An examination of the sustainability of school-based program initiatives: the case of 'Turning the Tide' in schools

DoctorateThis thesis examines the factors that influence the sustained use of new program initiatives mandated in schools. Using the case of the `Turning the Tide in Schools' (TTIS) drug education program (implemented in Victorian schools, Australia, since 1997) the author has sought to address the specific question: What are the key factors at the systemic and school level that appear to support the sustained use of program initiatives in schools? In order to fulfill this aim, semi-structured interviews were employed to collect information from across the school system. This involved staff from secondary school sites; Regional Drug Education Facilitators (RDEFs); and Drug Education Unit Officers responsible for the Program's development. Seven schools were chosen for study. Six of these were identified as having been successful in implementing and embedding the TTIS. Then, in order to strengthen the design, a seventh and contrasting school was selected (i.e. where the process of establishing the program had been `less successful') for `negative case analysis'. After a general examination of these schools, four were chosen to be presented as case studies. The majority of analysis was undertaken using N5 (QSR NUD*IST) software. Findings indicated a range of factors that appeared to assist program sustainability. Success was shown to be based on three domains where external and program-based factors were mediated through a third group of school-based factors. Each of the three categories comprised two major elements. Consequently, there seemed to be six key aspects influencing embedded use. These were: high program credibility; a strong prevailing political climate; supportive program structures and processes; adequate personnel and resource provision; a strong prevailing school ethos; and a high level of school engagement. While the findings confirmed many of the factors related to program sustainability already outlined in the literature, this study has revealed the importance of the explicit use of school change theory. This was evident in schools where knowledge of implementing change was seen to be important. It also appeared to be crucial at the design stage of a program. As a result, models of the specific factors related to the sustainability of TTIS and of generic conditions necessary for the sustained used of any new school initiative are put forward. Suggested actions for strengthening the capacity to foster sustained use are also outlined