ArticleImplementation science communications2024
Lowering the burden: Shorter versions of the Program Sustainability Assessment Tool (PSAT) and Clinical Sustainability Assessment Tool (CSAT).
Article in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07387393 (Peau o le Vasa), which is not on this map. Cited by 11 papers.
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
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.
Peau o le Vasa: Accelerating the Currents of Health Advances for Pasifika People
Who cites it
11 citing papers in PubMed.
- Scale-up evaluation results of a multi-level approach using mailed immunochemical test (FIT) and patient navigation to increase colorectal cancer screening rates in rural clinic settings.BMC primary care · 2026Trial
- Implementation and impact: integrating a parenting intervention into routine care for children with early neurological conditions.Pediatric research · 2026Article
- Community-based model of care to improve access to and utilization of health services for common non-communicable diseases among culturally and linguistically diverse populations in Australia: an implementation research protocol.Archives of public health = Archives belges de sante publique · 2026Article
- Improving diagnostic safety through STeatosis Identification, Risk stratification, and Referral pathway in the ED (STIRRED): Protocol for an effectiveness implementation trial.Contemporary clinical trials · 2026Article
- Psychometric properties of the Clinical Sustainability Assessment Tool (CSAT) short form across three research centers evaluating effectiveness and implementation of a cancer symptom surveillance and management intervention.Implementation science communications · 2026Article
- Sustainability and normalization of an intervention to improve evidence-based myocardial infarction care in Tanzania.Implementation science communications · 2026Article
- Operationalizing health equity: a mixed-methods approach to measuring organizational capacity in public health practice.Frontiers in public health · 2026Article
- Sustainability and normalization of an intervention to improve evidence-based myocardial infarction care in Tanzania.Research square · 2025Article
- Contextual factors of implementing APOL1 genetic testing into living kidney donor clinical evaluation.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Community intervention to reduce cardiovascular disease in Chicago (CIRCL-Chicago): protocol for a type 3 hybrid effectiveness-implementation study using a parallel cluster-randomized trial design.Implementation science : IS · 2025Article
- Study protocol: type II hybrid effectiveness-implementation study of routine functional status screening in VA primary care.Implementation science communications · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAlthough significant advances have been made in the conceptualization of sustainability, having pragmatic, psychometrically valid tools remains a need within the field. Our previous work has developed frameworks and tools to assess both program sustainability and clinical sustainability capacity. This work presents new, psychometrically tested short versions of the Program Sustainability Assessment Tool (PSAT) and the Clinical Sustainability Assessment Tool (CSAT).
methodsThese methods were conducted in identical, parallel processes for the CSAT and PSAT. Previously collected data for these instruments was obtained across a variety of settings, contexts, and participants. We first conducted testing to determine cronbach's alpha of shortened domains (3 items each) and then conducted Confirmatory Factor Analysis to ensure that the domains were still appropriate for the tool. After, the team met to review the results and determine the final versions of the short PSAT and short CSAT.
resultsThe short PSAT retained cronbach's alpha's of 0.82 - 0.91 for each domain of the tool, with which maintains excellent reliability for the tool. Confirmatory factor analysis highlights that the short PSAT retains conceptual distinction across the 8 domains, with CFI scores greater than 0.90, RMSEA scores below 0.6, and SRMR scores less than 0.08. The short CSAT had cronbach's alpha of 0.84 - 0.92 for each of the domains of the tool, also suggesting excellent reliability of the domains within the measure after dropping two items/domain. Confirmatory factor analysis of the short CSAT meets the same specifications as above, again highlighting conceptual distinction across the domains.
conclusionEach tool was able to be shortened to three items per domain while maintaining strong psychometric properties. This results in a tool that takes less time to complete, meeting one of the key calls for pragmatic measures within implementation science. This advances our abilities to measure and test sustainability within implementation science.
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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.