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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