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Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol

机译:改善复杂干预措施的标准化:基于标准化过程理论(NoMAD)的措施开发:研究方案

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Background Understanding implementation processes is key to ensuring that complex interventions in healthcare are taken up in practice and thus maximize intended benefits for service provision and (ultimately) care to patients. Normalization Process Theory (NPT) provides a framework for understanding how a new intervention becomes part of normal practice. This study aims to develop and validate simple generic tools derived from NPT, to be used to improve the implementation of complex healthcare interventions. Objectives The objectives of this study are to: develop a set of NPT-based measures and formatively evaluate their use for identifying implementation problems and monitoring progress; conduct preliminary evaluation of these measures across a range of interventions and contexts, and identify factors that affect this process; explore the utility of these measures for predicting outcomes; and develop an online users’ manual for the measures. Methods A combination of qualitative (workshops, item development, user feedback, cognitive interviews) and quantitative (survey) methods will be used to develop NPT measures, and test the utility of the measures in six healthcare intervention settings. Discussion The measures developed in the study will be available for use by those involved in planning, implementing, and evaluating complex interventions in healthcare and have the potential to enhance the chances of their implementation, leading to sustained changes in working practices.
机译:背景技术了解实施过程是确保在实践中采取复杂的医疗保健干预措施的关键,从而最大程度地提高服务提供和(最终)患者护理的预期收益。规范化过程理论(NPT)提供了一个框架,用于了解新干预措施如何成为常规实践的一部分。这项研究旨在开发和验证源自《不扩散核武器条约》的简单通用工具,以用于改善复杂医疗保健干预措施的实施。目标这项研究的目的是:制定一套基于《不扩散核武器条约》的措施,并形成形式地评估其用于确定实施问题和监测进展的措施;在一系列干预措施和背景下对这些措施进行初步评估,并确定影响该过程的因素;探索这些措施在预测结果中的作用;并制定有关该措施的在线用户手册。方法将定性(车间,项目开发,用户反馈,认知访谈)和定量(调查)方法相结合,以制定NPT措施,并在六种医疗干预措施中测试这些措施的效用。讨论本研究中制定的措施可供计划,实施和评估医疗保健复杂干预措施的人员使用,并有可能增加实施这些措施的机会,从而导致工作方式的持续变化。

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