Show simple item record

dc.contributor.authorMay, Carl R
dc.contributor.authorFinch, Tracy
dc.contributor.authorBallini, Luciana
dc.contributor.authorMacFarlane, Anne
dc.contributor.authorMair, Frances
dc.contributor.authorMurray, Elizabeth
dc.contributor.authorTreweek, Shaun
dc.contributor.authorRapley, Tim
dc.date.accessioned2018-09-20T16:16:22Z
dc.date.available2018-09-20T16:16:22Z
dc.date.issued2011-09-30
dc.identifier.citationMay, Carl R; Finch, Tracy; Ballini, Luciana; MacFarlane, Anne; Mair, Frances; Murray, Elizabeth; Treweek, Shaun; Rapley, Tim (2011). Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit. BMC Health Services Research 11 ,
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/10379/12690
dc.description.abstractBackground: Normalization Process Theory (NPT) can be used to explain implementation processes in health care relating to new technologies and complex interventions. This paper describes the processes by which we developed a simplified version of NPT for use by clinicians, managers, and policy makers, and which could be embedded in a web-enabled toolkit and on-line users manual. Methods: Between 2006 and 2010 we undertook four tasks. (i) We presented NPT to potential and actual users in multiple workshops, seminars, and presentations. (ii) Using what we discovered from these meetings, we decided to create a simplified set of statements and explanations expressing core constructs of the theory (iii) We circulated these statements to a criterion sample of 60 researchers, clinicians and others, using SurveyMonkey to collect qualitative textual data about their criticisms of the statements. (iv) We then reconstructed the statements and explanations to meet users' criticisms, embedded them in a web-enabled toolkit, and beta tested this 'in the wild'. Results: On-line data collection was effective: over a four week period 50/60 participants responded using SurveyMonkey (40/60) or direct phone and email contact (10/60). An additional nine responses were received from people who had been sent the SurveyMonkey form by other respondents. Beta testing of the web enabled toolkit produced 13 responses, from 327 visits to http://www.normalizationprocess.org. Qualitative analysis of both sets of responses showed a high level of support for the statements but also showed that some statements poorly expressed their underlying constructs or overlapped with others. These were rewritten to take account of users' criticisms and then embedded in a web-enabled toolkit. As a result we were able translate the core constructs into a simplified set of statements that could be utilized by non-experts. Conclusion: Normalization Process Theory has been developed through transparent procedures at each stage of its life. The theory has been shown to be sufficiently robust to merit formal testing. This project has provided a user friendly version of NPT that can be embedded in a web-enabled toolkit and used as a heuristic device to think through implementation and integration problems.
dc.publisherSpringer Nature
dc.relation.ispartofBMC Health Services Research
dc.subjectprocess model
dc.subjectimprove health
dc.subjectcare
dc.subjectimplementation
dc.subjectadoption
dc.subjecttrial
dc.titleEvaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enabled toolkit
dc.typeArticle
dc.identifier.doi10.1186/1472-6963-11-245
dc.local.publishedsourcehttps://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-11-245?site=bmchealthservres.biomedcentral.com
nui.item.downloads0


Files in this item

This item appears in the following Collection(s)

Show simple item record