A framework for assessing program institutionalization

This article presents a framework for assessing the institutionalization of programmatic innovations in nonprofit community agencies and in schools. Institutionalization is the attainment of long-term viability and integration of innovations in organizations. Institutionalization is often characterized as the final stage in an innovation diffusion process. The framework was derived from a qualitative study of ten health promotion programs that were innovations in their host organizations. The framework is a two dimensional matrix: one dimension consists of organizational subsystems; the other consists of levels of institutionalization termed passages, routines, and niche saturation. The cells of the matrix are the basis for assessing program institutionalization. Robert M. Goodman is a research assistant professor in the Department of Health Behavior and Health Education at the University of North Carolina's School of Public Health. Currently, Dr. Goodman directs a four-year intervention study on the dissemination of tobacco prevention curricular funded by the National Cancer Institute. Allan Steckler is an associate professor in the Department of Health Behavior and Health Education at the University of North Carolina's School of Public Health. Dr. Steckler is also the principal investigator of the National Cancer Institute tobacco prevention study.