Table 4.

Mis-Implementation Predictors among programs overseen by U.S. state health department chronic disease unit staff, 2018 (N=613)

Independent variable	Dependent Variable Category	OR	95% CI
Final Inappropriate Termination among programs overseen by SHD Model
I have the skills to modify EBIs between one priority population to another	Often/Always Sometimes Never/Rarely	3.24 1.25 1 (ref)	1.19, 8.85 0.83, 1.89
Work unit uses the CDC’s Community Guide in its work	Often/Always	1.56	0.66, 3.72
	Sometimes Never/Rarely	1.73 1 (ref)	1.10, 2.73
In my agency, the number of layers of authority impede decisions about program continuation or ending	Often/Always	3.23	1.61, 7.40
	Sometimes Never/Rarely	1.25 1 (ref)	0.91, 1.83
My agency uses quality improvement processes	Often/Always	0.52	0.27, 1.03
	Sometimes Never/Rarely	0.49 1 (ref)	0.34, 0.73
Leadership in work unit perseveres through the ups and downs of implementing EBIs	Often/Always	0.16	0.07, 0.34
	Sometimes Never/Rarely	0.62 1 (ref)	0.43, 0.89
Final Inappropriate Continuation among programs overseen by SHD Model
In agency, the number of layers of authority impede decisions about program continuation or ending	Often/Always Sometimes Never/Rarely	4.70 1.63 1 (ref)	2.20, 10.04 1.14, 2.34
Work unit uses economic evaluation in its decision-making about programs	Often/Always Sometimes Never/Rarely	0.35 0.62 1 (ref)	0.17, 0.73 0.43, 0.89
Work unit leaders are competent at managing change	Often/Always Sometimes Never/Rarely	0.26 0.57 1 (ref)	0.13, 0.53 0.38, 0.87
The agency is willing to make changes to enable use of EBIs	Often/Always Sometimes Never/Rarely	0.57 0.54 1 (ref)	0.27, 1.23 0.37, 0.78

Boldface indicates statistical significance (p< 0.05)

The survey items for independent variables were asked on a 5-point scale (strongly disagree to strongly agree) and were dichotomized for model specification into strongly agree/agree (1) and neither disagree or agree/disagree/strongly disagree (0). Model fit statistics for model 1 were X²(12)= 83.88, p< 0.001 and for model 2 were X²(8)= 103.11, p< 0.001. OR: odds ratio, CI: confidence interval