Table 2 Practitioners’ barriers and facilitators to healthy eating and active living policy, systems, and environmental (PSE) changes

Inner Setting: Louisiana Cooperative Extension Services Family and Consumer Sciences (LFCS) ( n  = 135)

 Communications

Formal and informal information sharing practices supporting PSE implementation

28

21

 Access to Knowledge & Information

Access to guidance or training on PSE implementation

26

10

 Culture: Deliverer-Centeredness

Values, beliefs, and norms around caring, supporting, and addressing needs and welfare of LFCS practitioners

19

4

 Culture: Learning- Centeredness

Values, beliefs, and norms around psychological safety and continual improvement to inform implementation

2

-

 Available Resources: Funding

Availability of funding to implement PSE changes

16

5

 Available Resources: Materials & Equipment

Availability of supplies to implement PSE changes

9

15

 Structural Characteristics: Work Infrastructure

Organization of tasks and responsibilities supporting implementation of PSE changes

8

-

 Structural Characteristics: Information Technology

Technological systems for communication, documentation, and data reporting, supporting PSE implementation

2

-

 Incentive Systems

Tangible or intangible incentives, disincentives, or rewards supporting PSE implementation

7

-

Outer Setting: Perceptions about the rural community, system, or state context ( n  = 122)

 Partnership & Connections

Connections with community partners or other organizations external to LFCS

44

24

 Local Conditions

Economic, environmental, political, or technological conditions enabling PSE implementation

22

6

 Financing

Availability of funding from external entities (e.g., grants, reimbursement) to implement PSE changes

15

4

 Local Attitudes

Sociocultural values and beliefs enabling PSE implementation

11

9

 Critical Incidents

Large-scale or unanticipated events that disrupt the outer setting and influence PSE implementation

4

4

 Policies & Laws

Legislation, regulations, or professional group guidelines enabling PSE implementation

3

-

Individuals: Characteristics of LFCS practitioners or other implementation team members ( n  = 110)

 Opportunity

Availability, scope, and power to fulfill role

35

-

 Capability

Interpersonal competence, knowledge, and skills to fulfill role

26

-

 Motivation

Commitment to fulfilling role

19

27

 Need

Survival, well-being, or personal fulfillment needs to be met through PSE implementation

6

2

Innovation: Healthy eating and active living PSE changes ( n  = 67)

 Innovation Complexity

PSE complexity (scope, number of connections or steps)

59

4

 Innovation Adaptability

Potential to modify, tailor, or refine PSE changes

-

3