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Published in: Implementation Science 1/2018

Open Access 01-12-2018 | Study protocol

Developing an evidence-based program sustainability training curriculum: a group randomized, multi-phase approach

Published in: Implementation Science | Issue 1/2018

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Abstract

Background

The emergence of dissemination and implementation (D&I) science has driven a rapid increase in studies of how new scientific discoveries are translated and developed into evidence-based programs and policies. However, D&I science has paid much less attention to what happens to programs once they have been implemented. Public health programs can only deliver benefits if they reach maturity and sustain activities over time. In order to achieve the full benefits of significant investment in public health research and program development, there must be an understanding of the factors that relate to sustainability to inform development of tools and trainings to support strategic long-term program sustainability. Tobacco control programs, specifically, vary in their abilities to support and sustain themselves over time. As of 2018, most states still do not meet the CDC-recommended level for funding their TC program, allowing tobacco use to remain the leading cause of preventable disease and death in the USA. The purpose of this study is to empirically develop, test, and disseminate training programs to improve the sustainability of evidence-based state tobacco control programs and thus, tobacco-related health outcomes.

Methods

This paper describes the methods of a group randomized, multi-phase study that evaluates the empirically developed “Program Sustainability Action Planning Training” and technical assistance in US state-level tobacco control programs. Phase 1 includes developing the sustainability action planning training curriculum and technical assistance protocol and developing measures to assess long-term program sustainability. Phase 2 includes a group randomized trial to test the effectiveness of the training and technical assistance in improving sustainability outcomes in 24 state tobacco control programs (12 intervention, 12 comparison). Phase 3 includes the active dissemination of final training curricula materials to a broader public health audience.

Discussion

Empirical evidence has established that program sustainability can improve through training and technical assistance; however, to our knowledge, no evidence-based sustainability training curriculum program exists. Therefore, systematic methods are needed to develop, test, and disseminate a training that improves the sustainability of evidence-based programs.

