Sustaining interventions in community systems: on the relationship between researchers and communities

Important goals of research-based community interventions include the long-term maintenance of effects and fostering of collaboration between researchers and community leaders. This article reviews the challenges associated with transferring innovations to community systems, changing program delivery from an experimental context controlled by researchers to program delivery controlled by community organizations, and sustaining long-term effects of interventions. It is suggested that researchers who develop and implement community interventions in diverse health areas need to confront several issues: (a) fostering effective long-term relationships between researchers and the communities they study and in which they intervene and (b) designing and implementing interventions that are useful to community systems after the formal phase of research ends. Key words: institutionalization, community intervention, sustainability, health behavior In the past two decades, community health interventions have generated excitement, innovation, and exploration of alternative approaches. This article explores the tensions that community researchers face about transferring innovations t