Large diverse group of colleagues looking at project plan


Since 2010, CPHSS has developed, refined, and is now disseminating a tool (the Program Sustainability Assessment Tool or PSAT) designed to measure program capacity for sustainability. This work is funded by the CDC, Office on Smoking and Health. Recognizing sustainability is a major challenge for all kinds of programs, we created a tool that staff, managers, funders, and evaluators can use to measure their program’s sustainability. To develop the tool, we conducted a comprehensive literature review and used expert-informed Concept Mapping. We also obtained expert input from researchers, funders, and state and local program managers from four primary chronic disease program areas: tobacco control, obesity prevention, heart disease and stroke prevention, and injury prevention. The resulting framework and tool identified a range of critical factors affecting program sustainability capacity.

The Sustainability Framework and Assessment Tool have been reliability tested and can be used by programs in a variety of levels and settings to better understand and plan for their sustainability.

We have developed a website,, that allows users to take the assessment online, receive immediate results, and access resources on sustainability planning. We also offer webinars, workshops and technical assistance to support programs to complete our Program Sustainability assessment and planning process.

Funder: Centers for Disease Control and Prevention, Office on Smoking and Health

Staff Contact: Kim Prewitt

Project Duration: 2010-present

Project Publications

Showing: All results

Assessing the sustainability capacity of evidence-based programs in community and health settings

Bacon, C., Malone, S., Prewitt, K., Hackett, R., Hastings, M., Dexter, S. & Luke, D. (2022). Frontiers in Health Services.

Promoting Health Equity through Sustaining Comprehensive Tobacco Prevention and Cessation Efforts

2022, Kim Prewitt, National Conference on Tobacco or Health (NCTOH)

Assessment of the Sustainability Capacity of a Coordinated Approach to Chronic Disease Prevention

Moreland-Russell, S., Combs, T., Polk, L., et al. (2017). J Public Health Manag Pract.

Program Sustainability Assessment and Planning with Statewide Tobacco Control Efforts

2017, Kim Prewitt, National Conference on Tobacco or Health

The Program Sustainability Assessment Tool: A New Instrument for Public Health Programs

Luke, D.A., Calhoun, A., Robichaux, C.B., et al. (2014). Prev Chronic Dis. 11: 130184.

Using the Program Sustainability Assessment Tool to Assess and Plan for Sustainability

Calhoun, A., Mainor, A., Moreland-Russell, S., et al. (2014). Prev Chronic Dis. 11: 130158.

Public Health Program Capacity for Sustainability: A New Framework

Schell, S., Luke, D., Schooley, M., et al. (2013). Implement Sci. 8(15).

Using Concept Mapping to Develop an Agenda for Sustainability Research

2012, Douglas Luke and Annaliese Calhoun, Agency for Healthcare Research and Quality

Sustainability Assessment: A Framework and Measurement Tool for Chronic Disease Programs

2011, Sarah Schell, National Institutes of Health Dissemination & Implementation