Table 1 Questions arising from components of Normalisation Process Theory used to inform data analysis

Component

Questions

Coherence (meaning and sense making by participants)

Is the toolkit package easy to describe?

Is it clearly distinct from other interventions?

Does the toolkit package have a clear purpose for all relevant participants?

Do clinicians and patients have a shared sense of its purpose?

What are the perceived benefits of the toolkit package and for whom?

Are these benefits valued by clinicians and patients?

Does the toolkit package fit with the overall goals and activity of the service?

Cognitive participation (commitment & engagement by participants)

Are target user groups likely to think the toolkit package is a good idea?

Do clinicians and patients see the point of the toolkit package easily?

Will clinicians and patients be prepared to invest time, energy and work to use the toolkit package?

Collective action (work participants do to make the intervention function)

How does the toolkit package affect the work of clinicians?

Does it promote or impede their work?

Do clinicians require extensive training before they can use the toolkit package?

How compatible is it with existing work practices?

What impact will it have on division of labour, resources, power and responsibility between different professional groups?

Will it fit with the overall goals and activity of the service?

Reflexive Monitoring (participants reflect on or appraise the intervention)

How are clinicians likely to perceive the toolkit package once it has been in use for a while?

Is it likely to be perceived as advantageous for patients or staff?

Will it be clear what effects the toolkit package has had?

Can clinicians or patients contribute feedback about the toolkit package once it is already in use?

Can the toolkit package be adapted/ improved on the basis of experience?