Understanding complex healthcare interventions: A user's guide to Normalization Process Theory

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NPT's Core Propositions
1. Coherence
2.Cognitive Participation
4. Reflexive Monitoring
3. Collective Action
Theoretical Propositions
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Cognitive Participation

This is the work that people do to engage with a new technology or complex intervention.


NPT proposes that:

  • Embedding of a complex intervention is dependent on work that defines and organizes its participants.
  • The work of embedding (implementing and integrating) a complex intervention is shaped by factors that promote or inhibit participation.
  • The production and reproduction of a complex intervention requires that aparticipants' collectively invest commitment in it.