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Table 3 Practitioner, Organization, and External Correlates of Mis-Implementation in U.S. SHD chronic disease units, 2018 (N=613)

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

Variable

Mean

(Std Dev)

Spearman’s Correlation (r)

Inappropriate Termination

Inappropriate Continuation

Individual Demographics

 Years working in current position

6.78 (5.54)

0.04

− 0.11**

 Years working at agency

11.73 (11.73)

0.01

−0.09*

 Years in public health

15.79 (15.79)

0.07

−0.10*

Individual Skillsa

 I am knowledgeable about EBPH processes

4.39 (0.60)

0.03

−0.00

 I have the skills to modify EBIs between one priority population to another

4.30 (0.96)

0.06

−0.01

 I have the ability to lead efforts in EBPH in my work unit

3.67 (0.95)

0.01

−0.00

 I have the skills to manage program and policy change in my work unit

3.62 (0.95)

0.01

0.01

 I have the skills to effectively communicate the value of EBIs to leaders in my agency

3.69 (0.95)

0.01

0.06

 I have the skills to effectively communicate information on EBIs to decision makers outsider my agency

3.59 (0.90)

0.15

0.06

Organizational Capacity for EBDM

 In my agency, the number of layers of authority impede decisions about program continuation or ending

3.52 (0.92)

0.15**

0.27**

To what extent do you agree with the statements regarding your agency and work unita

 My agency uses quality improvement processes

3.72 (1.01)

−0.19**

− 0.20**

 My work unit plans for sustainability of programs

3.81 (0.95)

−0.22**

−0.19**

 My work unit uses economic evaluation in its decision-making process

3.21 (1.06)

−0.13**

−0.26**

 My work unit chooses EBPs because they work in similar populations to those we serve

4.06 (0.84)

−0.11**

−0.22**

 My work unit’s leaders are competent at managing change

3.71 (1.06)

−0.21**

−0.30**

 There are champions in my work unit who strongly support EBPs

4.24 (0.82)

−0.08*

−0.18**

Please indicate the extent to which you agree with each statementb

 Leadership in my work unit has developed a plan to implement EBIs

3.59 (1.03)

−0.20**

−0.26**

 Leadership in my work unit has removed obstacles to implement EBIs

3.20 (0.99)

−0.24**

−0.26**

 Leadership in my work unit recognizes and appreciates employee efforts toward successful implementation of EBIs

3.52 (1.14)

−0.20**

−0.28**

 Leadership in my work unit encourages planning for sustainability of programs

3.60 (1.09)

−0.27**

−0.27**

 Leadership in my work unit preserves through the ups and downs of implementing EBIs

3.60 (1.94)

−0.24**

−0.25**

 Leadership in my work unit supports employee’s efforts to use EBIs

3.89 (1.03)

−0.22**

−0.26**

 Leadership in my work unit reacts to critical issues regarding the implementation of EBIs by openly and effectively addressing the problem.

3.31 (0.93)

−0.28**

−0.30**

 The extent my agency is willing to make change to enable the use of EBIs

3.37 (0.94)

−0.19**

−0.28**

External Factorsa

 Activities of my work unit fit with priorities of most of our state legislators

3.30 (0.85)

−0.18**

−0.14**

 In this past legislative session, most of our state legislators were supportive of EBIs in public health

3.05 (0.81)

−0.19**

−0.22**

 Activities of my work unit fit with priorities of the governor’s office

3.48 (0.89)

−0.19**

−0.18**

 In the past year, the governor’s office was supportive of EBIs in public health

3.38 (0.89)

−0.14**

−0.19**

 It is important for my work unit to develop partnerships with both health and other work sectors to address out state’s health issues.

4.67 (0.54)

0.02

0.02

  1. Boldface indicates statistical significance (*p< 0.05, **p< 0.01)
  2. a 5-point Likert scale used. 1-Strongly Disagree, 5- Strongly Agree b 5-point Likert Scale used. 1- Not at all, 5- Very great extent