced by social, economic and political environments and is vulnerable to these system-level changes. The aim of this research was to examine the factors and mechanisms contributing to the sustainment of population prevention programmes taking a systems thinking approach.
methodsWe conducted a qualitative study through interviews with population health experts working within Australian government and non-government agencies experienced in sustaining public health programs at the local, state or national level (n = 13). We used a deductive thematic approach, grounded in systems thinking to analyse data.
resultsWe identified four key barriers affecting program sustainment: 1) short term political and funding cycles; 2) competing interests; 3) silo thinking within health service delivery; and 4) the fit of a program to population needs. To overcome these barriers various approaches have centred on the importance of long-range planning and resourcing, flexible program design and management, leadership and partnerships, evidence generation, and system support structures.
conclusionThis study provides key insights for overcoming challenges to the sustainment of population health programmes amidst complex system-wide changes.
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Registered trials
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.