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Table 6 Parameter estimates for direct and indirect effects (through implementation climate subscales) of implementation leadership on anticipated outcomes of screening tools at T3 (N = 494)

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

Outcome

Parameter

Mediator

Focus

Education support

Recognition-r

Rewards

Selection for EBP

Selection for openness

Implementation outcome

 

a

0.52 (0.07)

[0.39, 0.66]

0.53 (0.08)

[0.39, 0.71]

0.27 (0.09)

[0.12, 0.46]

0.04 (0.07)

[− 0.07, 0.20]

0.36 (0.07)

[0.23, 0.48]

0.43 (0.07)

[0.28, 0.58]

Acceptability (AIM)

 

b

0.11 (0.08)

[− 0.03, 0.26]

0.05 (0.06)

[− 0.05, 0.18]

0.15 (0.07)

[0.03, 0.29]

− 0.23 (0.10)

[− 0.41, 0.02]

0.07 (0.07)

[− 0.05, 0.21]

0.07 (0.07)

[− 0.07, 0.21]

 

direct

0.02 (0.07)

[− 0.13, 0.15]

0.06 (0.07)

[− 0.08, 0.17]

0.05 (0.06)

[− 0.07, 0.15]

0.09 (0.06)

[− 0.02, 0.20]

0.07 (0.06)

[− 0.07, 0.17]

0.05 (0.06)

[− 0.08, 0.16]

 

indirect

0.05 (0.041)

[− 0.01, 0.14]

0.03 (0.03)

[− 0.3, 0.11]

0.04 (0.02)

[0.01, 0.9]

− 0.01 (0.02)

[− 0.05, 0.02]

0.03 (0.02)

[− 0.02, 0.08]

0.03 (0.03)

[− 0.03, 0.08]

 

R2

0.05

0.04

0.07

0.11

0.05

0.04

Appropriateness (IAM)

 

b

0.18 (0.09)

[0.01, 0.40]

0.06 (0.07)

[− 0.08, 0.21]

0.14 (0.08)

[− 0.03, 0.30]

− 0.27 (0.16)

[− 0.54, 0.07]

0.01 (0.08)

[− 0.14, 0.18]

0.00 (0.09)

[− 0.16, 0.21]

 

direct

0.04 (0.10)

[− 0.18, 0.23]

0.11 (0.09)

[− 0.08, 0.26]

0.11 (0.09)

[− 0.08, 0.27]

0.15 (0.08)

[− 0.02, 0.30]

0.15 (0.10)

[− 0.08, 0.31]

0.13 (0.09)

[− 0.07, 0.30]

 

indirect

0.09 (0.05)

[0.01, 0.21]

0.03 (0.04)

[− 0.04, 0.13]

0.04 (0.03)

[− 0.01, 0.11]

− 0.01 (0.02)

[− 0.07, 0.02]

0.02 (0.03)

[− 0.05, 0.07]

0.00 (0.04)

[− 0.07, 0.09]

 

R2

0.07

0.05

0.07

0.10

0.05

0.04

Feasibility (FIM)

 

b

0.16 (0.09)

[0.00, 0.35]

0.09 (0.07)

[− 0.03, 0.22]

0.17 (0.08)

[0.01, 0.31]

− 0.27 (0.15)

[− 0.51, 0.06]

0.04 (0.07)

[− 0.09, 0.19]

0.31 (0.07)

[− 0.10, 0.18]

 

direct

− 0.01 (0.10)

[− 0.21, 0.19]

0.03 (0.09)

[− 0.13, 0.20]

0.03 (0.09)

[− 0.13, 0.21]

0.08 (0.09)

[− 0.06, 0.03]

0.07 (0.09)

[− 0.14, 0.24]

0.04 (0.09)

[− 0.13, 0.22]

 

indirect

0.08 (0.05)

[0.00, 0.18]

0.05 (0.04)

[− 0.02, 0.13]

0.05 (0.03)

[0.02, 0.11]

− 0.01 (0.02)

[− 0.08, 0.26]

0.01 (0.03)

[− 0.03, 0.08]

0.05 (0.03)

[− 0.05, 0.08]

 

R2

0.07

0.06

0.08

0.11

0.06

0.05

  1. Sample of therapists that received training in trauma screening tools (N = 494). Unstandardized parameters. Estimate (standard error) [95% confidence interval]. Independent variable is implementation leadership at T1 in all models. Global climate is a revised version of the ICS consisting of 14 items (excluding item 9 and the Rewards subscale). Recognition-r does not include item 9 from the original ICS. 95% bootstrapped confidence intervals (CIs) for all parameters. Parameters in bold have Cis that do not cross zero. LOCI cohort, age, gender, years of work experience in current occupation, and organizational tenure controlled for in all models
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Implementation Science Communications

ISSN: 2662-2211