Table 3.
Mean and median scores for the nonadoption, abandonment, scale-up, spread, and sustainability subdomain barriers and enablers, as reported by responders.
| Barrier or enabler | Scorea | ||
|
|
Mean (SD)b | Median (IQR) | |
| The adopter system (n=390) |
|
|
|
|
|
Changes in staff roles, practices, and identities | 4.32 (1.25) | 4.33 (3.33-5.00) |
| The organization |
|
|
|
|
|
Organization’s capacity to innovate (n=382) | 5.25 (1.00) | 5.50 (4.67-6.00) |
|
|
Readiness of the organization for technology-supported change (n=386) | 4.88 (1.03) | 5.00 (4.25-5.75) |
|
|
Ease of the adoption and funding decision (n=387) | 5.22 (1.31) | 6.00 (4.00-6.00) |
|
|
Changes needed in team interactions and routines (n=389) | 3.52 (1.30) | 3.50 (2.50-4.00) |
|
|
Identifying work and individuals involved in implementation (n=389) | 4.35 (1.19) | 4.00 (4.00-5.00) |
| The wider context (n=389) |
|
|
|
|
|
Political, economic, regulatory, professional (eg, medicolegal), and sociocultural context for program rollout | 5.07 (1.08) | 5.33 (4.50-6.00) |
aConstructs are reported on a 7-point Likert scale, ranging from 1 (strongly disagree) to 7 (strongly agree).
bA mean of ≤4 suggests that the particular domain may be a barrier; a mean of >4 suggests the domain may be an enabler.