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Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts

Although the concepts of systems change and sustainability are not new, little is known about the factors associated with systems change sustaining multi-state, multi-level fall prevention efforts. This exploratory study focuses on three State Departments of Health (DOH) that were awarded 5-year fun...

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Autores principales: Smith, Matthew Lee, Schneider, Ellen C., Byers, Imani N., Shubert, Tiffany E., Wilson, Ashley D., Towne, Samuel D., Ory, Marcia G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462909/
https://www.ncbi.nlm.nih.gov/pubmed/28642861
http://dx.doi.org/10.3389/fpubh.2017.00120
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author Smith, Matthew Lee
Schneider, Ellen C.
Byers, Imani N.
Shubert, Tiffany E.
Wilson, Ashley D.
Towne, Samuel D.
Ory, Marcia G.
author_facet Smith, Matthew Lee
Schneider, Ellen C.
Byers, Imani N.
Shubert, Tiffany E.
Wilson, Ashley D.
Towne, Samuel D.
Ory, Marcia G.
author_sort Smith, Matthew Lee
collection PubMed
description Although the concepts of systems change and sustainability are not new, little is known about the factors associated with systems change sustaining multi-state, multi-level fall prevention efforts. This exploratory study focuses on three State Departments of Health (DOH) that were awarded 5-year funding from the Centers for Disease Control and Prevention to simultaneously implement four separate yet related evidence-based fall prevention initiatives at the clinical, community, and policy level. The purpose of this study was to examine changes in partnerships and collaborative activities that occurred to accomplish project goals (examining changes in the context of “before funding” and “after funding was received”). Additionally, this study explored changes in State DOH perceptions about action related to sustainability indicators in the context of “during funding” and “after funding ends.” Findings from this study document the partnership and activity changes necessary to achieve defined fall prevention goals after funding is received, and that the importance of sustainability indicator documentation is seen as relevant during funding, but less so after the funding ends. Findings from this study have practice and research implications that can inform future funded efforts in terms of sector and stakeholder engagement necessary for initiating, implementing, and sustaining community- and clinical-based fall prevention interventions.
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spelling pubmed-54629092017-06-22 Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts Smith, Matthew Lee Schneider, Ellen C. Byers, Imani N. Shubert, Tiffany E. Wilson, Ashley D. Towne, Samuel D. Ory, Marcia G. Front Public Health Public Health Although the concepts of systems change and sustainability are not new, little is known about the factors associated with systems change sustaining multi-state, multi-level fall prevention efforts. This exploratory study focuses on three State Departments of Health (DOH) that were awarded 5-year funding from the Centers for Disease Control and Prevention to simultaneously implement four separate yet related evidence-based fall prevention initiatives at the clinical, community, and policy level. The purpose of this study was to examine changes in partnerships and collaborative activities that occurred to accomplish project goals (examining changes in the context of “before funding” and “after funding was received”). Additionally, this study explored changes in State DOH perceptions about action related to sustainability indicators in the context of “during funding” and “after funding ends.” Findings from this study document the partnership and activity changes necessary to achieve defined fall prevention goals after funding is received, and that the importance of sustainability indicator documentation is seen as relevant during funding, but less so after the funding ends. Findings from this study have practice and research implications that can inform future funded efforts in terms of sector and stakeholder engagement necessary for initiating, implementing, and sustaining community- and clinical-based fall prevention interventions. Frontiers Media S.A. 2017-06-08 /pmc/articles/PMC5462909/ /pubmed/28642861 http://dx.doi.org/10.3389/fpubh.2017.00120 Text en Copyright © 2017 Smith, Schneider, Byers, Shubert, Wilson, Towne and Ory. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Smith, Matthew Lee
Schneider, Ellen C.
Byers, Imani N.
Shubert, Tiffany E.
Wilson, Ashley D.
Towne, Samuel D.
Ory, Marcia G.
Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
title Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
title_full Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
title_fullStr Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
title_full_unstemmed Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
title_short Reported Systems Changes and Sustainability Perceptions of Three State Departments of Health Implementing Multi-Faceted Evidence-Based Fall Prevention Efforts
title_sort reported systems changes and sustainability perceptions of three state departments of health implementing multi-faceted evidence-based fall prevention efforts
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462909/
https://www.ncbi.nlm.nih.gov/pubmed/28642861
http://dx.doi.org/10.3389/fpubh.2017.00120
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