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Table 2 Reported frequency and reasons for mis-implementation from a survey of U.S., 2018

From: Patterns and correlates of mis-implementation in state chronic disease public health practice in the United States

  Perceived frequency of mis-implementation
Never Rarely Sometimes Often Always
Inappropriate Termination
 How often do effective programs, overseen by your work unit, end when they should have continued (n=613) 7.8% 36.7% 43.2% 7.5% 0.0%
Inappropriate Continuation
 How often do ineffective programs, overseen by your work unit, continue when they should have ended (n=604) 9.3% 36.1% 40.1% 7.8% 0.6%
Most common reasons for ending effective programsa % endorsing
 Funding priorities changed/funding ended 87.6%
 Support from leaders in your agency changed 38.9%
 Support from policy makers changed 34.2%
 Program was not sustainable 30.2%
 Program champions left the agency 24.4%
 Lack of staff capacity to write or manage new grants 21.8%
 Lack of inclusion of partnering organizations 6.7%
 Program not made visible to others 5.8%
 Support from general public changed 2.8%
 Other 2.5%
 Staff lacks public health training 1.7%
Most common reasons for continuing ineffective programsa % endorsing
 Funder priorities to maintain program 43.4%
 Policy makers’ request or requirements to continue 42.9%
 Agency leadership requests or requirements to continue 37.9%
 Standard is to maintain the status quo 36.5%
 Advocacy group support 19.4%
 Limited evidence available to support ending programs 14.9%
 Program champion support 14.2%
 Disagreement with alternate approaches 12.9%
 Not cost effective to change programs 10.3%
 Evidence-based practices not available for the setting 9.6%
 Staff morale may be affected if program is ended 5.0%
 Other 3.0%
  1. aRespondents could choose up to 3 reasons so percentages will add up to more than 100%. List is arranged by top responses in descending order of frequency a reason was selected; complete questions are shown in Additional file 1