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Table 2 Interpretive framework of NPT developed and applied for analysis

From: Embedding effective depression care: using theory for primary care organisational and systems change

Propositions Developed and Tested

Corresponding Constructs

May and Finch

Our interpretation of the constructs to guide data analysis

Depression work requires conceptualisation of boundaries (who is depressed/who is not depressed). Depression work requires techniques for dealing with diffuseness.

Coherence

(Do people know what the work is?)

How do participants conceptualise boundaries around depression care work? Is there evidence that depression is viewed as a diffuse problem? What is the meaning attributed to depression and depression work. How is depression work specified and differentiated? What practices define depression work? Are these practices more than a set of acts?

Depression work requires engagement with a shared set of techniques that deal with depression as a health problem.

Cognitive Participation

(Do people join in to depression work?)

How do participants engage with, initiate and enrol in depression work? How is depression work legitimated? What norms and conventions of practices exist around depression care? Is there evidence of joining and buying in to depression work?

Depression work requires agreement about how care is organised-who is required to deliver care, and their structural and human interactions.

Collective Action

(Skill-Set Workability & Interactional Workability)

(How do people do the work?)

Skill Set Workability: Examples of external rules (formal and informal) that govern depression work and the relationship between these and behaviours. (Policies for example). Examples of the organisation of the work - divisions of labour; who does what and how it is performed?

Contextual Integration: How is work resourced? Where is the power? Is there formal or informal agreement about the value of work?

Interactional Workability: How is the work conducted? What are the informal rules that govern this work? Examples of cooperation to do the work. Examples of goals set for the work. Examples of the meaning given to the work.

Relational Integration: How is the work dispersed?

Depression work requires the ongoing assessment of how depression care is done.

Reflexive Monitoring

(How do we know that the work is happening?)

How do people review and reflect upon depression work? How is depression care monitored?