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Table 1 NPT constructs and sub-constructs definitions as described in Bracher et al., Finch et al. and May et al. [34, 37, 38]

From: Supporting translation of research evidence into practice—the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review

Constructs

Coherence

Cognitive Participation

Collective Action

Reflexive Monitoring

The sense-making process and work that individuals and organisations do when they are faced with the problem of operationalising and routine embedding of a new practice

The relational process and work that individuals and organisations do to enrol, engage and sustain a community of practice around a new practice

The operational work that individuals and organisations do to implement the new practice

The informal and formal appraisal of implementation of a new practice to evaluate its advantages and disadvantages to promote embedding

Sub-constructs

Differentiation

Initiation

Interactional Workability

Systematisation

Participants distinguish the intervention from current ways of working

Key individuals drive the intervention forward

Participants perform the tasks required by the intervention

Participants access information about the effects of the intervention

Communal Specification

Enrolment

Relational Integration

Communal Appraisal

Participants collectively agree about the purpose of the intervention

Participants agree that the intervention should be part of their work

Participants maintain their trust in each other’s work and expertise through the intervention

Participants collectively assess the intervention as worthwhile

Individual Specification

Legitimation

Skill-set Workability

Individual Appraisal

Participants individually understand what the intervention requires of them

Participants ‘buy in’ to the intervention

The work of the intervention is appropriately allocated to participants

Participants individually assess the intervention as worthwhile

Internalisation

Activation

Contextual Integration

Reconfiguration

Participants construct potential value of the intervention for their work

Participants continue to support the intervention

The intervention is adequately supported by its host organisation

Participants modify their work in response to their appraisal of the intervention