ArticleImplementation science : IS2022
Translational framework for implementation evaluation and research: a normalisation process theory coding manual for qualitative research and instrument development.
Article in Implementation science : IS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
136 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A theory-based analysis of the implementation of online asynchronous telemedicine platforms into primary care practices using Normalisation Process Theory.BMC primary care · 2025Pooled it
- Pooled it
- Primary care providers' perspectives on the implementation of couple-based collaborative management for Chinese older adults with type 2 diabetes: a mixed-methods study.Frontiers in public health · 2026Trial
- Trial
- Tele-ophthalmology-enabled and artificial intelligence-ready referral pathway for community optometry referrals of retinal disease: HERMES cluster randomised trial with a diagnostic accuracy study.Health technology assessment (Winchester, England) · 2025Trial
- Evaluation of a complex intervention: the Latch On randomized controlled trial of multicomponent breastfeeding support for women with a raised body mass index.Journal of public health (Oxford, England) · 2025Trial
- Patient-reported outcome measures for monitoring primary care patients with depression: the PROMDEP cluster RCT and economic evaluation.Health technology assessment (Winchester, England) · 2024Trial
- Implementing a new birthing room design: a qualitative study with a care provider perspective.BMC health services research · 2023Trial
- Trial
- Using the Normalization Process Theory to study facilitators and barriers to sustainable implementation of artificial intelligence-based diabetic retinopathy screening in Rwanda.Dialogues in health · 2026Article
- Anticipated Barriers and Facilitators to the Implementation of an AI Tool Advising on the Placement of Mitigation Strategies to Improve Air Quality in the Hospital Setting: Qualitative Study.JMIR human factors · 2026Article
- The Early Youth Engagement (EYE-2) Intervention in First Episode Psychosis Services: Definition and Implementation of a Therapeutic Motivational-Engagement Model for Early Intervention in Psychosis Key Workers.Early intervention in psychiatry · 2026Article
- Real-world implementation of electronic patient-reported outcome measures (ePROMs) in routine oncology practice: a scoping review.ESMO real world data and digital oncology · 2026Review
- What Makes Community Inclusion Work for Older Adults With an Intellectual Disability? An Application of the Normalisation Process Theory.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Exploring the implementation and integration of structured medication reviews in primary care: a qualitative evaluation using normalisation process theory.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Using Intervention Mapping to Codevelop Orchid, a Digital Tool for Reproductive Life Planning: Development and Feasibility Study.JMIR human factors · 2026Article
- Delivering effective non-invasive ventilation in amyotrophic lateral sclerosis using intensive remote support (DENIM): protocol for an embedded process evaluation in a hybrid type 3 implementation-effectiveness trial.Implementation science communications · 2026Article
- Embracing complexity by reducing rigidity: guiding principles for the intersection of implementation science and qualitative research.Implementation science : IS · 2026Article
- Sustaining values-driven innovation in primary healthcare: a protocol for identifying implementation strategies for long-term impact (longitudinal participatory study).Implementation science communications · 2026Article
- Engaging patients in the decarbonisation of primary care: findings from a cross-sectional survey in England.BMC health services research · 2026Article
76 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNormalisation Process Theory (NPT) is frequently used to inform qualitative research that aims to explain and evaluate processes that shape late-stage translation of innovations in the organisation and delivery of healthcare. A coding manual for qualitative researchers using NPT will facilitate transparent data analysis processes and will also reduce the cognitive and practical burden on researchers.
objectives(a) To simplify the theory for the user. (b) To describe the purposes, methods of development, and potential application of a coding manual that translates normalisation process theory (NPT) into an easily usable framework for qualitative analysis. (c) To present an NPT coding manual that is ready for use.
methodQualitative content analysis of papers and chapters that developed normalisation process theory, selection and structuring of theory constructs, and testing constructs against interview data and published empirical studies using NPT.
resultsA coding manual for NPT was developed. It consists of 12 primary NPT constructs and conforms to the Context-Mechanism-Outcome configuration of realist evaluation studies. Contexts are defined as settings in which implementation work is done, in which strategic intentions, adaptive execution, negotiating capability, and reframing organisational logics are enacted. Mechanisms are defined as the work that people do when they participate in implementation processes and include coherence-building, cognitive participation, collective action, and reflexive monitoring. Outcomes are defined as effects that make visible how things change as implementation processes proceed and include intervention mobilisation, normative restructuring, relational restructuring, and sustainment.
conclusionThe coding manual is ready to use and performs three important tasks. It consolidates several iterations of theory development, makes the application of NPT simpler for the user, and links NPT constructs to realist evaluation methods. The coding manual forms the core of a translational framework for implementation research and evaluation.
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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.