Table 6 Facilitating and hindering factors, definitions, and frequencies
From: Evidence-based intervention sustainability strategies: a systematic review
Factor | Influences on sustainability | Frequency |
|---|---|---|
Facilitating factors (n = 26) | ||
 Adaptation/alignment | Processes and interactions | n = 14 |
 Funding | Capacity | n = 13 |
 Organizational leadership | Context | n = 12 |
 EBP fit (acceptability, accessibility, adequacy, and cultural appropriateness) | Innovation characteristics | n = 11 |
 EBP effectiveness or benefit | Innovation characteristics | n = 11 |
 Training and education | Processes and interactions | n = 11 |
 Ongoing support | Processes and interactions | n = 11 |
 Setting characteristics (structures, policies) | Context | n = 10 |
 Community stakeholder support/involvement | Capacity | n = 10 |
 Ability to modify/did modify the EBP | Innovation characteristics | n = 9 |
 Workforce (staffing, staff attributes) | Capacity | n = 9 |
 Collaboration/partnership | Processes and interactions | n = 9 |
 Integration of rules and policies | Processes and interactions | n = 7 |
 Evaluation and feedback | Processes and interactions | n = 6 |
 Resources | Capacity | n = 6 |
 System/policy change | Context | n = 5 |
 Internal/external EBP champions | Capacity | n = 5 |
 Organizational climate | Context | n = 5 |
 Engagement/relationship building | Processes and interactions | n = 5 |
 Shared decision making among stakeholders | Processes and interactions | n = 4 |
 Planning | Processes and interactions | n = 4 |
 Organizational culture | Context | n = 4 |
 Ability to maintain EBP fidelity/integrity | Innovation characteristics | n = 3 |
 Navigating competing demands | Processes and interactions | n = 1 |
 Other | Processes and interactions | n = 5 |
 No facilitators factors were reported |  | n = 0 |
Hindering factors (n = 23) | ||
 No/limited funding; funding ended or eliminated | Capacity | n = 11 |
 Lack of resources | Capacity | n = 7 |
 No hindering factors were reported |  | n = 6 |
 Unable to navigate competing demands | Processes and interactions | n = 6 |
 Organizational leadership did not support the sustainment of EBP | Context | n = 5 |
 Other | Lack of adequate number of service users | n = 5 |
 Workforce (staffing, staff attributes) | Capacity | n = 5 |
 Setting characteristics (structures, policies) | Context | n = 4 |
 Community stakeholders did not support the sustainment of EBP | Capacity | n = 3 |
 EBP effectiveness or benefit was not observed | Innovation characteristics | n = 3 |
 Lack of trained personnel to continue the EBP | Capacity | n = 3 |
 No ability to modify/did modify the EBP | Innovation characteristics | n = 3 |
 Organizational climate did not support the sustainment of EBP | Context | n = 3 |
 Training and education was not sustained | Processes and interactions | n = 3 |
 EBP did not fit | Innovation characteristics | n = 2 |
 No ongoing support | Processes and interactions | n = 2 |
 No sustained planning | Processes and interactions | n = 2 |
 Not able to maintain EBP fidelity/integrity | Innovation characteristics | n = 2 |
 Poor collaboration/partnership | Processes and interactions | n = 2 |
 Internal/external EBP champions did not support the sustainment of EBP | Capacity | n = 1 |
 System/policy change | Context | n = 0 |