Table 4 Means and standard deviations of candidate mediators

Norms & attitudes

 ASA-clinical utility

3.52 (0.58)

3.62 (0.60)

3.51 (0.54)

3.59 (0.48)

3.67 (0.55)

3.69 (0.49)

0.79

 ASA-treatment planning

3.88 (0.58)

3.86 (0.59)

3.80 (0.44)

3.86 (0.44)

3.91 (0.60)

3.95 (0.53)

0.80

 ASA-practicality

3.49 (0.66)

3.74 (0.61)

3.60 (0.63)

3.60 (0.67)

3.79 (0.73)

3.93 (0.50)

0.78

 MFA-benefit

4.19 (0.46)

4.18 (0.53)

4.09 (0.41)

4.18 (0.50)

4.17 (0.50)

4.16 (0.50)

0.89

 MFA-harm

2.32 (0.70)

2.31 (0.75)

2.37 (0.62)

2.26 (0.64)

2.05 (0.66)

2.22 (0.74)

0.84

 EBPAS total

3.03 (0.46)

3.04 (0.48)

2.98 (0.47)

3.11 (0.45)

3.05 (0.44)

3.00 (0.41)

0.79

 SOF-growth

3.45 (0.70)

3.24 (0.79)

3.19 (0.74)

3.23 (0.83)

3.13 (0.65)

3.09 (0.83)

0.75

 SOF-efficacy

4.01 (0.39)

3.97 (0.37)

3.98 (0.37)

3.94 (0.36)

3.95 (0.39)

3.90 (0.38)

0.52

 SOF-influence

3.44 (0.61)

3.46 (0.62)

3.43 (0.65)

3.54 (0.68)

3.65 (0.68)

3.65 (0.82)

0.84

 SOF-adaptability

3.80 (0.47)

3.79 (0.33)

3.85 (0.46)

3.92 (0.51)

3.82 (0.52)

3.77 (0.59)

0.54

 SOF-mission

3.59 (0.50)

3.53 (0.60)

3.40 (0.65)

3.49 (0.62)

3.52 (0.57)

3.52 (0.56)

0.70

 SOF-cohesion

4.18 (0.45)

3.93 (0.57)

3.86 (0.51)

3.91 (0.55)

3.83 (0.60)

3.81 (0.62)

0.81

 SOF-autonomy

3.67 (0.41)

3.60 (0.45)

3.48 (0.44)

3.61 (0.47)

3.57 (0.47)

3.57 (0.47)

0.42

 SOF-communication

3.35 (0.74)

3.09 (0.77)

3.00 (0.66)

3.13 (0.77)

3.06 (0.64)

2.96 (0.83)

0.80

 SOF-stress

3.16 (0.80)

3.52 (0.84)

3.54 (0.80)

3.78 (0.84)

3.78 (0.66)

3.88 (0.71)

0.82

 SOF-change

3.54 (0.48)

3.32 (0.47)

3.30 (0.53)

3.32 (0.67)

3.38 (0.55)

3.25 (0.54)

0.65

 SOF-burnout

2.39 (0.54)

2.62 (0.61)

2.53 (0.71)

2.66 (0.63)

2.85 (0.68)

2.84 (0.76)

0.69

 SOF-satisfaction

4.08 (0.52)

3.81 (0.59)

3.72 (0.61)

4.09 (0.51)

3.87 (0.55)

3.80 (0.68)

0.78

 SOF-focus on outcomes

3.60 (0.49)

3.38 (0.74)

3.40 (0.65)

3.38 (0.65)

3.44 (0.49)

3.50 (0.51)

0.66

 Implementation climate scale

1.85 (0.73)

1.65 (0.70)

1.58 (0.73)

1.86 (0.65)

1.77 (0.68)

1.71 (0.71)

0.78

Structure & process

 B&F program-level structures

2.94 (0.99)

2.88 (0.86)

2.74 (0.70)

2.66 (0.87)

3.50 (0.70)

3.09 (0.78)

0.81

 B&F job-related structures

2.78 (0.92)

