Challenges in Sustaining Public Health Interventions
ABSTRACT Sustainability remains a key challenge in public health. The perspective article by Fagen and Flay adds to our understanding of technical factors associated with sustaining health interventions in schools. In this commentary, the Fagen and Flay article (2009) is considered within the broader literature on sustainability. By taking a broad view, public health theory and practice might be advanced further. Fagen and Flay illustrate that we have much to learn about sustainability. Questions for future research include: (a) what can we put into place at the systems level to ensure that the short-term efficacy of interventions have a fighting chance to be sustained? (b) considering the challenges inherent in sustainability, what are realistic goals against which to evaluate the cost-effectiveness of interventions found effective in the short-term? and (c) what theories, methods, and strategies in fields outside of public health can be drawn upon to improve work in public health?
- SourceAvailable from: Carol A Bryant
Social Marketing Quarterly 12/2014; 20(4):219-246.
- "The majority of public health research has explored only the sustainability of a single program or program type, rather than the cohesive elements of community-based partnerships for policy change (Cooper et al., 2013). Understanding the community as the level of analysis, as well as the system in which a coalition operates, is key to improving insight about sustainability and may account for some of the complexity inherent in community-based research (Altman, 2009; Brown, Feinberg, & Greenberg, 2010; Feinberg, Gomez, Puddy, & Greenberg, 2008). The growing emphasis on sustainability has resulted in an increased interest in, and focus on, health policies. "
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ABSTRACT: To examine the long-term effects of multiple health-behavior changes from the Mediterranean Lifestyle Program. The randomized trial targeted postmenopausal women with type 2 diabetes (N = 279) at high risk for heart disease. The intervention featured a weekend retreat followed by regular meetings over 24 months to enhance healthful eating, physical activity (PA), stress management, and support behaviors. Long-term analyses indicated that significant improvements made in the targeted behaviors during the active treatment phase of the study (at 6, 12, and 24 months) were partially maintained during the nontreatment phase of the study, through 5 years postintervention contact for dietary behavior and stress management, and 1-year posttreatment for PA. This moderate-intensity group-based intervention produced health behavior changes that tended to plateau or return to baseline levels 1 to 5 years after treatment.American journal of health behavior 01/2010; 34(6):680-94. DOI:10.5993/AJHB.34.6.5 · 1.31 Impact Factor