Table 3.
Factors associated with full implementation of healthy eating and physical activity policies and practices
| CFIR Domain | CFIR Construct | Implementation factor survey item | Response category | Less than full implementation | Full Implementation | Unadjusted OR | p value |
|---|---|---|---|---|---|---|---|
| Outer setting | External policies | The program initiatives are consistent with the National Quality Framework | Agree Disagreea |
119 (94 %) 8 (6 %) |
84 (95 %) 4 (5 %) |
1.41 (0.41, 4.84) 1 |
0.58 |
| Outer setting | Peer pressure | Most other services in my region would be supportive of the program initiatives | Agree Disagreea |
90 (71 %) 37 (29 %) |
72 (82 %) 16 (18 %) |
1.85 (0.95, 3.59) 1 |
0.07 |
| Inner setting | Readiness for implementation—available resources | External resources to help implement the program initiatives are accessible to my service | Agree Disagreea |
93 (73 %) 34 (27 %) |
77 (88 %) 11 (13 %) |
2.56 (1.22, 5.38) 1 |
0.01* |
| Inner setting | Implementation climate—compatibility | The program initiatives are consistent with the philosophy of my service | Agree Disagreea |
113 (89 %) 14 (11 %) |
84 (95 %) 4 (5 %) |
2.6 (0.83, 8.19) 1 |
0.10 |
| Inner setting | Implementation climate—relative priority | Relative to other priorities and initiatives that my service provides, the program initiatives are less important | Agree Disagreeb |
39 (31 %) 88 (69 %) |
16 (18 %) 72 (82 %) |
0.5 (0.26, 0.97) 1 |
0.04* |
| Inner setting | Implementation climate—tension for change | The physical activity and healthy eating policies and practices of my service need to be improved | Agree Disagreea |
58 (46 %) 69 (54 %) |
46 (52 %) 42 (48 %) |
1.3 (0.76, 2.25) 1 |
0.34 |
| Innovation characteristics | Source | The Early Childhood Education and Care sector was involved in developing the program initiatives | Agree Disagreea |
86 (68 %) 41 (32 %) |
66 (75 %) 22 (25 %) |
1.43 (0.78, 2.63) 1 |
0.23 |
| Innovation characteristics | Complexity | The program initiatives are difficult to implement in services | Agree Disagreeb |
44 (35 %) 83 (65 %) |
15 (17 %) 73 (83 %) |
0.39 (0.2, 0.75) 1 |
<.01* |
| Innovation characteristics | Cost | Implementing the program initiatives is costly for services | Agree Disagreeb |
16 (13 %) 111 (87 %) |
7 (8 %) 81 (92 %) |
0.6 (0.24, 1.52) 1 |
0.28 |
| Process | Engaging | I support implementing the program initiatives in my service | Agree Disagreea |
121 (95 %) 6 (5 %) |
87 (99 %) 1 (1 %) |
4.31 (0.51, 36.4) 1 |
0.18 |
| Process | Engaging | Our management committee is supportive of implementing the program initiatives | Agree Disagreea |
89 (70 %) 38 (30 %) |
79 (90 %) 9 (10 %) |
3.75 (1.71, 8.23) 1 |
<.01* |
| Process | Engaging | Parents are supportive of implementing the program initiatives | Agree Disagreea |
74 (58 %) 53 (42 %) |
75 (85 %) 13 (15 %) |
4.13 (2.08, 8.21) 1 |
<.01* |
| Characteristics of individuals | Personal attributes (motivation) | Staff at my service are motivated to implement the program initiatives | Agree Disagreea |
108 (85 %) 19 (15 %) |
82 (93 %) 6 (7 %) |
2.4 (0.92, 6.29) 1 |
0.07 |
CFIR Consolidated Framework for Implementation Research
aDisagree = less than or equal to 5
bDisagree = less than 5
*p < 0.05