Table 1

Normalisation process theory constructs interpreted for the DQIP trial

How do participants understand and attribute value to DQIP?
Cognitive participation
Enrolment and engagement of individuals and groups
Collective action
Organising and doing the work
Reflective monitoring
Reflecting on progress and making necessary adjustments
How does DQIP differ from other prescribing quality improvement work?
Agency—capacity of individuals to make decisions and weigh up options.
Interactional workability
How is DQIP operationalised?
How do practices make judgements about effectiveness?
Individual specification
How does DQIP cohere with other work?
Persuading others to take part
Skill set workability
How is the work allocated? Roles and responsibilities
Communal appraisal
Regular and organised formal monitoring and appraisal
Communal specification
Does the team have a shared understanding of DQIP?
Buying into the DQIP work: how or what do they value about DQIP?
Relational integration
How is DQIP understood and mediated by the people around it?
Individual appraisal
Unsystematic and informal appraisal of DQIP. What are the conclusions?
What past experiences do they relate DQIP work to?
What process have they decided on to do the work? What resources are required?
Contextual integration
Incorporation of DQIP into practice context.
Appraisal may lead to changes—what have they changed?
  • DQIP, Data-driven Quality Improvement in Primary Care.