Normalisation process theory constructs interpreted for the DQIP trial
| Coherence How do participants understand and attribute value to DQIP? | Cognitive participation Enrolment and engagement of individuals and groups | Collective action Organising and doing the work | Reflective monitoring Reflecting on progress and making necessary adjustments |
|---|---|---|---|
| Differentiation How does DQIP differ from other prescribing quality improvement work? | Initiation Agency—capacity of individuals to make decisions and weigh up options. | Interactional workability How is DQIP operationalised? | Systematisation How do practices make judgements about effectiveness? |
| Individual specification How does DQIP cohere with other work? | Enrolment Persuading others to take part | Skill set workability How is the work allocated? Roles and responsibilities | Communal appraisal Regular and organised formal monitoring and appraisal |
| Communal specification Does the team have a shared understanding of DQIP? | Legitimation Buying into the DQIP work: how or what do they value about DQIP? | Relational integration How is DQIP understood and mediated by the people around it? | Individual appraisal Unsystematic and informal appraisal of DQIP. What are the conclusions? |
| Internalisation What past experiences do they relate DQIP work to? | Activation What process have they decided on to do the work? What resources are required? | Contextual integration Incorporation of DQIP into practice context. | Reconfiguration Appraisal may lead to changes—what have they changed? |
DQIP, Data-driven Quality Improvement in Primary Care.