Dynamics of Implementation and Maintenance of Organizational Health Interventions

Mohammad S. Jalali, Hazhir Rahmandad, Sally Lawrence Bullock and Alice Ammerman
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Mohammad S. Jalali: Sloan School of Management, Massachusetts Institute of Technology, Cambridge, MA 02142, USA
Hazhir Rahmandad: Sloan School of Management, Massachusetts Institute of Technology, Cambridge, MA 02142, USA
Sally Lawrence Bullock: Department of Nutrition, Gillings School of Global Public Health, UNC Center for Health Promotion and Disease Prevention (a CDC Prevention Research Center), University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Alice Ammerman: Department of Nutrition, Gillings School of Global Public Health, UNC Center for Health Promotion and Disease Prevention (a CDC Prevention Research Center), University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

IJERPH, 2017, vol. 14, issue 8, 1-24

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.

Keywords: implementation; adoption; health interventions; community prevention; obesity prevention interventions; system dynamics; systems thinking; endogenous dynamics; qualitative modeling; case studies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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