BEGIN:VCALENDAR VERSION:2.0 PRODID:-//pretalx//conferences.acspri.org.au//2024//talk//VEQUSM BEGIN:VTIMEZONE TZID:AEST BEGIN:STANDARD DTSTART:20000326T040000 RRULE:FREQ=YEARLY;BYDAY=-1SU;BYMONTH=3;UNTIL=20050326T170000Z TZNAME:AEST TZOFFSETFROM:+1100 TZOFFSETTO:+1000 END:STANDARD BEGIN:STANDARD DTSTART:20060402T040000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYMONTH=4;UNTIL=20060401T170000Z TZNAME:AEST TZOFFSETFROM:+1100 TZOFFSETTO:+1000 END:STANDARD BEGIN:STANDARD DTSTART:20070325T040000 RRULE:FREQ=YEARLY;BYDAY=4SU;BYMONTH=3;UNTIL=20070324T170000Z TZNAME:AEST TZOFFSETFROM:+1100 TZOFFSETTO:+1000 END:STANDARD BEGIN:STANDARD DTSTART:20080406T040000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYMONTH=4 TZNAME:AEST TZOFFSETFROM:+1100 TZOFFSETTO:+1000 END:STANDARD BEGIN:DAYLIGHT DTSTART:20000827T030000 RRULE:FREQ=YEARLY;BYDAY=4SU;BYMONTH=8;UNTIL=20000826T170000Z TZNAME:AEDT TZOFFSETFROM:+1000 TZOFFSETTO:+1100 END:DAYLIGHT BEGIN:DAYLIGHT DTSTART:20011028T030000 RRULE:FREQ=YEARLY;BYDAY=-1SU;BYMONTH=10;UNTIL=20071027T170000Z TZNAME:AEDT TZOFFSETFROM:+1000 TZOFFSETTO:+1100 END:DAYLIGHT BEGIN:DAYLIGHT DTSTART:20081005T030000 RRULE:FREQ=YEARLY;BYDAY=1SU;BYMONTH=10 TZNAME:AEDT TZOFFSETFROM:+1000 TZOFFSETTO:+1100 END:DAYLIGHT END:VTIMEZONE BEGIN:VEVENT UID:pretalx-2024-VEQUSM@conferences.acspri.org.au DTSTART;TZID=AEST:20241128T172000 DTEND;TZID=AEST:20241128T172500 DESCRIPTION: \nIntroduction\nEffective chronic disease preve ntion initiatives (policies\, programs\, and practices) need to be impleme nted and sustained in key settings to achieve long-term public health impa cts. While progress has been made in understanding how to implement initia tives\, their sustainment\, especially after external support ends\, remai ns understudied. Systematic reviews indicated that only around 20% of init iatives sustain after the initial implementation period (1). However\, so me programs do continue without ongoing support. This approach\, termed ‘self-sustaining’\, has been defined as: “when implementation of the EB I by an organization (e.g.\, hospital\, clinic\, school) is expected to co ntinue (sustain) in the absence of external (agency) support”(2).\n\nSust aining initiatives offers numerous advantages including efficient resource allocation within no ongoing costs\, maximising benefits for the target s ettings\, and achieving a broader public health impact. With many initiati ves implemented with short-term\, non-recurrent funding\, understanding ho w to sustain after the funding period is critical. This requires understa nding the conditions that lead to self-sustainment\, information that can be translated to the program design phase to facilitate long-term sustainm ent.\n\nNovel methods are warranted to advance this evidence base\, given the lengthy timelines required for longitudinal sustainment research. One such method - increasingly recognised for its ability to explore program m ediators while accounting for the variability present in complex settings - is Qualitative Comparative Analysis (QCA) (3). QCA allows for the config uration of necessary and/or sufficient conditions that lead to an outcome of interest\, offering insights into program sustainment. This study aims to identify the conditions associated with the self-sustainment of chronic disease prevention initiatives\, specifically focusing on those in the sc hool setting (i.e.\, school-based programs which have sustained after the cessation of external support).\n\nMethods\nThis study will use a crisp-se t QCA (csQCA) methodology\, as outlined by Kane et al (3). Comprehensive c ase studies of self-sustaining initiatives will be developed using various data sources\, including research staff insights\, systematic reviews\, p ublished data\, grey literature and publicly available websites. Definitio ns and thresholds for both cases and conditions of interest will be ascert ained through an in-depth literature review\; expert consultations\; and o ngoing discourse within the research team inclusive of sustainability expe rts\, implementation scientists\, school-setting practitioners\, and a qua litative research expert trained in QCA.\n\nConclusion:\nThis study will b e the first to rigorously explore the conditions that are necessary and/or sufficient for initiatives to self-sustain in the school setting. Specifi cally\, this will isolate the key factors that operationalise self-sustain ment which\, translated into practice\, may support the design of programs with the best chance to sustain without ongoing support. This is particul arly valuable for settings with limited resources and/or multiple competin g interests\, such as schools. Additionally\, this study will contribute t o the growing public health research applying QCA methods and set preceden ce for future applications of QCA.\n\nReferences\n1. Wiltsey Stirman S\, K imberly\, John.\, Cook\, Natasha.\, Calloway\, Amber.\, Castro\, Frank.\ , and\, Charns M. The sustainability of new programs and innovations: a re view of the empirical literature\nand recommendations for future research. Implementation Science. 2012\;7(17).\n2. Wolfenden L\, Shoesmith A\, Hall A\, Bauman A\, Nathan N. An initial typology of approaches used by policy and practice agencies to achieve sustained implementation of intervention s to improve health. Implement Sci Commun. 2024\;5(1):21.\n3. Kane H\, Lew is MA\, Williams PA\, Kahwati LC. Using qualitative comparative analysis t o understand and quantify translation and implementation. Transl Behav Med . 2014\;4(2):201-8. DTSTAMP:20260809T223411Z LOCATION:Drawing Room SUMMARY:What factors underpin the self-sustainment of chronic disease preve ntion programs? A Qualitative Comparative Analysis. - Carly Gardner URL:https://conferences.acspri.org.au/2024/talk/VEQUSM/ END:VEVENT END:VCALENDAR