Normalisation process theory: a framework for developing, evaluating and implementing complex interventions

BMC Medicine

Debate

Luciana Ballini¹  Bie Nio Ong²  Anne MacFarlane³  Shaun Treweek⁴  Carl May⁵  Catherine O'Donnell⁶  Frances Mair⁶  Tracy Finch⁷  Tim Rapley⁷  Anne Kennedy⁸  Anne Rogers⁸  Elizabeth Murray⁹  Catherine Pope^1,10  Christopher Dowrick^1,11 

[1] Agenzia Sanitaria Regionale, Bologna, Italy;Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences Keele University, ST5 5BG, Keele, Staffordshire, UK;Department of General Practice, National University of Ireland, 1 Distillery Road, Galway, Ireland;Division of Clinical & Population Science and Education, University of Dundee, Mackenzie Building, Kirsty Semple Way, DD2 4AD, Dundee, UK;Faculty of Health Sciences, University of Southampton, University Road, SO17 1BJ, Southampton, UK;General Practice & Primary Care, University of Glasgow, 1 Horselethill Road, G12 9LX, Glasgow, UK;Institute of Health and Society, Newcastle University, 21 Claremont Place, NE2 4AA, Newcastle upon Tyne, UK;National Primary Care Research and Development Centre, University of Manchester, Williamson Building, Oxford Road, M13 9PL, Manchester, UK;Research Department of Primary Care and Population Health, University College London, Royal Free Hospital, Upper Floor 3, Rowland Hill Street, NW3 2PF, London, UK;School of Health Sciences, University of Southampton, Highfield, SO17 1BJ, Southampton, UK;School of Population, Community and Behavioural Sciences, University of Liverpool, B121 Waterhouse Buildings, L69 3GL, Liverpool, UK;

关键词: Complex Intervention;    Trial Procedure;    Normalisation Process Theory;    Implementation Potential;    Trial Parameter;   

DOI  :  10.1186/1741-7015-8-63

 received in 2010-05-26, accepted in 2010-10-20,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Process Theory (NPT) addresses the factors needed for successful implementation and integration of interventions into routine work (normalisation).DiscussionIn this paper, we suggest that the NPT can act as a sensitising tool, enabling researchers to think through issues of implementation while designing a complex intervention and its evaluation. The need to ensure trial procedures that are feasible and compatible with clinical practice is not limited to trials of complex interventions, and NPT may improve trial design by highlighting potential problems with recruitment or data collection, as well as ensuring the intervention has good implementation potential.SummaryThe NPT is a new theory which offers trialists a consistent framework that can be used to describe, assess and enhance implementation potential. We encourage trialists to consider using it in their next trial.

【 授权许可】

CC BY   
© Murray et al; licensee BioMed Central Ltd. 2010