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Developing a comprehensive definition of sustainability.

Julia E Moore1, Alekhya Mascarenhas2, Julie Bain2

  • 1Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. mooreju@smh.ca.

Implementation Science : IS
|September 4, 2017
PubMed
Summary
This summary is machine-generated.

This study developed a comprehensive definition of sustainability by analyzing 24 existing definitions from over 200 studies. The new definition includes five key constructs for future implementation science research.

Keywords:
Evidence-based programsEvolutionImplementation strategiesInstitutionalizationMaintenanceRoutinizationSustainabilitySustainment

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Area of Science:

  • Implementation Science
  • Health Services Research

Background:

  • Sustainability is a key challenge in implementation science, hindered by inconsistent definitions.
  • Most studies assessing sustainability lack a clear definition, complicating research and practice.

Purpose of the Study:

  • To systematically develop a comprehensive definition of sustainability.
  • To synthesize existing definitions of sustainability from the literature.

Main Methods:

  • Conducted a systematic search for knowledge syntheses on sustainability.
  • Abstracted sustainability definitions from identified reviews and mapped constructs.
  • Revised a comprehensive definition incorporating emerging constructs.

Main Results:

  • Identified 24 unique sustainability definitions from 209 articles across four knowledge syntheses.
  • Developed a revised definition encompassing five constructs: continued delivery, maintained behavior change, evolution/adaptation, and sustained benefits over time.
  • Achieved 94% agreement among coders when remapping definitions to the comprehensive definition.

Conclusions:

  • Identified five key constructs for defining and measuring sustainability in research.
  • The developed comprehensive definition provides a foundation for future sustainability research.
  • Next steps involve identifying sustainability frameworks and developing a meta-framework.