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Fig. 1 | Implementation Science Communications

Fig. 1

From: Sustainment of proactive physical therapy for individuals with early-stage Parkinson’s disease: a quality improvement study over 4 years

Fig. 1

Applying sustainability frameworks during the implementation process. Sustainability frameworks and concepts are superimposed on the Knowledge-to-Action Cycle implementation process model (Reprinted with permission of John Wiley & Sons from: Straus SE, Tetroe J, Graham ID, eds. Knowledge Translation in Health Care: Moving From Evidence to Practice. 2nd ed. Chichester, United Kingdom: John Wiley & Sons Ltd; 2013.). The cogs have colored outlines to represent whether they were used in both (gray) or just the second sustainability cycle (black). Use of dynamic strategies assists with tailoring implementation strategies for sustainability. Using and then repeating implementation evaluation frameworks (e.g., RE-AIM), provides insight into sustainability outcomes. Sustainability assessment tools offer information about factors that affect sustainment and can guide further program adaptations

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