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Table 1 NPT Construct definitions

From: Improving the normalization of complex interventions: part 2 - validation of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT)

Construct

Definition

Coherence

Sense-making that promotes or inhibits the coherence of a practice to its users. These processes are energized by investments of meaning made by participants

Cognitive participation

Participation that promotes or inhibits users’ enrolment and legitimisation of a practice. These processes are energized by investments of commitment made by participants.

Collective Action

Activity that promotes or inhibits the enacting of a practice by its users. These processes are energized by investments of effort made by participants.

Reflexive monitoring

Practices that promote or inhibit users’ comprehension of the effects of a practice. These processes are energized by investments in appraisal made my participants.