Table 1 Operationalisation of Normalisation Process Theory
NPT constructs | Operationalisation of constructsa |
|---|---|
Coherence | Whether patients and staff were able to understand the purpose of the intervention. Exploring participants views on the meaning of the intervention including whether staff and patients perceived the intervention as beneficial in terms of reducing health problems. |
Cognitive participation | Whether patients and staff were prepared and willing to commit to and engage with the intervention. |
Collective action | Establishing what work was carried out in terms of interactional workability, relational integration, skill-set workability and contextual integration in order to facilitate delivery. This is further explained below. |
Interactional workability | How staff encouraged patient interaction with the intervention in the context of primary care practices in terms of accessibility and flexibility of delivery. |
Relational integration | How the work that was done to facilitate the delivery of the intervention was understood across staff within practices (even if they were not responsible for delivering the intervention) and whether there was cohesion between staff and patients. |
Skill-set workability | Whether staff and patients perceived that staff possessed the skills, training and knowledge to deliver the intervention. |
Contextual integration | The practices’ ability to support the intervention as well as the fit of the intervention into practice contexts. |
Reflexive monitoring | Whether staff and patients evaluated ways to adapt intervention. |