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Table 6 Definitions, frameworks and commonly measured constructs in systematic reviews on sustainability of healthcare interventions (n = 25)

From: Implementability of healthcare interventions: an overview of reviews and development of a conceptual framework

Frameworks (used in N = 9 reviews)

N (%)

• Scheirer (2005)

Sustainability should be measured across three levels for sustainability: individual, as continuing to deliver services that are beneficial; organisation, as maintaining the programme and community, as maintaining capacity.

1 (11)

• Cekan and Zivetz (2016)

Sustainability should measure if the program has incorporated a theory of change, presence of explicit sustainability goals in a monitoring and evaluation plan, methods for identifying unexpected outcomes; funding, capacity development and collaboration

1 (11)

• Moore et al., (2017) [95]

Five key sustainability constructs describe individual and organisational capacity based on time, behaviour, adaptation of the program/intervention, ongoing benefits and ongoing delivery of the program/intervention

2 (22)

• Shediac-Rizkallah & Bone (1998) [96]

Sustainability can be measured through maintenance of health benefits, integration of the program within an organisation and community capacity building

2 (22)

• Greenhalgh et al., (2017) [84] NASSS Framework

The framework consists of 7 domains (condition, technology, value proposition, adopter system, organisation, wider system and adaptation over time) and numerous subdomains.

1 (11)

• McLeroy et al., (1998)

Health related behaviour is influenced by individual factors, interpersonal factors, organisation factors, community factors and public policy factors.

1 (11)

• Lennox, Maher & Reed (2018). Consolidated framework for sustainability constructs in healthcare.

Includes 40 constructs across six domains: the organisational setting, negotiating initiative processes, resources, the external environment, the initiative design and delivery and the people involved.

1 (11)

Commonly measured components

• Time (endurance of intervention/program beyond a period of time)

6 (24)

• Training

3 (12)

• Resources

2 (8)

• Partnerships/collaborations

3 (12)

• Organisational/community factors

9 (36)