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Table 3 CFIR inner and outer setting Likert scale items and mean scores

From: A structural equation model of CFIR inner and outer setting constructs, organization characteristics, and national DPP enrollment

CFIR item

Question (response scale strongly disagree 1 to strongly agree 5)

N

Mean

Std

Networks and Communication

We have regular project meetings with our organization’s National DPP team members/staff

429

3.76

1.2

Networks and Communication

There is regular involvement of staff in National DPP planning and implementation

435

3.78

1.1

Networks and Communication

We provide regular feedback to organization management on progress of program activities and resource needs

434

3.95

1.0

Networks and Communication

We provide regular feedback to organization staff on effects of the National DPP on participant outcomes

428

3.92

1.0

Networks and Communication

We consistently use an internal referral processes (referrals within your organization to the program) for the National DPP

417

3.86

1.1

Culture

People at all levels openly talk about what is and isn’t working

448

3.95

1.0

Culture

We regularly take time to reflect on how we do things

452

4.01

0.9

Culture

People in this organization operate as a real team

451

4.03

1.0

Culture

The National DPP aligns well with the mission and/or vision at our organization

463

4.33

0.8

Implementation Climate

Our organization has established National DPP goals that the program staff are expected to help meet (i.e., increase DPP enrollment rates)

421

3.78

1.0

Implementation Climate

Organization National DPP staff have the support they need to implement the National DPP

442

3.83

1.0

Implementation Climate

Organization National DPP staff receive acknowledgement (i.e., bonus, awards, public acknowledgement, etc.) for implementing the National DPP successfully

406

2.94

1.2

Implementation Climate

The National DPP is a top priority of the organization

440

3.30

1.1

Implementation Climate

The National DPP fits well with our organization’s existing workflow and systems

442

3.85

0.9

Implementation Climate

There is a strong need for this program at our organization

459

4.34

0.8

Leadership Engagement

Organization leadership makes sure that staff have the time necessary to implement the National DPP

445

3.86

1.0

Leadership Engagement

Organization leadership makes sure that staff have the space (physical for in-person classes and/or a virtual/online platform) necessary to implement the National DPP

448

3.95

0.9

Leadership Engagement

Leadership in this organization create an environment where things can be accomplished for the National DPP

450

3.90

0.9

Leadership Engagement

Organization leadership promotes an environment that is an enjoyable place to work on the National DPP

446

3.95

0.9

Leadership Engagement

Leadership strongly supports the National DPP implementation efforts

450

3.92

1.0

Available Resources

Financial resources to support the implementation of the National DPP

426

3.64

1.1

Available Resources

Number of staff (lifestyle coaches and others) to support the implementation of the National DPP

445

3.71

1.1

Available Resources

Basic staff training to facilitate the implementation of the National DPP

456

4.02

0.9

Available Resources

Equipment/materials to facilitate the implementation of the National DPP

456

4.06

0.9

Available Resources

Facilities/space to host the National DPP in-person

432

3.94

0.9

Available Resources

Virtual/Distance/Online platform to host the National DPP via distance or online delivery

446

4.03

1.0

Patient Needs and Resources

Our organization does a good job of assessing participant needs and barriers to enrolling in the National DPP

440

3.86

0.9

Patient Needs and Resources

Our organization uses data from participants to improve program delivery

423

3.95

0.9

Patient Needs and Resources

Our organization uses data from participants to improve recruitment and enrollment strategies

425

3.87

0.9

Patient Needs and Resources

Our organization has taken steps to reduce barriers to enrollment for participants

433

3.92

0.9

Patient Needs and Resources

There is high demand for the National DPP lifestyle change program in the geographic region our organization serves

432

3.69

1.1

Cosmopolitanism

Our organization/staff engages in inter-organizational networking or partnerships (coalitions, meetings, conferences, group trainings, etc.) related to diabetes, prediabetes, and/or the National DPP

421

3.91

0.9

Cosmopolitanism

Our external/community partners promote our National DPP lifestyle change program

406

3.70

1.0

Cosmopolitanism

Our program has an effective participant referral processes with external organizations (healthcare providers, community partners, other National DPP organizations, etc.) in place

416

3.40

1.1

Cosmopolitanism

Our organization works collaboratively with other organizations who deliver the National DPP (i.e., inter-organization referrals, marketing, resource sharing, etc.)

404

3.50

1.1

External Policies and Incentives

Our organization receives acknowledgement for using an evidence-based program

390

3.73

1.0

External Policies and Incentives

External funding for diabetes prevention supports our organization’s implementation of the National DPP

351

3.56

1.2

External Policies and Incentives

The CDC DPRP reporting requirements are helpful for our organization’s implementation of the National DPP

402

3.56

1.1