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Sustaining diabetes prevention and care interventions: A multiple case study of translational research projects

  • J. Garst
    Correspondence
    Corresponding author at: Department of Management Studies, Wageningen University, Hollandseweg 1, Room 5065, 6706 KN Wageningen, The Netherlands.
    Affiliations
    Programs & Policies Department, International Diabetes Federation, 166 Chaussee de La Hulpe, B-1170 Brussels, Belgium
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  • Author Footnotes
    1 Present address: Santé Diabète, Grenoble, France.
    R. L'Heveder
    Footnotes
    1 Present address: Santé Diabète, Grenoble, France.
    Affiliations
    Programs & Policies Department, International Diabetes Federation, 166 Chaussee de La Hulpe, B-1170 Brussels, Belgium
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  • L.M. Siminerio
    Affiliations
    University of Pittsburgh, Pittsburgh, United States
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  • A.A. Motala
    Affiliations
    Department of Diabetes and Endocrinology, University of KwaZulu-Natal, Durban, South Africa
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  • R.A. Gabbay
    Affiliations
    Joslin Diabetes Centre, Harvard Medical School, Boston, United States
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  • Author Footnotes
    2 Present address: Diabetes UK, Northern Ireland, Belfast, United Kingdom.
    D. Chaney
    Footnotes
    2 Present address: Diabetes UK, Northern Ireland, Belfast, United Kingdom.
    Affiliations
    Programs & Policies Department, International Diabetes Federation, 166 Chaussee de La Hulpe, B-1170 Brussels, Belgium
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  • D. Cavan
    Affiliations
    Programs & Policies Department, International Diabetes Federation, 166 Chaussee de La Hulpe, B-1170 Brussels, Belgium
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  • Author Footnotes
    1 Present address: Santé Diabète, Grenoble, France.
    2 Present address: Diabetes UK, Northern Ireland, Belfast, United Kingdom.

      Highlights

      • Sustaining outcomes of healthcare interventions is crucial for diabetes prevention.
      • Three sustainability goals: sustaining at site; diffusion to community; replication.
      • Recommendation: choose appropriate activities for selected sustainability goal.

      Abstract

      Background

      This study identifies the barriers and enablers for sustainability of interventions in primary and secondary prevention of diabetes. In the context of translational research, sustainability is defined as the continued use of program components and activities for the continued achievement of desirable program and population outcomes.

      Methods

      In this study, eleven translational research projects, supported by the BRIDGES program of the International Diabetes Federation, were investigated. By theoretically-informed semi-structured interviews and analyses of project reports, qualitative data was collected on the sustainability outcomes and the barriers and enablers.

      Results

      The sustainability outcomes can be grouped in three main areas: (1) sustainability at the intervention site(s); (2) diffusion to the wider community; and (3) replication of the intervention at other site(s). Each of the outcomes has their own set of enablers and barriers, and thus requires consideration for a different sustainability strategy.

      Conclusions

      This study is the first international study that relates the sustainability outcomes of translational research project to specific barriers and enablers, and develops an evidence-based framework which provides practical advice on how to ensure the sustainability of health interventions.

      Keywords

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