ArticleBMC health services research2006
A rational model for assessing and evaluating complex interventions in health care.
Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 192 papers, 13 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
192 citing papers in PubMed, 13 syntheses or guidelines pooled it.
- Pooled it
- Frameworks for implementation of policies promoting healthy nutrition and physically active lifestyle: systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Factors affecting the delivery of complex rehabilitation interventions in research with neurologically impaired adults: a systematic review.Systematic reviews · 2020Pooled it
- Pooled it
- Application of normalisation process theory in understanding implementation processes in primary care settings in the UK: a systematic review.BMC family practice · 2020Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Defining the external implementation context: an integrative systematic literature review.BMC health services research · 2018Pooled it
- Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare.Implementation science : IS · 2018Pooled it
- Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis.PloS one · 2018Pooled it
- Intervention planning for a digital intervention for self-management of hypertension: a theory-, evidence- and person-based approach.Implementation science : IS · 2017Pooled it
- Enablers and barriers to implementing collaborative care for anxiety and depression: a systematic qualitative review.Implementation science : IS · 2016Pooled it
- A qualitative systematic review of studies using the normalization process theory to research implementation processes.Implementation science : IS · 2014Pooled it
- The challenges of implementing a telestroke network: a systematic review and case study.BMC medical informatics and decision making · 2013Pooled it
- The Implementation of a Primary Care-Based Integrated Mobile Health Intervention for Stroke Management in Rural China: Mixed-Methods Process Evaluation.Frontiers in public health · 2021Trial
- Implementing e-learning and e-tools for care home staff supporting residents with dementia and challenging behaviour: A process evaluation of the ResCare study using normalisation process theory.Dementia (London, England) · 2020Trial
- Trial
- Implementation of a new prenatal care model to reduce office visits and increase connectivity and continuity of care: protocol for a mixed-methods study.BMC pregnancy and childbirth · 2015Trial
- Perceptions of Barriers and Facilitators During Implementation of a Complex Model of Group Prenatal Care in Six Urban Sites.Research in nursing & health · 2015Trial
- RESTORE: an exploratory trial of a web-based intervention to enhance self-management of cancer-related fatigue: findings from a qualitative process evaluation.BMC medical informatics and decision making · 2015Trial
- HELPing older people with very severe chronic obstructive pulmonary disease (HELP-COPD): mixed-method feasibility pilot randomised controlled trial of a novel intervention.NPJ primary care respiratory medicine · 2015Trial
132 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnderstanding how new clinical techniques, technologies and other complex interventions become normalized in practice is important to researchers, clinicians, health service managers and policy-makers. This paper presents a model of the normalization of complex interventions.
methodsBetween 1995 and 2005 multiple qualitative studies were undertaken. These examined: professional-patient relationships; changing patterns of care; the development, evaluation and implementation of telemedicine and related informatics systems; and the production and utilization of evidence for practice. Data from these studies were subjected to (i) formative re-analysis, leading to sets of analytic propositions; and to (ii) a summative analysis that aimed to build a robust conceptual model of the normalization of complex interventions in health care.
resultsA normalization process model that enables analysis of the conditions necessary to support the introduction of complex interventions is presented. The model is defined by four constructs: interactional workability; relational integration; skill set workability and contextual integration. This model can be used to understand the normalization potential of new techniques and technologies in healthcare settings
conclusionThe normalization process model has face validity in (i) assessing the potential for complex interventions to become routinely embedded in everyday clinical work, and (ii) evaluating the factors that promote or inhibit their success and failure in practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.