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

Finch, TL; Rapley, T; Girling, M; Mair, FS; Murray, E; Treweek, S; McColl, E; ... May, CR; + view all (2013) Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol. Implementation Science , 8 , Article 43. 10.1186/1748-5908-8-43. Green open access

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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.

Type: Article
Title: Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1748-5908-8-43
Publisher version: http://dx.doi.org/10.1186/1748-5908-8-43
Language: English
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. PubMed ID: 23578304
Keywords: Normalization process theory, NPT, Implementation process, Survey, Instrument development, Complex interventions
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1396175
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