Author:
May Carl,Finch Tracy,Mair Frances,Ballini Luciana,Dowrick Christopher,Eccles Martin,Gask Linda,MacFarlane Anne,Murray Elizabeth,Rapley Tim,Rogers Anne,Treweek Shaun,Wallace Paul,Anderson George,Burns Jo,Heaven Ben
Abstract
Abstract
Background
The Normalization Process Model is a theoretical model that assists in explaining the processes by which complex interventions become routinely embedded in health care practice. It offers a framework for process evaluation and also for comparative studies of complex interventions. It focuses on the factors that promote or inhibit the routine embedding of complex interventions in health care practice.
Methods
A formal theory structure is used to define the model, and its internal causal relations and mechanisms. The model is broken down to show that it is consistent and adequate in generating accurate description, systematic explanation, and the production of rational knowledge claims about the workability and integration of complex interventions.
Results
The model explains the normalization of complex interventions by reference to four factors demonstrated to promote or inhibit the operationalization and embedding of complex interventions (interactional workability, relational integration, skill-set workability, and contextual integration).
Conclusion
The model is consistent and adequate. Repeated calls for theoretically sound process evaluations in randomized controlled trials of complex interventions, and policy-makers who call for a proper understanding of implementation processes, emphasize the value of conceptual tools like the Normalization Process Model.
Publisher
Springer Science and Business Media LLC
Reference26 articles.
1. MRC: A framework for development and evaluation of complex interventions to improve health. 2000, London: Medical Research Council
2. Blackwood B: Methodological issues in evaluating complex healthcare interventions. J Adv Nurs. 2006, 54 (5): 612-622. 10.1111/j.1365-2648.2006.03869.x.
3. Campbell NC, Murray E, Darbyshire J, Emery J, Farmer A, Griffiths F, Guthrie B, Lester H, Wilson P, Kinmonth AL: Designing and evaluating complex interventions to improve health care. BMJ. 2007, 334 (7591): 455-459. 10.1136/bmj.39108.379965.BE.
4. Oakley A, Strange V, Bonell C, Allen E, Stephenson J: Health services research – Process evaluation in randomised controlled trials of complex interventions. BMJ. 2006, 332 (7538): 413-416. 10.1136/bmj.332.7538.413.
5. Rogers EM: The diffusion of innovation. 1995, New York: Free Press, 4
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