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Table 9 Confirmatory Factor Analysis (CFA) Parcel composition & Standardised indicator loadings

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

Parcel

Item

F1

F2

F3

F4

Coherence parcel 1

I can see the potential value of the [intervention] for my work I can see how the [intervention] differs from usual ways of working

.74

   

Coherence parcel 2

Staff in this organisation have a shared understanding of the purpose of this [intervention]

I understand how the [intervention] affects the nature of my own work

.67

   

Cognitive participation parcel 1

There are key people who drive the [intervention] forward and get others involved

I will continue to support the [intervention]

 

.84

  

Cognitive participation parcel 2

I believe that participating in the [intervention] is a legitimate part of my role

I’m open to working with colleagues in new ways to use the [intervention]

 

.86

  

Collective action parcel 1

The [intervention] disrupts working relationships

I can easily integrate the [intervention] into my existing work

  

.67

 

Collective action parcel 2

Work is assigned to those with skills appropriate to the [intervention]

Sufficient resources are available to support the [intervention]

  

.57

 

Collective action parcel 3

I have confidence in other people’s ability to use the [intervention]

Sufficient training is provided to enable staff to use the [intervention]

Management adequately support the [intervention]

  

.66

 

Reflexive monitoring parcel 1

I am aware of reports about the effects of the [intervention]

I value the effects the [intervention] has had on my work

   

.55

Reflexive monitoring parcel 2

The staff agree that the [intervention] is worthwhile

Feedback about the [intervention] can be used to improve it in the future

I can modify how I work with the [intervention]

   

.70