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Table 3 Factors influencing the Salut Programme sustainability, nested in a theoretical scheme inspired by Grol and Wensing [16]*

From: Sustainable practice change: Professionals' experiences with a multisectoral child health promotion programme in Sweden

  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
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
  Positive attitudes to
interventions 3,4
New topics and questionnaires
intrusive and extensive 1-3
Content of parent meetings
unpopular 1,3
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
and political
Incentives in line with
programme intentions 3
  Conflicting incentives for
performance 3
Threat of cutbacks 1-3
  1. 1 Represent the views of midwives, 2 child health nurses, 3 dental hygienists/dental nurses, 4 open pre-school teachers
  2. * With an added level; development process.