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Table 5 Example original toolkit item broadened to include different elements of ‘understanding’

From: Improving the normalization of complex interventions: part 1 - development of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Construct Communal specification Different elements of understanding
Coherence is the sense-making work that people do individually and collectively when they are faced with the problem of operationalizing some sets of practices. Whether people can build a collective understanding of the purpose of the intervention (a). Staff in this organisation have a shared understanding of the purpose of this [intervention] (b). Staff in this organisation have shared expectations about the likelihood of the success of this [intervention]