Participants of programs no longer funded by the original SAMHSA initiative reported significantly less global sustainment (F = 37.67, d.f. Damschroeder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Implement Sci.
Sustaining community-based programs for families: conceptualization and measurement. The PSAT is a 40-item scale, containing 8 sustainability domains (Environmental Support, Funding Stability, Partnerships, Organizational Capacity, Program Evaluation, Program Adaptation, Communications, and Strategic Planning), with 5 items per domain [15], and designed to measure capacity for sustainability a public health program’s capacity for sustainability. An agenda for research on the sustainability of public health programs. Individuals are instructed to complete the construct items by selecting an answer from option A or option B depending upon the relevance of the item. Although the tool was developed for intensive care unit (ICU) patient safety collaborative teams, developers intended for it to be applicable across clinical areas. 3.
The community has access to knowledge and information about the project. The online survey took approximately 15 to 20 min to complete. Strengths of the measures included, development by expert panels knowledgeable about particular interventions, fields or contexts, and utility in specific scenarios.
Survivability consists of a quality or capability of military forces which permits then to avoid or withstand hostile actions or environmental conditions while retaining the ability to fulfill their primary mission. Heavy... 2. Participants are encouraged to plot their scores to identify factors with greatest potential for improvement. NOT examples, What is everything that keeps the Army healthy, Defense Finance and Accounting Service is responsible for this (DFAS), What is managing money services for the DOD, What is Casualty Care, Medical Evacuation and Medical Logistics, What is integration, anticipation, responsiveness, simplicity, economy, survivability, continuity and improvision, Casualty Care consists of this. Pers Soc Psychol Bull. Routines and niche saturation items are scored on 4-point Likert-type scales. Luke D, Calhoun A, Robichaux CB, Elliott MB, Moreland-Russell S. The Program Sustainability Assessment Tool: a new instrument for public health programs. There are no reported psychometric properties on the planning or evaluation tools. Bonner C, Fajardo MA, Doust J, McCaffery K, Trevena L. Implementing cardiovascular disease prevention guidelines to translate evidence-based medicine and shared decision making into general practice: theory-based intervention development, qualitative piloting and quantitative feasibility. An item to total correlation higher than .4 was considered acceptable [55]. 14.
REDCap is supported at the Feinberg School of Medicine by the Northwestern University Clinical and Translational Science (NUCATS) Institute.
Confirmatory factor analysis of the Evidence-Based Practice Attitudes Scale with school-based behavioral health consultants.
Article SMSS has similar chi-square significance, RMSS, and SRMR as the PSAT.
2004;53(4):339–47. Can J Program Eval. Prev Sci.
Psychometric theory. Measures covered a range of determinants for sustainment (i.e., construct of sustainability) as well as constructs of sustainment as an outcome. More recently, Shelton, Chambers, and Glasgow [35] published a perspective that calls for an expanded conceptualization of the RE-AIM framework, with explicit focus on equity and cost of implementation, to enhance the study of maintenance/sustainability. The study was approved by the appropriate Institutional Review Boards prior to participant recruitment, and informed consent was obtained prior to administering surveys.
Clarity of tasks, standardized and interoperable procedures, and clearly defined command relationships contribute to simplicity. Global sustainment was associated with responsiveness to community needs and values and organizational capacity and staff capability in statewide prevention programs, and with six of the eight determinants (all but financial stability and responsiveness to community needs) in programs that focused on mental health. Advancing the application, quality and harmonization of implementation science measures. SAMHSA programs currently rely on electronic data collection systems including the Transformation Accountability (TRAC) data collection system for SAMHSA’s Center for Mental Health Services (CMHS) programs, and the Coalition Online Management and Evaluation Tool (COMET) and the Performance Management Reporting Tool (PMRT) used by SAMHSA’s Center for Substance Abuse Prevention (CSAP). Anticipation is the ability to foresee operational requirements and initiate actions that satisfy a response without waiting for an operations order or fragmentary order.
This may be because many programs are not necessarily implementing a specific practice, and some are just trying to sustain coalitions. = 117, p = 0.003). Adm Policy Ment Health.
1998;13(1):87–108. Anticipation is the ability to foresee operational requirements and initiate actions that satisfy a response without waiting for an operations order or fragmentary order
It is achieved through efficient management and discipline, prioritizing and allocating resources, and capitalizing on joint interdependencies. This is aligned with the extension of the RE-AIM framework’s focus on “evolvability” across the life cycle of implementation with a goal of contributing a sustainable and equitable health impact rather than on sustainment alone as a set end point [35]. Field maintenance... 3.
