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Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol

Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol
Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol
Background: Understanding implementation processes is key to ensuring that complex interventions in healthcare are taken up in practice and thus maximize intended benefits for service provision and (ultimately) care to patients. Normalization Process Theory (NPT) provides a framework for understanding how a new intervention becomes part of normal practice. This study aims to develop and validate simple generic tools derived from NPT, to be used to improve the implementation of complex healthcare interventions.

Objectives: The objectives of this study are to: develop a set of NPT-based measures and formatively evaluate their use for identifying implementation problems and monitoring progress; conduct preliminary evaluation of these measures across a range of interventions and contexts, and identify factors that affect this process; explore the utility of these measures for predicting outcomes; and develop an online users' manual for the measures.

Methods: A combination of qualitative (workshops, item development, user feedback, cognitive interviews) and quantitative (survey) methods will be used to develop NPT measures, and test the utility of the measures in six healthcare intervention settings.

Discussion: The measures developed in the study will be available for use by those involved in planning, implementing, and evaluating complex interventions in healthcare and have the potential to enhance the chances of their implementation, leading to sustained changes in working practices.
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Finch, Tracy L.
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Rapley, Tim
eb4364d5-c016-403a-969a-aae1fd35a97c
Girling, Melissa
de8d65de-460b-4767-903c-8e8571f1fe5c
Mair, Frances S.
303709c7-028a-44b9-b6da-e14f2d834f2b
Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Treweek, Shaun
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McColl, Elaine
b5c9e36a-5e70-489e-bb6e-a84180e1c9d4
Steen, Ian
0ed280c7-62d7-4b13-920b-49ea359d6d27
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4
Finch, Tracy L.
5935835f-0c98-4d08-b62d-a7e7032dadea
Rapley, Tim
eb4364d5-c016-403a-969a-aae1fd35a97c
Girling, Melissa
de8d65de-460b-4767-903c-8e8571f1fe5c
Mair, Frances S.
303709c7-028a-44b9-b6da-e14f2d834f2b
Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Treweek, Shaun
2e309a54-c618-4a59-b0fd-2b878034cb98
McColl, Elaine
b5c9e36a-5e70-489e-bb6e-a84180e1c9d4
Steen, Ian
0ed280c7-62d7-4b13-920b-49ea359d6d27
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4

Finch, Tracy L., Rapley, Tim, Girling, Melissa, Mair, Frances S., Murray, Elizabeth, Treweek, Shaun, McColl, Elaine, Steen, Ian and May, Carl R. (2013) Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol. Implementation Science, 8 (1), 43. (doi:10.1186/1748-5908-8-43). (PMID:23578304)

Record type: Article

Abstract

Background: Understanding implementation processes is key to ensuring that complex interventions in healthcare are taken up in practice and thus maximize intended benefits for service provision and (ultimately) care to patients. Normalization Process Theory (NPT) provides a framework for understanding how a new intervention becomes part of normal practice. This study aims to develop and validate simple generic tools derived from NPT, to be used to improve the implementation of complex healthcare interventions.

Objectives: The objectives of this study are to: develop a set of NPT-based measures and formatively evaluate their use for identifying implementation problems and monitoring progress; conduct preliminary evaluation of these measures across a range of interventions and contexts, and identify factors that affect this process; explore the utility of these measures for predicting outcomes; and develop an online users' manual for the measures.

Methods: A combination of qualitative (workshops, item development, user feedback, cognitive interviews) and quantitative (survey) methods will be used to develop NPT measures, and test the utility of the measures in six healthcare intervention settings.

Discussion: The measures developed in the study will be available for use by those involved in planning, implementing, and evaluating complex interventions in healthcare and have the potential to enhance the chances of their implementation, leading to sustained changes in working practices.

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More information

Published date: 11 April 2013
Additional Information: © 2013 Finch et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 369306
URI: http://eprints.soton.ac.uk/id/eprint/369306
PURE UUID: f72d2c45-3ddd-4c7c-b82b-5a495aab6d63
ORCID for Carl R. May: ORCID iD orcid.org/0000-0002-0451-2690

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Date deposited: 23 Sep 2014 13:03
Last modified: 14 Mar 2024 18:00

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Contributors

Author: Tracy L. Finch
Author: Tim Rapley
Author: Melissa Girling
Author: Frances S. Mair
Author: Elizabeth Murray
Author: Shaun Treweek
Author: Elaine McColl
Author: Ian Steen
Author: Carl R. May ORCID iD

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