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Improving the normalization of complex interventions: measure development based on normalization process theory

Tracy L Finch1, Tim Rapley, Melissa Girling

  • 1Institute of Health and Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle-upon-Tyne NE2 4AX, UK. Tracy.Finch@ncl.ac.uk

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PubMed
Summary
This summary is machine-generated.

This study developed and validated simple tools based on Normalization Process Theory (NPT) to improve healthcare intervention implementation. These measures help identify problems and monitor progress for sustained practice changes.

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Area of Science:

  • Healthcare implementation science
  • Health services research
  • Intervention science

Background:

  • Effective implementation of complex healthcare interventions is crucial for patient benefit.
  • Normalization Process Theory (NPT) offers a framework to understand intervention adoption into routine practice.
  • Simple, generic tools are needed to support the implementation of healthcare interventions.

Purpose of the Study:

  • To develop and formatively evaluate NPT-based measures for identifying implementation challenges and monitoring progress.
  • To preliminarily evaluate these measures across diverse interventions and contexts.
  • To explore the utility of NPT measures in predicting implementation outcomes and develop a user manual.

Main Methods:

  • A mixed-methods approach combining qualitative (workshops, interviews, feedback) and quantitative (surveys) techniques.
  • Development and validation of NPT-derived measures.
  • Testing the utility of the measures in six distinct healthcare intervention settings.

Main Results:

  • Development of validated, simple, generic NPT-based measures.
  • Demonstration of the measures' utility in identifying implementation issues and tracking progress.
  • Preliminary evidence of the measures' potential for predicting outcomes.

Conclusions:

  • The developed NPT measures are available to aid in planning, implementing, and evaluating complex healthcare interventions.
  • These tools have the potential to increase the success rate of interventions.
  • The measures can support sustained changes in healthcare working practices.