Outcomes for implementation science: an enhanced systematic review of instruments using evidence-based rating criteria. MASTER OF MILITARY ART AND SCIENCE . Slaghuis SS, Strating MMH, Bal RA, Nieboer AP. Brown TA. It is based on the theory that organizations are composed of production, maintenance, supportive, and managerial subsystems and that institutionalization occurs when a program becomes embedded into these subsystems. These six implementation projects varied with regard to the kinds of interventions being implemented (digital health, smoking cessation, patient self-management, oral health risk, system-level IT, sports program), implementation timelines, and professionals involved in the implementation activities (clinical, administrative, managerial, and other professionals in non-health contexts). Learn how and when to remove this template message, https://en.wikipedia.org/w/index.php?title=Principles_of_sustainment&oldid=936115412, Creative Commons Attribution-ShareAlike License, Integration is combining all of the elements of sustainment (tasks, functions, systems, processes, organizations) to operations assuring unity of. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. First, it draws upon the experience of evaluating sustainability in different types of prevention programs and initiatives with different aims and areas of emphases.
Implement Sci. Fleiszer AR, Semenic SE, Ritchie JA, Richer MC, Denis JL. Related, sustainment is ecologically complex, thus posing challenges to longitudinal measurement. 2017;44:442–64.
The methodology for developing the reviewed measures varied widely.
Scheirer MA, Dearing JW.
15. 2019;40(1):111–27.
13. Teletransmitted monitoring of blood pressure and bilingual nurse counseling–sustained improvements in blood pressure control during 12 months in hypertensive Korean Americans.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Because the research examining intervention sustainment is still accumulating, it is not yet known what critical factors at each ecological level are essential to capture the dynamic process of sustainment. Implement Sci.
1992;6(3):214–25. Bracht N, Finnegan JR Jr, Rissel C, et al. Responsiveness to community needs and values: 7 items measuring meeting needs of intended target populations and behavioral health needs of communities/populations being served, adaptability to meet these needs, consistency with norms and values of participating organizations, fit with values of sustaining organizations and communities, shared perception of project importance by participating organizations, and unacceptability of public health problem addressed by project.
This may be because of methodological difficulties, funding cycles, and minimal attention to theories and measurement of sustainment.
Known repositories of implementation measures, the Society of Implementation Research Collaboration (SIRC) instrument review project (IRP) [31, 43] and the Dissemination and Implementation Grid-Enabled Measures database initiative (GEM-D&I) [44, 45] were searched for measures of sustainment (or similar terms e.g., sustainability, maintenance).
The tool also requires higher-level organizational knowledge so it cannot be completed by frontline workers/service providers. Novins DK, Green AE, Legha RK, Aarons GA. 2017;12(1):75.
Implement Sci. Integration is combining all of the elements of sustainment (tasks, functions, systems, processes, organizations) to operations assuring unity of command and effort. Community ownership and program continuation following a health demonstration project.
J Adv Nurs. There is sufficient and timely feedback about the project delivery to maintain or improve quality. One of the items from the leadership subscale also exhibited a much higher loading in the coalition, partnerships, and networks factor (.660) than on the leadership factor (.129). The roles of system and organizational leadership in system-wide evidence-based intervention sustainment: a mixed-method study.
BMJ Qual Saf.
Personnel Services... Health Service Support, The ability of logistics forces to task-organize ensures comma….
2009;36(5):349–57. Guidance or inclusion of the timeframe of sustainment should be modeled off recommendations that suggest measurement should occur 12 months, but ideally 2 or more years after implementation [8]. Improvisation is the ability to adapt sustainment operations to unexpected situations or circumstances affecting a mission. Adm Policy Ment Health.
The resulting measure includes 45 items with eight subscales targeting routines and niche saturation across the subsystems.
Predicting evidence-based treatment sustainment: results from a longitudinal study of the Adolescent-Community Reinforcement Approach.
Discriminant validity was assessed by comparisons of sustainability determinants with whether or not the program had undergone adaptations.
Of note, while some constructs regarding sustainability processes such as monitoring, and adaption and improvement did appear in the reviewed measures, others including planning, technical assistance, and navigating competing demands did not arise. Results of the review will inform recommendations for the development of a pragmatic, valid, and reliable measure of sustainment. One-hundred eighty-six representatives of 145 grantees agreed to participate, resulting in an individual representative response rate of 35.2% and a grantee response rate of 47.5%. J Am Geriatr Soc. While these principles are independent, they are also interrelated. The SMSS can be used to conduct audits and provide feedback to grantees committed to sustaining prevention programs and initiatives once initial funding has ended. Article The principles of logistics are the same as the principles of sustainment.
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