Table 1 Importance scores and latent class membership for the highest-ranked constructs within each domain and site characteristics by class
Highest-ranked constructs within each domain | % (95% CI) | Latent class % | |
|---|---|---|---|
1 | 2 | ||
Domain: Outer setting | |||
1. Patient needs and resources-bio-psychosocial factorsa | 41.7 (38.1, 45.3) | 42.7 | 38.6 |
2. External policy and incentives | 33.1 (26.0, 40.2) | 14.4 | 49.5 |
3. Peer pressure | 14.9 (8.6, 21.3) | 31.8 | 2.4 |
4. Social determinants of healtha | 6.8 (4.9, 8.7) | 7.1 | 6.3 |
5. Cosmopolitanism | 3.5 (0.9, 6.1) | 4.0 | 3.1 |
Latent class membership | 44.5 | 55.5 | |
Site characteristics by latent class membership | |||
Implemented | 85.7 | 70.0 | |
Academic medical center | 71.4 | 60.0 | |
Domain: Inner setting | |||
1. Leadership engagement | 16.6 (15.4, 17.7) | 15.2 | 19.6 |
2. Available resources | 16.1 (15.1, 17.1) | 15.3 | 15.1 |
3. Implementation climate | 13.9 (12.3, 15.6) | 11.3 | 15.6 |
4. Readiness for implementation | 11.4 (9.2, 13.7) | 12.4 | 5.4 |
5. Relative priority | 10.3 (7.4, 13.2) | 8.3 | 13.9 |
Latent class membership | 76.5 | 23.5 | |
Site characteristics by latent class membership | |||
Implemented | 69.2 | 100.0 | |
Academic medical center | 76.9 | 25.0 | |
Domain: Characteristics of individuals | |||
1. Knowledge and beliefs about the intervention | 49.9 (45.8, 54.0) | 30.6 | 52.4 |
2. Self-efficacy | 23.5 (18.4, 28.5) | 4.9 | 25.3 |
3. Individual stage of change | 18.0 (12.1, 23.9) | 40.8 | 12.2 |
4. Other personal attributes | 5.4 (2.7, 8.2) | 3.1 | 7.8 |
5. Individual identification with organization | 3.1 (0.2, 6.0) | 20.5 | 2.2 |
Latent class membership | 17.2 | 82.8 | |
Site characteristics by latent class membership | |||
Implemented | 66.7 | 78.6 | |
Academic medical center | 33.3 | 71.4 | |
Domain: Intervention characteristics | |||
1. Evidence strength and quality | 27.9 (25.9, 29.8) | 24.0 | 29.0 |
2. Relative advantage | 21.1 (17.0, 25.2) | 27.8 | 16.3 |
3. Cost | 17.3 (13.4, 21.1) | 6.2 | 22.1 |
4. Complexity | 13.2 (9.9, 16.6) | 14.4 | 10.6 |
5. Ability of the healthcare system to educate individuals receiving care, families, clinicians a | 8.0 (5.0, 11.0) | 2.6 | 12.4 |
Latent class membership | 34.7 | 65.3 | |
Site characteristics by latent class membership | |||
Implemented | 83.3 | 72.7 | |
Academic medical center | 33.3 | 81.8 | |
Domain: Process | |||
1. Champions | 26.9 (23.2, 30.6) | 30.6 | 25.9 |
2. Engaging | 20.3 (16.1, 24.5) | 29.5 | 10.0 |
3. Formally appointed internal implementation leaders | 17.0 (11.5, 22.4) | 3.0 | 31.0 |
4. Opinion leaders | 16.2 (11.5, 21.0) | 18.4 | 10.8 |
5. Planning | 10.9 (8.2, 13.7) | 15.7 | 8.5 |
Latent class membership | 44.9 | 55.1 | |
Site characteristics by latent class membership | |||
Implemented | 62.5 | 88.9 | |
Academic medical center | 75.0 | 55.6 | |