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Table 1 Normalisation process theory (NPT) concepts in developing an e-tool

From: The views of New Zealand general practitioners and patients on a proposed risk assessment and communication tool: a qualitative study using Normalisation Process Theory

NPT Concept [52] Example interview questionsa
Coherence
Is the intervention meaningful for participants? Establish shared definitions and understanding of both the problem and the potential intervention
Patient questions:
What does harm from medicine mean to you? What does risk from medicine harm mean?
When do you think it’s important to know about your risk from medication?
Do you think it’s important to discuss medication risk with your GP?
GP questions:
What prompts you to consider assessing a patient’s risk from their medication?
How confident do you feel explaining medication risk to patients?
Cognitive Participation
Do participants think the intervention is a good idea? Establish whether patients and doctors are committed to engage with this tool
Patient questions:
Do you think the proposed MedKōrero tool, to assess risk and improve communication about that risk, will help you/your whanau make decisions about treatment?
What kind of impact would a tool like this have for you/your whanau when you are deciding on a treatment option?
GP questions:
Do you think the proposed MedKōrero tool, to assess risk and communicate that risk to patients, will promote shared decision making? Would it be helpful to your day-to-day work?
Collective Action
What work needs to be done to implement this new intervention? Ascertain the likely work participants will need to do to in relation to the tool, in order to learn what features the tool requires in order to minimise additional work.
Patient questions:
What would promote its use? What would be a barrier to its use?
GP questions:
What kind of impact would a tool like this have in your clinical setting?
What would promote its use? What would be a barrier to its use?
Reflexive Monitoring
Ascertain the likely impact of the tool, in order to develop the tool to enhance positive impact and minimise negative impact.
Patients and GPs:
Can you think of potential system-wide effects of using this tool?
What would be the intended and unintended consequences
  1. aAppendix 2 contains the complete interview guide