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Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enable toolkit

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dc.contributor.author May, Carl R.
dc.contributor.author Finch, Tracy
dc.contributor.author Ballini, Luciana
dc.contributor.author MacFarlane, Anne E.
dc.contributor.author Mair, Frances
dc.contributor.author Murray, Elizabeth
dc.contributor.author Treweek, Shaun
dc.contributor.author Rapley, Tim
dc.date.accessioned 2013-04-12T10:55:11Z
dc.date.available 2013-04-12T10:55:11Z
dc.date.issued 2011
dc.identifier.uri http://hdl.handle.net/10344/3035
dc.description peer-reviewed en_US
dc.description.abstract Background: 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. en_US
dc.language.iso eng en_US
dc.publisher BioMed Central en_US
dc.relation.ispartofseries BMC Health Services Research;11: 245
dc.relation.uri http://dx.doi.org/10.1186/1472-6963-11-245
dc.subject web-enabled toolkit en_US
dc.subject normalization process theory en_US
dc.subject health care en_US
dc.title Evaluating complex interventions and health technologies using normalization process theory: development of a simplified approach and web-enable toolkit en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.contributor.sponsor UK Economic and Social Research Council en_US
dc.contributor.sponsor National Institutes of Health (NIH) en_US
dc.relation.projectid RES-189-25-003 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1556546


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