Table 3 Item analysis

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