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Table 4 Mis-Implementation Predictors among programs overseen by U.S. state health department chronic disease unit staff, 2018 (N=613)

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

Independent variable Dependent Variable Category OR 95% CI
Final Inappropriate Termination among programs overseen by SHD Model
 I have the skills to modify EBIs between one priority population to another Often/Always
Sometimes
Never/Rarely
3.24
1.25
1 (ref)
1.19, 8.85
0.83, 1.89
 Work unit uses the CDC’s Community Guide in its work Often/Always 1.56 0.66, 3.72
Sometimes
Never/Rarely
1.73
1 (ref)
1.10, 2.73
 In my agency, the number of layers of authority impede decisions about program continuation or ending Often/Always 3.23 1.61, 7.40
Sometimes
Never/Rarely
1.25
1 (ref)
0.91, 1.83
 My agency uses quality improvement processes Often/Always 0.52 0.27, 1.03
Sometimes
Never/Rarely
0.49
1 (ref)
0.34, 0.73
 Leadership in work unit perseveres through the ups and downs of implementing EBIs Often/Always 0.16 0.07, 0.34
Sometimes
Never/Rarely
0.62
1 (ref)
0.43, 0.89
Final Inappropriate Continuation among programs overseen by SHD Model
 In agency, the number of layers of authority impede decisions about program continuation or ending Often/Always
Sometimes
Never/Rarely
4.70
1.63
1 (ref)
2.20, 10.04
1.14, 2.34
 Work unit uses economic evaluation in its decision-making about programs Often/Always
Sometimes
Never/Rarely
0.35
0.62
1 (ref)
0.17, 0.73
0.43, 0.89
 Work unit leaders are competent at managing change Often/Always
Sometimes
Never/Rarely
0.26
0.57
1 (ref)
0.13, 0.53
0.38, 0.87
 The agency is willing to make changes to enable use of EBIs Often/Always
Sometimes
Never/Rarely
0.57
0.54
1 (ref)
0.27, 1.23
0.37, 0.78
  1. Boldface indicates statistical significance (p< 0.05)
  2. The survey items for independent variables were asked on a 5-point scale (strongly disagree to strongly agree) and were dichotomized for model specification into strongly agree/agree (1) and neither disagree or agree/disagree/strongly disagree (0). Model fit statistics for model 1 were X2(12)= 83.88, p< 0.001 and for model 2 were X2(8)= 103.11, p< 0.001. OR: odds ratio, CI: confidence interval