Maintenance, Sustainability and Scale-up
Number of Models:
The number of models that include elements aligned with the given construct.
26 
The number of models that include elements aligned with the given construct.
Elements:
Components abstracted from each model and aligned with the given construct.
Adoption, Implementation and Institutionalization
Components abstracted from each model and aligned with the given construct.
Cost-efficacy and Feasibility
Developing Mechanisms to Maintain the Innovation Over Time
Expectation of sustainability
Feasibility, fidelity, penetration, acceptability, sustainability, uptake, costs
Integrate & Maintain
Integrating
Integration
Integration of Evidence into Practice
Maintain program/services
Maintenance
Maintenance and Evolution
Organizational and Financial Changes to sustain intervention
Phase 4: Spread of Effective CW Implementation Program
Practice Integration
Scale-Up
Stabilization
Sustainability
Sustainable Ongoing Learning System
Sustaining
Sustainment
Definition:
The definition of the construct.
Maintenance: The extent to which a program or policy becomes institutionalized or part of the routine organizational practices and policies. Maintenance in the RE-AIM framework also has referents at the individual level. At the individual level, maintenance has been defined as the long-term effects of a program on outcomes after 6 or more months after the most recent intervention contact.
The definition of the construct.
Sustainability: "Extent to which a newly implemented treatment is maintained or institutionalized within a service setting’s ongoing, stable operations." A part of late implementation stages, sustainability of a treatment/innovation can be observed within aspects of organizational culture through "policies and practices." Often there is high sustainability when penetration is strong.
Sustainability is also defined as the existence of structures and processes which allow a program to leverage resources to most effectively implement evidence-based policies and activities over time.
Related Models:
- ACE Star Model of Knowledge Transformation
- Active Implementation Framework
- CDC DHAP's Research-to-Practice Framework
- Choosing Wisely Deimplementation Framework
- Conceptual Model of Implementation Research
- Conduct and Utilization of Research in Nursing (CURN)
- Dissemination and Implementation Framework for an Early Childhood Obesity Prevention Program
- Dissemination of Evidence-based Interventions to Prevent Obesity
- EQ-DI Framework
- Exploration, Preparation, Implementation, Sustainment (EPIS) model (Conceptual Model of Evidence-based Practice Implementation in Public Service Sectors)
- Facilitating Adoption of Best Practices (FAB) Model
- Framework for Dissemination of Evidence-Based Policy
- Framework for Enhancing the Value of Research for Dissemination and Implementation
- Framework for the Dissemination & Utilization of Research for Health-Care Policy & Practice
- Framework for the Transfer of Patient Safety Research into Practice
- Framework of Dissemination in Health Services Intervention Research
- General theory of implementation
- Interacting Elements of Integrating Science, Policy, and Practice
- Knowledge Exchange Framework
- Model for Predictors of Adoption
- Practical, Robust Implementation and Sustainability Model (PRISM)
- RE-AIM 1.0 Framework
- RE-AIM 2.0/Contextually Expanded RE-AIM
- Replicating Effective Programs Framework
- Sticky Knowledge
- Technology Transfer Model
Assessment Instruments:
External link to measures on the GEM site for the given construct.
External link to measures on the GEM site for the given construct.
- Clinical Sustainability Assessment Tool (CSAT)
- Implementation Strategy Usability Scale
- Intervention Scalability Assessment Tool (ISAT)
- Iterative, Practical, Robust Implementation and Sustainability Model (iPRISM) Webtool
- Normalization Process Theory Interview Guide
- Policy Coalition Evaluation Tool (PCET)
- PRISM Interview Guide
- Program Sustainability Index
- Stages of Implementation Completion (SIC)