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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
Cognitive participation parcel 1 There are key people who drive the [intervention] forward and get others involved
I will continue to support the [intervention]
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]
Collective action parcel 1 The [intervention] disrupts working relationships
I can easily integrate the [intervention] into my existing work
Collective action parcel 2 Work is assigned to those with skills appropriate to the [intervention]
Sufficient resources are available to support the [intervention]
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]
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
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]