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Table 3 Item analysis

From: Implementation Degree Assessment Sheet for Health Program in Japan by Customizing CFIR: Development and Validation

Domain Construct Short description Mean ± SD Item-total correlation analysisa
Correlation coefficient p value
I
Intervention characteristics
1 Intervention source Know how the intervention is developed. 3.9 ± 0.8 0.58 < 0.001
2 Evidence strength and quality Know the extent to which the intervention is evidence-based. 3.6 ± 0.9 0.59 < 0.001
3 Relative advantage Know the advantage of the intervention versus an existing project. 3.7 ± 0.9 0.62 < 0.001
4 Adaptability Clarify how the intervention can be modified or adjusted to meet local needs. 3.9 ± 0.8 0.70 < 0.001
5 Trialability Introduce a pilot phase before full implementation. 2.9 ± 1.1 0.58 < 0.001
6 Complexity Clarify conditions for implementation (including procedure, scope, and period). 3.9 ± 0.8 0.72 < 0.001
7 Material quality control Prepare teaching aids and materials to guarantee the quality of the intervention. 3.6 ± 0.8 0.60 < 0.001
8 Cost Qualify the costs associated with implementing the intervention by expense item. 3.9 ± 0.9 0.64 < 0.001
II
Outer setting
9 Patient needs and resources Clarify the need to implement a new intervention in response to the trend of health issues. 4.0 ± 0.8 0.66 < 0.001
10 Cosmopolitanism Identify interventions in other regions or by other organizations and exchange views and information thereon. 3.7 ± 0.8 0.60 < 0.001
11 Horizontal development of Pioneering and superior practice Identify advanced good practices and their implementation in other regions or by other organizations. 3.7 ± 0.8 0.61 < 0.001
12 External policy and incentives Identify and utilize trends in central and prefectural government policies in a timely manner. 3.7 ± 0.9 0.69 < 0.001
III
Inner setting
13 Readiness for implementation: available resources Identify and prepare the space and equipment for implementing the intervention. 4.0 ± 0.8 0.56 < 0.001
14 Networks and communications Hold meetings to consult on implementation and secure communication tools such as e-mail and telephone. 4.0 ± 0.7 0.60 < 0.001
15 Culture Take into account the impact of organizational culture (including norms, values, and characteristics). 3.6 ± 0.9 0.62 < 0.001
16 Fostering change acceptance climate Ensure that the organization recognizes and accepts the priority and importance of the new intervention. 3.8 ± 0.8 0.70 < 0.001
17 Goals setting and accountability Ensure that the organization sets and publishes the goals to be achieved by the intervention. 3.5 ± 0.9 0.63 < 0.001
18 Confirmation of higher goals/incentives Confirm consistency with higher goals (such as comprehensive plan or basic guidelines). 3.9 ± 0.8 0.70 < 0.001
19 Implementation climate: learning climate Ensure that the organization develops a culture and system to gain knowledge and skills required for the intervention. 3.5 ± 0.9 0.71 < 0.001
20 Readiness for implementation: leadership engagement As a leader, explain the details of the intervention to the team members and support their roles. 3.7 ± 0.9 0.71 < 0.001
21 Readiness for implementation: access to knowledge and information Develop an environment for the intervention team members to improve their competencies (opportunities for training and provision of teaching aids, etc.). 3.6 ± 0.9 0.72 < 0.001
IV
Characteristics of individuals
22 Knowledge and beliefs about the intervention Have the knowledge, skills and belief required for one's own intervention. 3.9 ± 0.7 0.68 < 0.001
23 Self-efficacy Have belief in one's own capabilities/a sense of self-sufficiency in implementing the intervention. 3.7 ± 0.8 0.64 < 0.001
24 Individual stage of change Be prepared to implement each phase of the intervention on one's own (knowledge/persuasion/decision/execution/confirmation). 3.9 ± 0.7 0.68 < 0.001
25 Individual identification with organization Take pride in displaying one's ability at the workplace. 3.5 ± 0.9 0.62 < 0.001
V
Process
26 Planning Ensure that the organization rigorously develops a feasible execution plan. 3.8 ± 0.8 0.67 < 0.001
27 Engaging: internal implementation key persons Place key persons in supervising/directing positions and the execution team. 3.4 ± 1.0 0.61 < 0.001
28 Engaging: external change agents/key stakeholders Partner/collaborate as necessary with relevant external parties and organizations. 4.0 ± 0.8 0.68 < 0.001
29 Engaging: intervention participants Recruit intervention participants via multiple publication media/channels. 3.6 ± 0.9 0.57 < 0.001
30 Executing Carry out or accomplish the intervention according to plan. 4.0 ± 0.7 0.67 < 0.001
31 Reflecting and evaluating Regularly review the progress of execution for evaluation and improvement. 4.0 ± 0.8 0.70 < 0.001
  1. CFIR original contracts customized for health programs in Japan:
  2. 7←Design Quality & Packaging, 11←Peer Pressure, 16←D1·2·3: Implementation Climate; Relative Priority/Compatibility/Tension for Change, 17/18←A: Structural Characteristics/D4·5: Implementation Climate: Organizational Incentives & Rewards/Goals and Feedback, 27←B1·2·3: Engaging; Opinion Leaders/Formally Appointed Internal Implementation Leaders/Champions, 28←B4·5: Engaging; External Change Agents/Key Stakeholders
  3. aCorrelation analysis