| FACTORS INFLUENCING SUSTAINABILITY | ||
---|---|---|---|
LEVEL | REQUIREMENTS | FACILITATORS | BARRIERS |
Innovation | Â | Â | Â |
Development process | Â | Involvement in development and small scale testing 1-4 Support from process consultants 1-4 Having time to develop strategies 1-4 | Time consuming and ineffective 1-4 |
Content | Carefully designed work manuals 3 | Perceived as important 1-4 Easily integrated 1-4 Manuals essential tools 1-4 Clear programme branding 1-4 | Time consuming 1-4 Not suiting specific needs of immigrants 1,2,4 Difficulty with social and psychological problems 1,2 Found similar to approaches already present at the work place 1,2,4 |
Individual | Â | Â | Â |
Professionals | Own commitment and interest 1-4 | Own values coherent with programme's purpose and goals 1-4 | Lack of motivation 2,3,4 Programme goals found unrealistic 2 |
Parents (Patients) | Â | Positive attitudes to interventions 3,4 | New topics and questionnaires intrusive and extensive 1-3 Content of parent meetings unpopular 1,3 |
Context | Â | Â | Â |
Social | Regular meetings 1-4 Permanent programme organization 1-3 Information to new employees 1,3 Managerial responsibility and commitment1-4 | Regular meetings 1-4 Active managerial support 1-4 | Lack of managerial involvement or support 1-4 Lack of involvement or support from physicians or other colleagues 1-3 |
Organizational | Programme integrated in action plans 1-3 Geographical proximity for collaborators 1-4 Sufficient time 1-3 Further establishment and spread of the programme 1-4 | Geographical proximity for collaborators 1-4 | Lack of time and resources 1-4 Lack of communication and agreement between programme management and local managers 2,3 |
Economical and political | Incentives in line with programme intentions 3 | Â | Conflicting incentives for performance 3 Threat of cutbacks 1-3 |