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Table 3 Means (standard deviations), ICCs, and standardized factor loadings (standard error) for level 1 and level 2

From: Developing measures to assess constructs from the Inner Setting domain of the Consolidated Framework for Implementation Research

Item N M (SD) ICC Adjusted loadings L1 L2
Culture
 A03 People at all levels openly talk about what is and isn’t working 327 3.66 (1.02) 0.15 0.668 (0.052) 0.666 (0.069) 0.728 (0.284)
 A05 Most people in this clinic are willing to change how they do things in response to feedback from others 327 3.57 (0.98) 0.09 0.735 (0.036) 0.705 (0.048) 0.967 (0.092)
 A16* It is hard to get things to change in our clinic 322 3.11 (1.08) 0.10 0.521 (0.083) 0.452 (0.108) 0.994 (2.54)
 A07 I can rely on the other people in this clinic to do their jobs well 323 3.62 (0.92) 0.10 0.671 (0.038) 0.626 (0.044) 0.983 (0.253)
 A22 Most of the people who work in our clinic seem to enjoy their work 323 3.68 (0.86) 0.17 0.705 (0.046) 0.636 (0.051) 0.996 (0.177)
 A08 Difficult problems are solved through face-to-face discussions 323 3.54 (0.96) 0.11 0.686 (0.048) 0.720 (0.044) 0.572 (0.418)
 A09 We regularly take time to reflect on who we do things 323 3.64 (0.91) 0.11 0.723 (0.032) 0.731 (0.043) 0.992 (0.542)
 A10 After trying something new, we take time to think about how it worked 323 3.65 (0.92) 0.10 0.729 (0.040) 0.777 (0.040) 0.870 (0.306)
 A21 People in this clinic operate as a real team 322 3.57 (1.02) 0.15 0.762 (0.033) 0.700 (0.029) 0.997 (0.274)
Culture Stress
 A36 I am under too many pressures to do my job effectively 317 2.84 (1.08) 0.06 0.626 (0.087) 0.635 (0.102) 0.999 (0.001)
 A37 Staff members often show signs of stress and strain 317 3.57 (0.99) 0.07 0.767 (0.041) 0.833 (0.038) 0.150 (12.36)
 A38 The heavy workload here reduces program effectiveness 317 3.19 (1.03) 0.10 0.847 (0.072) 0.813 (0.042) 0.988 (1.573)
 A39 Staff frustration is common here 317 3.44 (1.06) 0.12 0.765 (0.052) 0.859 (0.020) −0.771 (4.552)
Culture Effort
 A40 People in this clinic always want to preform to the best of their abilities 317 4.02 (0.86) 0.12 0.695 (0.053) 0.637 (0.061) 0.999 (0.166)
 A41 People are enthusiastic about their work 317 3.51 (0.83) 0.11 0.563 (0.060) 0.495 (0.061) 0.964 (0.123)
 A42* People in our clinic get by with doing as little as possible 317 3.57 (1.05) 0.24 0.546 (0.062) 0.434 (0.078) 0.916 (0.088)
 A43 People are prepared to make a special effort to do a good job 317 3.85 (0.76) 0.18 0.858 (0.041) 0.839 (0.048) 0.981 (0.087)
 A44* People in this clinic do no put more effort into their work than they have to 317 3.38 (1.02) 0.12 0.560 (0.058) 0.500 (0.078) 0.896 (0.099)
Implementation Climate
 C11 Clinic staff are expected to help the <EBA> meet its goal (i.e., increase colorectal cancer screening rates) 259 3.85 (0.81) 0.28 0.535 (0.072) 0.473 (0.083) 0.754 (0.103)
 C12 Clinic staff gets the support they need to implement
<EBA>
259 3.40 (0.89) 0.20 0.879 (0.047) 0.844 (0.064) 0.982 (0.088)
 C13 Clinic staff gets recognition for implementing <EBA> to increase colorectal cancer screening rates 259 2.98 (1.01) 0.09 0.708 (0.045) 0.685 (0.050) 0.992 (0.292)
 C05 <EBA> to increase colorectal cancer screening rates is a top priority of the clinic 260 3.51 (0.91) 0.09 0.408 (0.088) 0.331 (0.091) 0.959 (0.491)
Learning Climate
 A01 We regularly take time to consider ways to improve how we do things 327 4.09 (0.88) 0.14 0.799 (0.045) 0.864 (0.030) 1.000 (0.000)
 A02 People in our clinic actively seek new ways to improve how we do things 327 4.00 (0.89) 0.12 0.752 (0.043) 0.822 (0.040) 0.982 (0.082)
 A06 This clinic encourages everyone to share ideas 327 3.86 (1.00) 0.17 0.829 (0.038) 0.722 (0.042) 0.946 (0.067)
 A15 This clinic learns from its mistakes 322 3.71 (0.97) 0.16 0.600 (0.059) 0.501 (0.070) 0.804 (0.107)
 A19 When we experience a problem in the clinic, we make a serious effort to figure out what’s really going on 322 3.86 (0.90) 0.13 0.610 (0.064) 0.530 (0.061) 0.908 (0.101)
Leadership Engagement
 A11 The clinic leadership makes sure that we have the time and space necessary to discuss changes to improve care 323 3.44 (1.12) 0.17 0.788 (0.033) 0.791 (0.038) 0.983 (0.039)
 A12 Leadership in this clinic creates an environment where things can be accomplished 323 3.54 (1.08) 0.11 0.894 (0.020) 0.918 (0.019) 0.996 (0.108)
 A13 Clinic leadership promotes an environment that is an enjoyable place to work 322 3.59 (1.06) 0.18 0.851 (0.034) 0.800 (0.042) 0.997 (0.062)
 A14 Leadership strongly supports clinic change efforts 322 3.68 (1.01) 0.17 0.882 (0.023) 0.847 (0.029) 0.928 (0.067)
Available Resources
 A35a In general, when there is agreement that change needs to happen in the clinic we have the necessary support in terms of: budget or financial resources 317 3.13 (1.02) 0.09 0.330 (0.072) 0.340 (0.080) 0.310 (0.156)
 A35b In general, when there is agreement that change needs to happen in the clinic we have the necessary support in terms of: training 317 3.39 (0.99) 0.13 0.421 (0.069) 0.424 (0.074) 0.407 (0.214)
 A35c In general, when there is agreement that change needs to happen in the clinic we have the necessary support in terms of: staffing 317 3.13 (1.04) 0.11 0.452 (0.067) 0.451 (0.068) 0.502 (0.263)
 C20a The following are available to make <EBA> work in our clinic: equipment and materials 258 3.67 (0.88) 0.12 0.698 (0.049) 0.690 (0.054) 0.882 (0.239)
 C20b The following are available to make <EBA> work in our clinic: patient awareness/need 258 3.56 (0.87) 0.04 0.805 (0.041) 0.803 (0.052) 0.857 (0.199)
 C20c The following are available to make <EBA> work in our clinic: provider buy-in 258 3.40 (0.90) 0.07 0.645 (0.073) 0.634 (0.076) 0.915 (0.558)
 C20d The following are available to make <EBA> work in our clinic: intervention team 258 3.16 (0.96) 0.10 0.711 (0.057) 0.699 (0.056) 0.947 (0.470)
  1. Level 1 corresponds to individual and level 2 to clinic. Questions’ response options were 1—Strongly Disagree, 2—Disagree, 3—Neutral, 4—Agree, and 5—Strongly Agree
  2. ICC intraclass correlation coefficient
  3. *Indicates reverse-scored item