Table 2 Normalisation process theory constructs and sub-constructs for the STAMINA programme
Using Normalisation Process Theory in developing/refining the STAMINA intervention | |
|---|---|
Core construct | Sub-constructs |
1. Coherence—Sense-making work that people do individually or collectively: understanding the purpose, value, and benefits of the STAMINA programme | 1.1 Differentiation: how is STAMINA different from other interventions 1.2 Communal Specification: building a shared understanding of aims, objectives, benefits of STAMINA 1.3 Individual Specification: understanding specific tasks and responsibilities within STAMINA 1.4 Internalization: understanding the value, benefits, importance of STAMINA |
2. Cognitive Participation—Relational work that people do to build and sustain a community of practice: getting buy-in, STAMINA champions | 2.1 Initiation: whether key participants are working to drive STAMINA implementation forward 2.2 Enrolment: strategies used to engage (buy-in), sustain engagement, and help secure implementation 2.3 Legitimation: ensuring participants believe it is right for them to be involved and they can make valid contribution 2.4 Activation: collectively defining actions and procedures needed to sustain STAMINA |
3. Collective Action—Operational work that people do to enact a set of practices: how STAMINA works in day-to-day practice (including roles/resources), communication pathways | 3.1 Interactional Workability: interactional work people do when operationalizing STAMINA 3.2 Relational Integration: knowledge work to build accountability and maintain confidence in STAMINA 3.3 Skill set workability: the allocation work that underpins the division of labour built up around STAMINA 3.4 Contextual integration: managing STAMINA through allocation of resources, execution of protocols, policies, procedures |
4. Reflexive monitoring—Appraisal work people do to assess and understand the ways a new set of practices affect them and the others around them: processes for measuring outcomes (team and individual) and feeding back to those delivering (HCPs, EPs) or taking part (patients) in STAMINA | 4.1 Systemization: collecting information to determine the effectiveness/utility of STAMINA 4.2 Communal appraisal: participants working together to evaluate STAMINA 4.3 Individual Appraisal: participants working experientially as individuals to appraise its effects on them and the contexts in which they are set 4.4 Reconfiguration: redefining procedures or modifying practices within STAMINA |