A systematic review to determine the effect of strategies to sustain chronic disease prevention interventions in clinical and community settings.

Debbie Booth, Belinda Peden, William Pascoe, Maji Hailemariam, Edward Riley-Gibson, Melanie Kingsland, Luke Wolfenden, Rachel Sutherland, Celia Laur, Adam Shoesmith, Cassandra Lane, Emma Doherty, Ramzi G Salloum, Nicole Nathan, Alix Hall, Rachel C Shelton, Emma Pollock, Byron J Powell

Journal: Translational behavioral medicine 2025;15(1):

PMID: 39841156

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Abstract

This review assessed the effect of strategies designed to sustain the delivery of evidenced based interventions (EBIs) which target behavioural risk factors linked to leading causes of chronic disease in clinical and community settings. Seven electronic databases were searched for randomised controlled studies published from earliest record to November 2022. Studies were included if they tested a strategy to sustain the delivery of an EBI within clinical or community settings. Results were synthesised using vote counting based on direction of effect, and reported in accordance with non-meta-analytic review standards following the Synthesis Without Meta-analysis (SWiM) guidelines. Three studies met the study inclusion criteria. Two studies were community-based, with one conducted in Australian community sports clubs and the second in afterschool clubs in the United States. The single clinical-based study was conducted in community health care centres in the United States. Across the three studies, 25 strategies were employed and only two strategies were common across all studies. Synthesis using vote counting based on direction of effect indicated that two of three studies favoured the intervention as positively impacting sustainment of EBIs. Few studies have been conducted to assess the effect of strategies designed to support sustainment of EBIs for chronic disease prevention in clinical and community settings. As such, it is difficult to determine the effect of strategies designed to support sustainment. Further research with comprehensive reporting of the selection, use and testing of sustainment strategies is needed to advance understanding of how to sustain EBIs in clinical and community settings.

Address: School of Medicine and Public Health, The University of Newcastle, Newcastle, University Drive, Callaghan, 2308 New South Wales, Australia.; The National Centre of Implementation Science (NCOIS), The University of Newcastle, University Drive, Callaghan, 2308 Newcastle, New South Wales, Australia.; Hunter Medical Research Institute, HMRI Building, Lot 1, Kookaburra Circuit, New Lambton Heights, 2305 New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, 2287 Newcastle, New South Wales, Australia.; Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.; Department of Health Outcomes & Biomedical Informatics, University of Florida College of Medicine, PO Box 100177, Gainesville, FL 32610-0177, USA.; Women's College Hospital Institute for Health System Solutions and Virtual Care, 76 Grenville Street, Toronto, Ontario M5S 1B2, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Health Sciences Building, 155 College Street, Suite 425, Toronto, Ontario M5T 3M6, Canada.; Center for Mental Health Services Research, Brown School, Washington University in St. Louis, 600 S. Taylor Avenue, Suite 100, St. Louis, MO 63110, USA.; Center for Dissemination and Implementation, Institute for Public Health, Washington University in St. Louis, 600 S. Taylor Avenue, Suite 100, St. Louis, MO 63110, USA.; Division of Infectious Diseases, John T. Milliken Department of Medicine, School of Medicine, Washington University in St. Louis, 660 S. Euclid Avenue, Campus Box 8051, St. Louis, MO 63110, USA.; School of Medicine and Public Health, The University of Newcastle, Newcastle, University Drive, Callaghan, 2308 New South Wales, Australia.; Hunter Medical Research Institute, HMRI Building, Lot 1, Kookaburra Circuit, New Lambton Heights, 2305 New South Wales, Australia.; Hunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, 2287 Newcastle, New South Wales, Australia.; Charles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, 200 E. First Street, Flint, MI 48502, USA.

DOI: 10.1093/tbm/ibae070