Selecting, adapting, and sustaining programs in health care systems.

Published online

Journal Article

Practitioners and researchers often design behavioral programs that are effective for a specific population or problem. Despite their success in a controlled setting, relatively few programs are scaled up and implemented in health care systems. Planning for scale-up is a critical, yet often overlooked, element in the process of program design. Equally as important is understanding how to select a program that has already been developed, and adapt and implement the program to meet specific organizational goals. This adaptation and implementation requires attention to organizational goals, available resources, and program cost. We assert that translational behavioral medicine necessitates expanding successful programs beyond a stand-alone research study. This paper describes key factors to consider when selecting, adapting, and sustaining programs for scale-up in large health care systems and applies the Knowledge to Action (KTA) Framework to a case study, illustrating knowledge creation and an action cycle of implementation and evaluation activities.

Full Text

Duke Authors

Cited Authors

  • Zullig, LL; Bosworth, HB

Published Date

  • 2015

Published In

Volume / Issue

  • 8 /

Start / End Page

  • 199 - 203

PubMed ID

  • 25931825

Pubmed Central ID

  • 25931825

International Standard Serial Number (ISSN)

  • 1178-2390

Digital Object Identifier (DOI)

  • 10.2147/JMDH.S80037


  • eng

Conference Location

  • New Zealand