Trial registration

NCT03598114. Registered 25 July 2018—retrospectively registered.
Literature
4.
go back to reference Hanson H, Salmoni A, Volpe R. Defining program sustainability: differing view of stakeholders. Can J Public Heal. 2009;100(3):304–9. Hanson H, Salmoni A, Volpe R. Defining program sustainability: differing view of stakeholders. Can J Public Heal. 2009;100(3):304–9.
5.
go back to reference Wiltsey Stirman S, Kimberly J, Cook N, Calloway A, Castro F, Charns M. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci. 2012;7(17). https://doi.org/10.1186/1748-5908-7-17. Wiltsey Stirman S, Kimberly J, Cook N, Calloway A, Castro F, Charns M. The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci. 2012;7(17). https://​doi.​org/​10.​1186/​1748-5908-7-17.
6.
go back to reference Wright C, Catty J, Watt H, Burns T. A systematic review of home treatment services: classification and sustainability. Soc Psychiatry Psychiatr Epidemiol. 2004;39(10):789–96.CrossRef Wright C, Catty J, Watt H, Burns T. A systematic review of home treatment services: classification and sustainability. Soc Psychiatry Psychiatr Epidemiol. 2004;39(10):789–96.CrossRef
10.
go back to reference Akerlund KM. Prevention program sustainability: the state’s perspective. J Community Psychol. 2000;28(3):353–62.CrossRef Akerlund KM. Prevention program sustainability: the state’s perspective. J Community Psychol. 2000;28(3):353–62.CrossRef
11.
go back to reference Department of Health and Human Services (US). The health consequences of smoking – 50 years of progress: a report of the Surgeon General. Rockville; 2014. Department of Health and Human Services (US). The health consequences of smoking – 50 years of progress: a report of the Surgeon General. Rockville; 2014.
13.
go back to reference Johnson K, Collins D, Wandersman A. Sustaining innovations in community prevention systems: a data-informed sustainability strategy. J Community Psychol. 2013;41(3):322–40.CrossRef Johnson K, Collins D, Wandersman A. Sustaining innovations in community prevention systems: a data-informed sustainability strategy. J Community Psychol. 2013;41(3):322–40.CrossRef
15.
go back to reference Feinberg M, Ridenour T, Greenberg M. The longitudinal effect of technical assistance dosage on the functioning of Communities That Care prevention boards in Pennsylvania. J Prim Prev. 2008;29(2):145–65.CrossRef Feinberg M, Ridenour T, Greenberg M. The longitudinal effect of technical assistance dosage on the functioning of Communities That Care prevention boards in Pennsylvania. J Prim Prev. 2008;29(2):145–65.CrossRef
19.
go back to reference Weiss C. Nothing as practice as good theory: exploring theory-based evaluation for comprehensive community initiatives for children and families. In: Connell J, Kubisch A, Schorr L, Weiss C, editors. New approaches to evaluating community initiatives: volume 1, concepts, methods, and contexts. Washington, D.C.: The Aspen Institute; 1995. Weiss C. Nothing as practice as good theory: exploring theory-based evaluation for comprehensive community initiatives for children and families. In: Connell J, Kubisch A, Schorr L, Weiss C, editors. New approaches to evaluating community initiatives: volume 1, concepts, methods, and contexts. Washington, D.C.: The Aspen Institute; 1995.
20.
go back to reference Huey-Tysh C. Theory driven evaluation. Newbury Park: Sage Publications Ltd.; 1990. Huey-Tysh C. Theory driven evaluation. Newbury Park: Sage Publications Ltd.; 1990.
21.
go back to reference Johnson K, Hays C, Center H, Daley C. Building capacity and sustainable prevention innovations: a sustainability planning model. Eval Program Plann. 2004;27(2):135–49.CrossRef Johnson K, Hays C, Center H, Daley C. Building capacity and sustainable prevention innovations: a sustainability planning model. Eval Program Plann. 2004;27(2):135–49.CrossRef
22.
go back to reference Kolb A, Kolb D. The learning way: meta-cognitive aspects of experiential learning. Simul Gaming. 2009;40(3):297–327.CrossRef Kolb A, Kolb D. The learning way: meta-cognitive aspects of experiential learning. Simul Gaming. 2009;40(3):297–327.CrossRef
24.
go back to reference van Osch L, Lechner L, Reubsaet A, de Vries H. From theory to practice: an explorative study into instrumentality and specificity of implementation intentions. Psychol Health. 2010;25(3):351–64.CrossRef van Osch L, Lechner L, Reubsaet A, de Vries H. From theory to practice: an explorative study into instrumentality and specificity of implementation intentions. Psychol Health. 2010;25(3):351–64.CrossRef
25.
go back to reference de Vet E, Oenema A, Brug J. More or better: do the number and specificity of implementation intentions matter in increasing physical activity? Psychol Sport Exerc. 2011;12(4):471–7.CrossRef de Vet E, Oenema A, Brug J. More or better: do the number and specificity of implementation intentions matter in increasing physical activity? Psychol Sport Exerc. 2011;12(4):471–7.CrossRef
27.
go back to reference Sheeran P, Milne S, Webb T, Gollwitzer P. Implementation intentions and health behavior. In: Connor M, Norman P, editors. Predicting health behavior research and practice with social cognition models. 2nd ed. Berkshire: Open University Press, McGraw-Hill Education; 2005. p. 276–323. Sheeran P, Milne S, Webb T, Gollwitzer P. Implementation intentions and health behavior. In: Connor M, Norman P, editors. Predicting health behavior research and practice with social cognition models. 2nd ed. Berkshire: Open University Press, McGraw-Hill Education; 2005. p. 276–323.
35.
go back to reference Miller T, Levy D. Cost-outcome analysis in injury prevention and control: eighty-four recent estimates for the United States. Med Care. 2000;38(6):562–82.CrossRef Miller T, Levy D. Cost-outcome analysis in injury prevention and control: eighty-four recent estimates for the United States. Med Care. 2000;38(6):562–82.CrossRef
37.
38.
go back to reference Coffey J, Horner R. The sustainability of school wide positive behavior interventions and supports. Career Dev Transit Except Individ. 2012;78(4):407–22. Coffey J, Horner R. The sustainability of school wide positive behavior interventions and supports. Career Dev Transit Except Individ. 2012;78(4):407–22.
40.
go back to reference O’Loughlin J, Renaud L, Richard L, Gomez L, Paradis G. Correlates of the sustainability of community-based heart health promotion intervention. Prev Med. 1998;27:702–12.CrossRef O’Loughlin J, Renaud L, Richard L, Gomez L, Paradis G. Correlates of the sustainability of community-based heart health promotion intervention. Prev Med. 1998;27:702–12.CrossRef
41.
go back to reference Patrizi P, Gross E, Freedman S. Strength in flexibility: lessons from a cluster of capacity building grants in the juvenile justice field. Eval Program Plann. 2006:162–70.CrossRef Patrizi P, Gross E, Freedman S. Strength in flexibility: lessons from a cluster of capacity building grants in the juvenile justice field. Eval Program Plann. 2006:162–70.CrossRef
42.
go back to reference Pluye P, Potvin L, Denis JL. Making public health programs last: conceptualizing sustainability. Eval Program Plann. 2004:121–33. Pluye P, Potvin L, Denis JL. Making public health programs last: conceptualizing sustainability. Eval Program Plann. 2004:121–33.
44.
go back to reference Savaya R, Spiro S, Elran-Barak R. Sustainability of social programs: variables that differentiate between programs that survive and those that do not. Am J Eval. 2008;29:478–93.CrossRef Savaya R, Spiro S, Elran-Barak R. Sustainability of social programs: variables that differentiate between programs that survive and those that do not. Am J Eval. 2008;29:478–93.CrossRef
46.
go back to reference Stevens B, Peikes D. When the funding stops: do grantees of the Local Initiative Fund Partners Program sustain themselves? Eval Program Plann. 2006;29:153–61.CrossRef Stevens B, Peikes D. When the funding stops: do grantees of the Local Initiative Fund Partners Program sustain themselves? Eval Program Plann. 2006;29:153–61.CrossRef
47.
go back to reference Centers for Disease Control and Prevention. Best practices for comprehensive tobacco control programs – 2014. Atlanta; 2014. Centers for Disease Control and Prevention. Best practices for comprehensive tobacco control programs – 2014. Atlanta; 2014.
48.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbalm Associates; 1988. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbalm Associates; 1988.
Metadata
Title
Developing an evidence-based program sustainability training curriculum: a group randomized, multi-phase approach
Publication date
01-12-2018
Published in
Implementation Science / Issue 1/2018
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-018-0819-5

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