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Using qualitative comparative analysis to uncover multiple pathways to program sustainment: implications for
Brittany Rhoades Cooper1,2, Laura G Hill3,4, Louise Parker3,4
1Department of Human Development, Washington State University, Pullman, WA, USA. Brittany.cooper@wsu.edu.
Implementation Science Communications
|May 27, 2022
Summary
Program sustainment in community settings requires environmental support and organizational capacity. These factors, alongside others like funding and partnerships, are key to the long-term success of programs like Strengthening Families Program for Parents and Youth 10-14.
Area of Science:
- Public Health
- Program Implementation Science
Background:
- Program sustainment is crucial for wide-scale community impact.
- Factors like intervention characteristics, organizational context, and implementation processes influence program delivery.
- Few studies explore how combinations of these factors affect program sustainment in diverse settings.
Purpose of the Study:
- Identify necessary and sufficient conditions for sustaining the Strengthening Families Program for Parents and Youth 10-14 (SFP 10-14).
- Assess factors influencing the continued delivery of community-based programs.
Main Methods:
- Cross-sectional study utilizing the Program Sustainability Assessment Tool (PSAT).
- Online survey completed by 59 staff at SFP 10-14 sites in Washington State.
- Qualitative comparative analysis of PSAT data to identify sustainment conditions.
Main Results:
- Environmental support was the sole necessary condition for sustainment success.
- Four combinations of factors were sufficient for sustainment, often including environmental support, organizational capacity, and funding stability or partnerships.
- Strategic planning was notably absent in some sufficient condition sets.
Conclusions:
- Environmental support combined with organizational capacity consistently produced sustainment of SFP 10-14 programs.
- Enhancing these conditions can improve program sustainability for providers.
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