2.94 (0.77)

2.98 (0.71)

2.35 (0.71)

2.82 (0.61)

2.60 (0.66)

0.76

Resources

 SOF-program needs

3.47 (0.62)

3.38 (0.69)

3.22 (0.73)

3.52 (0.65)

3.41 (0.62)

3.27 (0.71)

0.81

 SOF-training needs

3.24 (0.72)

2.98 (0.72)

2.93 (0.77)

3.09 (0.65)

2.96 (0.73)

2.79 (0.70)

0.85

 SOF-offices

3.75 (0.71)

3.69 (0.64)

3.56 (0.79)

3.65 (0.67)

3.63 (0.54)

3.65 (0.52)

0.62

 SOF-staffing

3.22 (0.67)

3.32 (2.28)

2.95 (0.62)

2.75 (0.52)

2.74 (0.53)

2.68 (0.54)

0.63

 SOF-training

2.94 (0.70)

2.70 (0.81)

2.54 (0.81)

3.03 (0.89)

2.70 (0.75)

2.84 (0.82)

0.64

 SOF-computer access

3.96 (0.45)

3.90 (0.44)

3.98 (0.45)

3.89 (0.47)

3.90 (0.41)

3.99 (0.42)

0.53

 SOF-e-communications

3.80 (0.54)

3.82 (0.61)

3.80 (0.47)

3.75 (0.60)

3.71 (0.51)

3.79 (0.57)

0.27

Policies & incentives

 SOF-pressures for change

3.22 (0.46)

2.96 (0.63)

3.10 (0.44)

3.08 (0.46)

3.20 (0.53)

3.16 (0.41)

0.47

Networks & linkages

 SOF-director leadership

3.90 (0.60)

3.67 (0.82)

3.58 (0.85)

3.85 (0.84)

3.76 (0.84)

3.49 (0.93)

0.93

 SOF-peer collaboration

3.75 (0.52)

3.59 (0.45)

3.50 (0.57)

3.58 (0.50)

3.53 (0.51)

3.56 (0.55)

0.48

 SOF-deprivatized practice

2.93 (0.91)

2.72 (0.88)

2.77 (0.94)

2.96 (0.90)

2.91 (0.80)

3.02 (0.87)

0.74

 SOF-collective responsibility

3.69 (0.54)

3.61 (0.54)

3.64 (0.63)

3.69 (0.56)

3.69 (0.59)

3.74 (0.45)

0.82

 SOF-reflective dialogue

3.41 (0.61)

3.37 (0.74)

3.34 (0.77)

3.37 (0.69)

3.44 (0.64)

3.48 (0.59)

0.67

 SOF-counselor socialization

3.50 (0.84)

3.41 (0.88)

3.54 (0.74)

3.55 (0.83)

3.45 (0.83)

3.40 (0.77)

0.42

Media & change agents

 B&F agency leadership support

3.36 (0.84)

3.37 (0.78)

3.27 (0.64)

3.06 (0.71)

3.58 (0.61)

3.32 (0.64)

0.82

 Implementation leadership scale

2.85 (0.68)

2.49 (0.84)

2.63 (0.83)

2.64 (0.83)

2.55 (0.92)

2.53 (0.90)

0.85

 SOF-training satisfaction

3.16 (1.01)

2.87 (1.11)

2.64 (1.05)

3.28 (1.07)

3.05 (1.08)

3.16 (1.11)

0.84

 SOF-training exposure

1.52 (0.79)

1.26 (0.72)

1.39 (0.78)

1.69 (0.88)

1.53 (0.82)

1.41 (0.77)

0.69

 SOF-training utilization—individual level

3.35 (0.56)

3.35 (0.54)

3.42 (0.47)

3.46 (0.79)

3.43 (0.70)

3.48 (0.59)

0.79

 SOF-training utilization—program level

2.74 (0.67)

2.58 (0.84)

2.80 (0.89)

2.82 (0.75)

2.87 (0.70)

2.87 (0.81)

0.69