Table 6 Summary of recommendations for NPT and ENPT based on review findings

1

NPT/ENPT can be used to support and understand implementation of orthopaedics/MSK interventions

2

Consider NPT/ENPT to support intervention development and refinement. Offer detail of its use and usability to inform future research in this area

3

NPT/ENPT seems appropriate for use across all orthopaedic/MSK conditions and target populations

4

Consider the additional constructs offered by ENPT to support greater exploration of contextual factors but be cautious of the potential challenges with the overlapping concepts. Inviting a researcher familiar with NPT/ENPT may support this

5

Report on the challenges of using NPT/ENPT to inform future researchers

6

Consider using the NoMAD tool and reporting on the instruments’ utility to add to the evidence base and inform future researchers