{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:28:21Z","timestamp":1773797301082,"version":"3.50.1"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S147895152510117X_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There is a lack of family-based psychosocial support interventions in palliative care when a parent of children or youths has a life-threatening illness. One intervention that has shown positive effects is the family talk intervention (FTI). This study aimed to describe the influence of contextual factors on FTI sustainability, as perceived by healthcare professionals (HCPs), after a median of 18\u00a0months of implementation in clinical practice in cancer and palliative care when a parent of children or youths has a life-threatening illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S147895152510117X_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Focus groups and individual interviews were conducted with 15 HCPs working with FTI. Data were analyzed using conventional qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S147895152510117X_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HCPs identified contextual factors that facilitated or hindered the use of FTI. The analysis resulted in 3 categories, Trying to prioritize FTI and coordinate families in a complex context is challenging, Working alone without FTI-educated colleagues hampers sustainability, the satisfaction of seeing families become stronger contributes to a receptiveness for change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S147895152510117X_sec4d\">\n                    <jats:title>Significance of the results<\/jats:title>\n                    <jats:p>This study shows that organizational support and resources, alongside the individual\u2019s facilitating factors, such as receptiveness for change, are crucial for sustainability after the initial implementation. Witnessing a positive impact is motivational and also supports the sustainability of an intervention despite contextual constraints.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s147895152510117x","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T03:00:46Z","timestamp":1766977246000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["The influence of contextual factors on the sustainability of the family talk intervention after implementation when a parent of children or youths has a life-threatening illness"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9590-2772","authenticated-orcid":false,"given":"Ulrica","family":"\u00c5sberg","sequence":"first","affiliation":[{"name":"Dalarna University"},{"name":"\u00d6rebro University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina","family":"Lundberg","sequence":"additional","affiliation":[{"name":"Marie Cederschi\u00f6ld University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malin","family":"L\u00f6vgren","sequence":"additional","affiliation":[{"name":"Marie Cederschi\u00f6ld University"},{"name":"Karolinska University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Thermaenius","sequence":"additional","affiliation":[{"name":"Marie Cederschi\u00f6ld University"},{"name":"Link\u00f6ping University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anette","family":"Alvariza","sequence":"additional","affiliation":[{"name":"Marie Cederschi\u00f6ld University"},{"name":"Research and Development unit\/Palliative Care, Stockholms Sjukhem"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camilla","family":"Udo","sequence":"additional","affiliation":[{"name":"Dalarna University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"key":"S147895152510117X_ref7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1146\/annurev-publhealth-031816-044215","article-title":"An overview of research and evaluation designs for dissemination and implementation","volume":"38","author":"CH","year":"2017","journal-title":"Annual Review of Public Health"},{"key":"S147895152510117X_ref35","unstructured":"Public Health Agency of Sweden (2024) From news to everyday use \u2013 the difficult art of implementation. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e10"}}