Minimal progress toward sustainment: 10-year replication of substance use EBP sustainment trajectories and associations with implementation characteristics.

ABSTRACT:

Background

Over the past decade, implementation researchers have empirically identified factors influencing long-term sustainment of evidence-based practices (EBPs) to target in implementation efforts. We examined progress toward promoting sustainment by conducting a conceptual replication of a prior study (Hunter et al., 2015, Implementation Science) that measured sustainment of an exemplar EBP for youth substance use, the Adolescent Community Reinforcement Approach (A-CRA).

Method

Data were collected 1-5 years after initial implementation funding ended (M = 3.3 years) through interviews and surveys with clinicians and supervisors from service organizations that implemented A-CRA (n = 66). Using survival analysis, we calculated the probability of A-CRA sustainment (dichotom

SUBMITTER: Dopp AR 

PROVIDER: S-EPMC12777219 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature