Sustainability of Complex Interventions: Recommendations From a Pragmatic Clinical Trial to Manage Cancer Symptoms.
Sustainability is dynamic and multidimensional, and emphasizes the importance of optimizing the fit of key intervention components to the care delivery context as it evolves time. Investigators are advised to plan sustainability efforts early, embrace change inherent in dynamic settings, and carefully track adaptations of intervention components to maximize intervention fit in real-world clinical practice to ensure patients continue to derive benefit from evidence-informed care.
Authors
- Cindy Tofthagen (ORCID: https://orcid.org/0000-0002-3757-5823)
- Sandra A. Mitchell (ORCID: https://orcid.org/0000-0002-4153-9972)
- Kathryn J. Ruddy (ORCID: https://orcid.org/0000-0001-6298-332X)
- Linda L. Chlan (ORCID: https://orcid.org/0000-0001-6922-7551)
- Jessica D. Austin (ORCID: https://orcid.org/0000-0001-8286-7801)
- Deirdre R. Pachman (ORCID: https://orcid.org/0000-0002-9772-0797)
- Andrea Lynne Cheville (ORCID: https://orcid.org/0000-0001-7668-6115)
Institutions
- National Institutes of Health (US)
- Jacksonville College (US)
- WinnMed (US)
- Mayo Clinic in Arizona (US)
- Mayo Clinic in Florida (US)
Publication Details
- Journal
- PubMed
- Published
- 2025-12-09
- DOI
- https://doi.org/10.1097/nnr.0000000000000870
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00