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    Normalisation process theory: a framework for developing, evaluating and implementing complex interventions

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    Authors
    Murray, Elizabeth
    Treweek, Shaun
    Pope, Catherine
    MacFarlane, Anne
    Ballini, Luciana
    Dowrick, Christopher
    Finch, Tracy
    Kennedy, Anne
    Mair, Frances
    O'Donnell, Catherine
    Ong, Bie Nio
    Rapley, Tim
    Rogers, Anne
    May, Carl
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    Issue Date
    2010-10-20
    
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    Citation
    BMC Medicine. 2010 Oct 20;8(1):63
    URI
    http://hdl.handle.net/10147/142753
    Abstract
    Abstract Background The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Process Theory (NPT) addresses the factors needed for successful implementation and integration of interventions into routine work (normalisation). Discussion In this paper, we suggest that the NPT can act as a sensitising tool, enabling researchers to think through issues of implementation while designing a complex intervention and its evaluation. The need to ensure trial procedures that are feasible and compatible with clinical practice is not limited to trials of complex interventions, and NPT may improve trial design by highlighting potential problems with recruitment or data collection, as well as ensuring the intervention has good implementation potential. Summary The NPT is a new theory which offers trialists a consistent framework that can be used to describe, assess and enhance implementation potential. We encourage trialists to consider using it in their next trial.
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