Behavioral Health Implementers’ Perspectives on Facilitators and Barriers to Sustaining Evidence-Based Prevention Interventions in the U.S. Military

Prevention implementers confirmed leadership-identified military-specific social-ecological factors influencing behavioral health EBI fidelity and sustainability, while providing unique, on-the-ground insights into implementer and end-user experiences. The study's results reinforce the need for implementation scientists to use a military-informed model to understand the determinants of sustained EBI implementation. Further evaluation of this model is warranted to document the relative contributions of these determinants and identify priorities for enhancements that can improve the sustainability of military behavioral health EBIs, ultimately improving the well-being of service members and supporting mission readiness.