Barriers and facilitators in implementing a pilot, pragmatic, telemedicine-delivered healthy lifestyle program for obesity management in a rural, academic obesity clinic

Table 2 Staff inner setting evaluation using Fernandez evaluation (n = 8) [15]

Subscale	# Questions	Mean	Median	Range	Maximum survey score
Organizational culture	9 questions	39.9 ± 3.2	40	36–44	45
Culture stress	4 questions	12.3 ± 2.7	12.5	8–16	20
Culture effort	5 questions	23.5 ± 1.5	23.5	21–25	25
Implementation climate	4 questions	14.1 ± 2.0	14	11–18	20
Learning climate	5 questions	21.3 ± 3.3	20	17–25	25
Leadership engagement	4 questions	13.5 ± 2.1	14	10–16	20
Available resources	7 questions	22.1 ± 2.2	22	20–27	35
Total	38 questions	146.6 ± 8.6	143.5	139–163	190

Mean ± standard deviation, median, and range are listed for the measures. The last column represents the maximum score for each subscale. This is a 38 item measure evaluating culture, culture stress, culture effort, implementation climate, learning climate, leadership engagement, and available resources. Supplemental File #3 outlines each subscale’s detailed questions and scoring from each component

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