Step 5 - Adoption, Implementation & Sustainability
- Adoption, Implementation & Sustainability
identify potential program users
you want enthousiastic AND critical people
program use outcomes & performance objectives for program use
(adoption,implementation & sustainability)
needs to do
and WHEN in order to be sure that your program is used
= spreading the program, making people aware that it exists -->
done by planning group
= decision to use program
= maintenance and institutionalization of progam
= use of program
matrices of change objectives for program use
(adoption, implementation & maintenance)
specifiy determinants of program adoption, implementation & sustainability
re-evaluate planning group
& practical applications
Who will decide to use the program?
Which stakeholders will these decision makers need to consult?
Who will make resources available to implement the program?
Who will implement the program?
Will the program require different people to implement different components?
who will ensure that the program continues as long as it is needed?
Diffusion of Innovation Theory
if necessary & possible
Program use over time
= actual use
= intention to use
= maintained use
for decision makers
imposition of programs from the outside
unstable finances or organizational structure
limited staff time
Program use outcomes
Someone adopts the program as indicated by the evidence to indicate adoption
...e.g: The curriculum commitee of the School District adopts the sexual health program as indicated by the superintendant signing the program adoption form
The organization/individual will implement program with completeness and fidelity (according to guidelines)..
.e.g.: The health teachers in the Netherlands will implement Long Live Love completely (all lessons) and with fidelity (according to teacher manual)
decide on type of outcome to be achieved (maintenance of program, institutionalization, continuation of health effects, some combinations)
...e.g.: The Dutch schools will incorporate the LLL program into school organizational routines (Institutionalization)
Determinants of Adoption & Implementation
Characteristics of Innovations
relative advantage, compatibility, complexity, observability, impact on social relations, required time, risk & uncertainty, ability to be modified, response of target group to program
time, resources, social support, reinforcement, leadership & vision, absorptive capactiy,
no space, no support etc.
Determinants of Actors
knowledge, self-efficacy, attitude, risk perceptions, ,
planning for program use is essential
of health education program will be
quality of program implementation
is program used completely & fidel?
effectiveness of interventions
how many people received the program?
population exposed to program
partly based on implementation of IM Steps