ArticleBMC family practice2007
Process evaluation for complex interventions in primary care: understanding trials using the normalization process model.
Article in BMC family practice, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04416815 (Integrating Health Promotion With and for Older People - eHealth), which is not on this map. Cited by 91 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Integrating Health Promotion With and for Older People - eHealth: a Randomised Controlled Trial, in the Context of Good Quality Local Health Care
Who cites it
91 citing papers in PubMed, 8 syntheses or guidelines pooled it, 192 citations in OpenAlex.
- Supporting translation of research evidence into practice-the use of Normalisation Process Theory to assess and inform implementation within randomised controlled trials: a systematic review.Implementation science : IS · 2023Pooled it
- What do we want to get out of this? a critical interpretive synthesis of the value of process evaluations, with a practical planning framework.BMC medical research methodology · 2022Pooled 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
- Intervention planning for a digital intervention for self-management of hypertension: a theory-, evidence- and person-based approach.Implementation science : IS · 2017Pooled 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
- Checking reference lists to find additional studies for systematic reviews.The Cochrane database of systematic reviews · 2011Pooled it
- Trial
- The effect of a locally tailored intervention on the uptake of preconception care in the Netherlands: a stepped-wedge cluster randomized trial (APROPOS-II study).BMC public health · 2022Trial
- Trial
- Examining Interprofessional teams structures and processes in the implementation of a primary care intervention (Health TAPESTRY) for older adults using normalization process theory.BMC family practice · 2020Trial
- Trial
- Using normalisation process theory to understand workflow implications of decision support implementation across diverse primary care settings.BMJ health & care informatics · 2019Trial
- Trial
- Design and implementation of electronic health record integrated clinical prediction rules (iCPR): a randomized trial in diverse primary care settings.Implementation science : IS · 2017Trial
- Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): Protocol for a cluster-randomized trial.Trials · 2017Trial
- Trial
- Qualitative study of telemonitoring of blood glucose and blood pressure in type 2 diabetes.BMJ open · 2015Trial
- Implementing telephone triage in general practice: a process evaluation of a cluster randomised controlled trial.BMC family practice · 2015Trial
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Normalization Process Model is a conceptual tool intended to assist in understanding the factors that affect implementation processes in clinical trials and other evaluations of complex interventions. It focuses on the ways that the implementation of complex interventions is shaped by problems of workability and integration.
methodIn this paper the model is applied to two different complex trials: (i) the delivery of problem solving therapies for psychosocial distress, and (ii) the delivery of nurse-led clinics for heart failure treatment in primary care.
resultsApplication of the model shows how process evaluations need to focus on more than the immediate contexts in which trial outcomes are generated. Problems relating to intervention workability and integration also need to be understood. The model may be used effectively to explain the implementation process in trials of complex interventions.
conclusionThe model invites evaluators to attend equally to considering how a complex intervention interacts with existing patterns of service organization, professional practice, and professional-patient interaction. The justification for this may be found in the abundance of reports of clinical effectiveness for interventions that have little hope of being implemented in real healthcare settings.
Indexed as
Identifiers
What OpenQuestion holds
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.