Sustainment Frameworks

Frameworks Inform Research

Sustainability of evidence-based programs (EBP) is challenging, and research on the topic is new. To encourage additional research, here are a selection of sustainability frameworks.

For implementation frameworks, many of which include sustainability as a subset, see the Implementation Frameworks section of this site.

These summaries were written to be useful to researchers and nonresearchers alike who are interested in using a framework to support additional research about sustainability.

Sustainability Research

Research literature on sustainability of EBPs, and of the organizations engaging in the implementation of EBPs, has steadily grown since early work in the late 1990s. Shediac–Rizkallah and Bone (1998) provided an early framework for sustainability research.

Subsequent publications (for example, Aarons et al., 2014; Colon–Emeric, 2015; Flieszer et al., 2015; Scheirer & Dearing, 2011; Schell et al., 2013; Stirman et al., 2012; Whelan et al., 2014) have expressed the view that sustainability science is still in the formative stages.

In general, researchers writing about EBP sustainability have concluded that the theoretical underpinnings of the research have often lacked precise measures and definitions. This presents a challenge to the research field to increase research on the factors that contribute to the sustainability of EBPs within and among different organizational settings.

To assist in future research on sustainability of EBPs, researchers will find in this section summaries of selected sustainability frameworks.

Framework 1 The Concomitant Sustainability Framework

Best used in:
Research settings
Best used for:
Structuring Research Designs
Developed by:
Pierre Pluye

Framework 2 The Program Sustainability Framework

Best used in:
Organizations
Best used for:
Organization assessment
Developed by:
Douglas Luke and colleagues

Framework 3 The Dynamic Model of Health Program Sustainability Framework

Best used in:
Organizations
Best used for:
Adaptation of programs
Developed by:
Trish Greenhalgh and colleagues
Last Updated: 08/21/2017