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Community programs promoting chronic disease prevention face sustainability challenges. This study identified strategic planning, communication, and partnerships as key to sustaining community health initiatives.

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Area of Science:

  • Public Health
  • Health Services Research
  • Community Health Programs

Background:

  • Community-based chronic disease prevention programs offer significant public health benefits.
  • However, the sustainability of evidence-based health programs remains a challenge, with only 40-60% achieving long-term continuation.
  • Established frameworks and tools are crucial for developing effective sustainability structures and processes.

Purpose of the Study:

  • To identify barriers and facilitators to sustaining a community network (Alliance program) focused on increasing participation in evidence-based lifestyle change programs.
  • To utilize established frameworks to assess the sustainability capacity of the Alliance program.
  • To co-develop a sustainability action plan based on identified factors.

Main Methods:

  • A mixed-methods, partner-engaged approach was employed.
  • Surveys and qualitative interviews were conducted with Alliance partners.
  • The Program Sustainability Assessment Tool and Consolidated Framework for Implementation Research were utilized.

Main Results:

  • Alliance partners perceived the program as having a high capacity for sustainability.
  • Strategic planning, communication, and partnerships were identified as priority areas for enhancing sustainability.
  • The findings directly informed the co-development of a sustainability action plan.

Conclusions:

  • Understanding factors critical for sustainability is essential for community-based chronic disease prevention programs and health equity.
  • A structured process for developing action plans can build sustainability capacity in such programs.
  • The study provides insights into maintaining the effectiveness of community health initiatives.