Purpose – The questions addressed by this review are: first, what are the guiding principles underlying efforts to stimulate sustained cultural change; second, what are the mechanisms by which these principles operate; and, finally, what are the contextual factors that influence the likelihood...

Evaluative research for questions of program sustainability has expanded substantially in recent years, but definitional issues remain. This paper presents definitions for four different types of sustainability as potential outcomes of health programs. We then illustrate these definitions with...

This paper discusses conceptual and methodological issues surrounding the measurement of the construct, degree of implementation, drawn from a review of 74 previous studies which included such measures. Assessments against five measurement criteria indicate that an adequate scientific basis has...

A common dilemma of evaluation researchers, that outcome findings do not confirm program adninistrators' and recipients' perceptions of benefits occurring, is related to a general proposition that participants will have positive perceptions of program effects, regardless of behavioral changes...