Process evaluation for complex interventions in primary care: understanding trials using the normalization process model

May, Carl, Mair, Frances, Dowrick, Christopher and Finch, Tracy (2007) Process evaluation for complex interventions in primary care: understanding trials using the normalization process model. BMC Family Practice, 8. p. 42. ISSN 1471-2296

[img]
Preview
Text
1471-2296-8-42.pdf - Published Version
Available under License Creative Commons Attribution.

Download (286kB) | Preview
Official URL: https://doi.org/10.1186/1471-2296-8-42

Abstract

Background - The Normalization Process Model is a conceptual tool intended to assist in understanding the factors that affect implementation processes in clinical trials and other evaluations of complex interventions. It focuses on the ways that the implementation of complex interventions is shaped by problems of workability and integration.

Method - In this paper the model is applied to two different complex trials: (i) the delivery of problem solving therapies for psychosocial distress, and (ii) the delivery of nurse-led clinics for heart failure treatment in primary care.

Results - Application of the model shows how process evaluations need to focus on more than the immediate contexts in which trial outcomes are generated. Problems relating to intervention workability and integration also need to be understood. The model may be used effectively to explain the implementation process in trials of complex interventions.

Conclusion - The model invites evaluators to attend equally to considering how a complex intervention interacts with existing patterns of service organization, professional practice, and professional-patient interaction. The justification for this may be found in the abundance of reports of clinical effectiveness for interventions that have little hope of being implemented in real healthcare settings.

Item Type: Article
Subjects: B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Becky Skoyles
Date Deposited: 12 Dec 2017 09:36
Last Modified: 13 Dec 2017 20:42
URI: http://nrl.northumbria.ac.uk/id/eprint/32803

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence