Preprint Article Version 2 This version not peer reviewed

Dynamics of Implementation and Maintenance of Organizational Health Interventions

Version 1 : Received: 26 July 2017 / Approved: 27 July 2017 / Online: 27 July 2017 (12:59:47 CEST)
Version 2 : Received: 27 July 2017 / Approved: 27 July 2017 / Online: 27 July 2017 (17:54:29 CEST)

A peer-reviewed article of this Preprint also exists.

Jalali, M.S.; Rahmandad, H.; Bullock, S.L.; Ammerman, A. Dynamics of Implementation and Maintenance of Organizational Health Interventions. Int. J. Environ. Res. Public Health 2017, 14, 917. Jalali, M.S.; Rahmandad, H.; Bullock, S.L.; Ammerman, A. Dynamics of Implementation and Maintenance of Organizational Health Interventions. Int. J. Environ. Res. Public Health 2017, 14, 917.

Journal reference: Int. J. Environ. Res. Public Health 2017, 14, 917
DOI: 10.3390/ijerph14080917

Abstract

In this study, we present case studies to explore the dynamics of implementation and maintenance of health interventions. We analyze how specific interventions are built and eroded, how the building and erosion mechanisms are interconnected, and why we can see significantly different erosion rates across otherwise similar organizations. We use multiple comparative obesity prevention case studies to provide empirical information on the mechanisms of interest, and use qualitative systems modeling to integrate our evolving understanding into an internally consistent and transparent theory of the phenomenon. Our preliminary results identify reinforcing feedback mechanisms, including design of organizational processes, motivation of stakeholders, and communication among stakeholders, which influence implementation and maintenance of intervention components. Over time, these feedback mechanisms may drive a wedge between otherwise similar organizations, leading to distinct configurations of implementation and maintenance processes.

Subject Areas

implementation; adoption; health interventions; community prevention; obesity prevention interventions; system dynamics; systems thinking; endogenous dynamics; qualitative modeling; case studies

Readers' Comments and Ratings (0)

Leave a public comment
Send a private comment to the author(s)
Rate this article
Views 0
Downloads 0
Comments 0
Metrics 0
Leave a public comment

×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.