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Table 3 Mapping of overarching themes and subthemes to NPT framework

From: Understanding the challenges to implementing case management for people with dementia in primary care in England: a qualitative study using Normalization Process Theory

NPT construct Theme Subthemes
Coherence Making sense of the case manager intervention Perceived value of the concept of case management
Clarity over the case manager role
Cognitive participation Investment in case management Practice investment in case management
Investment by case managers
Fit of case management with existing skill-sets
Collective action Implementing case management in practice Time available for case management
Implementation in research vs clinical practice
Support and supervision of case managers
Reflexive monitoring Appraising and embedding of case management Assessing the impacts of case management
The `right’ intervention but at the wrong time
Embedding case management in practice