Fatemeh Govahi Kakhki, Fatemeh Pakdaman, Nasimeh Khaleghi, Maryam Seraji
Health Literacy, General Health, and Lifestyle among Infertile Men and Women in the Southeastern Iran
Ethiopian journal of health sciences
strategic implementation leadership critical determinant successful implementation hypothesized create supportive implementation climate conducive adoption use evidencebased practices implementation leadership behaviors may vary significantly across contexts necessitating studies examine validity established measurement tools novel health service delivery sectors education sector common site delivering mental health services children adolescents usa research focused implementation leadership schools early phases need adaptation expansion instruments order tailor school context current study adapted validated school implementation leadership scale sils based implementation leadership scale sample elementary school personnel six school districts implementing one two wellestablished prevention programs supporting childrens mental health participants 441 public school teachers 52 elementary schools midwest west coast usa participants completed survey contained 1 adapted expanded version sils additional items generated four existing subscales well three new subscales communication visionmission availability 2 additional tools evaluate convergent divergent validity ie measures generalmolar leadership teaching attitudes data underwent 1 examination item characteristic curves reduce items ensure pragmatic instrument 2 confirmatory factor analyses establish structural validity 3 evaluation convergent divergent validity item reduction analyses resulted seven subscales three items results indicated acceptable fit sevenfactor structural model cfi 995 tli 99 rmsea 07 srmr 002 secondorder factor loadings high 89 96 suggesting sils subscales comprise higherorder implementation leadership factor subscales demonstrated good interitem reliability 9196 convergent divergent validity results generally hypothesized moderate high correlations sils subscales general leadership moderate correlations teaching attitudes low correlations school demographics overall results provided strong structural convergent divergent validity evidence 21item 7factor sils instrument implications measurement implementation leadership schools discussed well strategies support leaders enhance strategic behaviors related implementation mental health prevention programs eg adaptation existing leadershipfocused implementation strategies