Sustained implementation of evidence-based programs in disadvantaged communities: a conceptual framework of supporting factors

Hodge, Lauren M. and Turner, Karen M. T. (2016) Sustained implementation of evidence-based programs in disadvantaged communities: a conceptual framework of supporting factors. American Journal of Community Psychology, 58 1-2: 192-210. doi:10.1002/ajcp.12082


Author Hodge, Lauren M.
Turner, Karen M. T.
Title Sustained implementation of evidence-based programs in disadvantaged communities: a conceptual framework of supporting factors
Journal name American Journal of Community Psychology   Check publisher's open access policy
ISSN 0091-0562
1573-2770
Publication date 2016-09-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/ajcp.12082
Open Access Status Not yet assessed
Volume 58
Issue 1-2
Start page 192
End page 210
Total pages 19
Place of publication New York, NY, United States
Publisher Springer New York LLC
Language eng
Abstract This paper presents a review of the empirical literature for studies evaluating factors that facilitate and create barriers to sustained program implementation in disadvantaged communities. It outlines study methodology and sustainment outcomes and proposes a conceptual model that involves implementation sustainment support for providers delivering evidence-based health and family services in disadvantaged communities. Sustained program implementation in the community setting is a significant issue as only 43% of studies reported successfully sustained programs. The review identified 18 factors that facilitate success and create barriers to program sustainment. The factors are synthesized into three themes; program characteristics, workplace capacity, and process and interaction factors. The majority of factors map onto commonly cited sustainability influences in implementation science. However, there was an additional focus for studies included in this review on the importance of factors such as program burden, program familiarity and perceived competence in program skills, workplace support for the program, staff mobility and turnover, supervision and peer support, and ongoing technical assistance. The need to use a conceptual framework and develop measures to guide and evaluate capacity building in EBP implementation and sustainment in low-resource community settings is highlighted.
Keyword Evidence-based programs
Implementation
Sustainability
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: HERDC Pre-Audit
Parenting and Family Support Centre (Triple P) - Publications
School of Psychology Publications
 
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