Implementation fidelity trajectories of a health promotion program in multidisciplinary settings: managing tensions in rehabilitation care

Table 4 Differences between clusters in professional and organizational characteristics at the start and at the end of the implementation period

	Cluster 1 Stable high fidelity		Cluster 2 Moderate and improving fidelity		Differences
	Mean (SD)	N	Mean (SD)	N	U or Z values	p values
Start of implementation period (T0)
Characteristics of professionals
Support from other professionals^a
Management	4.2 (0.9)	37	4.3 (0.6)	24	z = − 0.01	p = .994
Rehabilitation physicians	4.4 (0.6)	37	3.9 (0.5)	24	z = − 2.91	p = .004*
Physiotherapists	4.5 (0.8)	37	4.0 (0.8)	25	z = − 2.91	p = .004*
Sports therapists	4.8 (0.5)	30	4.7 (0.5)	25	z = − 1.25	p = .210
Counselors	4.9 (0.3)	32	4.7 (0.4)	23	z = − 1.64	p = .102
Professionals’ appreciation^b	8.3 (0.7)	31	7.9 (0.9)	22	z = − 2.61	p = .009*
Characteristics of the organization
Compatibility of program in organization^a	4.5 (0.6)	37	3.8 (0.9)	25	z = − 2.993	p = .003*
End of implementation period (T2)
Characteristics of professionals
Support from other professionals^a
Management	4.3 (0.6)	34	3.9 (0.9)	19	z = − 1.60	p = .110
Rehabilitation physicians	4.5 (0.6)	37	3.8 (0.9)	20	z = − 3.20	p = .001*
Physiotherapists	4.6 (0.5)	37	3.9 (0.9)	22	z = − 3.03	p = .002*
Sports therapists	4.9 (0.3)	28	4.6 (0.7)	21	z = − 1.96	p = .050*
Counselors	4.9 (0.4)	35	4.7 (0.5)	20	z = − 1.39	p = .165
Professionals’ appreciation^b	8.5 (0.8)	37	7.9 (0.9)	22	z = − 2.24	p = .025*
Characteristics of the organization
Awareness of SCC within organization^a	3.9 (0.8)	37	3.4 (0.9)	22	z = − 1.88	p = .061
Compatibility of program in organization^a	4.6 (0.6)	36	3.1 (1.0)	22	z = − 5.19	p < .001*
Sufficient financial resources to execute the program in a satisfactory way^c	4.1 (1.1)	16	3.0 (1.2)	8	U = 30.5	p = .038*

Notes. ^aMeasured on a Likert scale: 1 = very bad to 5 = very good, ^bmeasured on a 10-point scale, ^cmeasured on a Likert scale: 1 = strongly disagree to 5 = strongly agree, SCC Sports Counseling Center, SD standard deviation. * Statistical significant (p<.05) difference between both clusters. Means instead of medians were presented in order to illustrate the direction of the differences

ISSN: 1748-5908