Individual-level associations between implementation leadership, climate, and anticipated outcomes: a time-lagged mediation analysis

Table 5 Parameter estimates for direct effects, indirect effects (through implementation climate), and total effects of implementation leadership on anticipated outcomes of screening tools and treatment methods at T3

Outcome	Parameter	Screening tools (N = 494)		Treatment methods (N = 184)
Outcome	Parameter	Estimate (s.e.)	95% CI	Estimate (s.e.)	95% CI
Implementation climate	a	0.44 (0.05)	0.35, 0.55	0.40 (0.08)	0.27, 0.56
Acceptability	b	0.21(0.10)	0.05, 0.43	0.24 (0.10)	0.05, 0.42
	direct	− 0.02 (0.07)	− 0.16, 0.10	0.10 (0.06)	− 0.03, 0.23
	indirect	0.09 (0.05)	0.02, 0.19	0.09 (0.04)	0.02, 0.18
	total	0.07 (0.05)	− 0.03, 0.17	0.19 (0.05)	0.09, 0.30
	R²	0.07		0.23
Appropriateness	b	0.17 (0.11)	− 0.02, 0.41	0.25 (0.13)	0.01, 0.51
	direct	0.05 (0.10)	− 0.16, 0.23	0.15 (0.08)	− 0.02, 0.31
	indirect	0.08 (0.05)	− 0.01, 0.19	0.10 (0.05)	0.01, 0.22
	total	0.13 (0.08)	− 0.04, 0.28	0.25 (0.08)	0.10, 0.39
	R²	0.06		0.17
Feasibility	b	0.21 (0.10)	0.02, 0.43	0.40 (0.15)	0.11, 0.70
	direct	− 0.03 (0.10)	− 0.21, 0.16	0.15 (0.11)	− 0.08, 0.35
	indirect	0.09(0.05)	0.01, 0.19	0.16 (0.07)	0.04, 0.32
	total	0.06 (0.08)	− 0.08, 0.22	0.31 (0.09)	0.12, 0.48
	R²	0.07		0.21

Implementation climate is a revised version of the ICS consisting of 14 items (excluding item 9 and the Rewards subscale). 95% bootstrapped confidence intervals (CIs) for all parameters. Parameters in bold have CIs that do not cross zero. Cohort, age, gender, years of work experience in current occupation, and organizational tenure controlled for in all models

ISSN: 2662-2211