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Reliable effectiveness: a theory on sustaining and replicating worthwhile innovations.

David P Racine1

  • 11101 Parkside Avenue, Ewing, NJ 08618, USA. davidpaulracine@aol.com

Administration and Policy in Mental Health
|June 7, 2006
PubMed
Summary

Sustaining and replicating effective health innovations requires understanding key programmatic, organizational, and environmental factors. This research reviews literature to propose a framework for reproducing successful interventions across different settings and times.

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Program Evaluation

Background:

  • Many health and human service innovations show initial success, but long-term sustainability and replication of their performance remain challenging.
  • Identifying the critical elements needed to reproduce effective interventions across diverse contexts is a persistent puzzle in the field.

Purpose of the Study:

  • To explore the knowledge, skills, and conditions necessary for sustaining and replicating the effectiveness of high-performing health innovations.
  • To develop a comprehensive conceptual framework that addresses factors influencing the successful reproduction of interventions.

Main Methods:

  • A comprehensive review of existing literature and practical experience in health and human services.
  • Synthesis of findings to identify key programmatic, organizational, and environmental determinants of sustainability and replication.

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Main Results:

  • Effectiveness of health innovations is shaped by a complex interplay of factors.
  • Programmatic elements relate to intervention design and fidelity.
  • Organizational capacity and environmental contexts are crucial for successful scale-up and long-term impact.

Conclusions:

  • A multi-faceted conceptual framework is proposed to guide efforts in sustaining and replicating effective health innovations.
  • Understanding and addressing programmatic, organizational, and environmental factors is essential for successful implementation across time and space.