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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References
International Diabetes Federation. IDF Diabetes Atlas, 7th edn. [Internet]. Brussels, Belgium: International Diabetes Federation; 2015. Available from: <http://www.diabetesatlas.org>.
- The 10-Year Cost-Effectiveness of Lifestyle Intervention or Metformin for Diabetes Prevention: An intent-to-treat analysis of the DPP/DPPOS.Diabetes Care. 2012; 35 (Apr 1): 723-730
- The Diabetes Prevention Program (DPP): description of lifestyle intervention.Diabetes Care. 2002; 25 (Dec 1): 2165-2171
- Improved lifestyle and decreased diabetes risk over 13 years: long-term follow-up of the randomised Finnish Diabetes Prevention Study (DPS).Diabetologia. 2013; 56 (Feb): 284-293
- UKPDS) Group. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34.Lancet. 1998; 352 (Sep): 854-865
- Prevention and treatment of the complications of diabetes mellitus.N Engl J Med. 1995; 332 (May 4): 1210-1217
- Prevention of type 2 diabetes and its complications in developing countries: a review.Int J Behav Med. 2012; 19 (Jun): 121-133
- Long-term effects of a randomised trial of a 6-year lifestyle intervention in impaired glucose tolerance on diabetes-related microvascular complications: the China Da Qing Diabetes Prevention Outcome Study.Diabetologia. 2011; 54 (Feb): 300-307
- Diabetes translation research: where are we and where do we want to be?.Ann Intern Med. 2004; 140 (Jun 1): 958-963
- Considerations for diabetes translational research in real-world settings.Diabetes Care. 2003; 26 (Sep): 2670-2674
- An agenda for research on the sustainability of public health programs.Am J Public Health. 2011; 101 (Nov): 2059-2067
- Public health program capacity for sustainability: a new framework.Implement Sci. 2013; 8: 15
International Diabetes Federation. World Guide to IDF BRIDGES 2014 [Internet]. Brussels; 2014 [cited 2014 Dec 10]. Available from: <http://www.idf.org/sites/default/files/attachments/BRIDGES-2014-final.pdf>.
- Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy.Health Educ Res. 1998; 13 (Mar): 87-108
- The dynamics of commissioning across organisational and clinical boundaries.J Health Organ Manage. 2008; 22: 111-128
Miles MB. Qualitative data analysis: a methods sourcebook, 3rd ed. Thousand Oaks, Califorinia: SAGE Publications, Inc; 2014. 381 p.
- Case study research: design and methods.5th ed. SAGE, Los Angeles2014: 282
QSR International. NVivo Data Analysis Software [Internet]. 2015 [cited 2015 Dec 22]. Available from: <http://www.qsrinternational.com/>.
- Enhancing reporting of behavior change intervention evaluations.JAIDS J Acquir Immune Defic Syndr. 2014; 66: S293-S299
Article info
Publication history
Published online: May 19, 2017
Accepted:
April 3,
2017
Received in revised form:
February 13,
2017
Received:
July 15,
2016
Identification
Copyright
© 2017 Published by Elsevier Ireland Ltd.
