Table 1

Interpretation and application of the normalisation process theory constructs

ConstructInterpretationExample
CoherenceCoherence or ‘sense-making work’ details how families understand the purpose of the DSP and how it may aid work associated with dementia care (Internalisation). This may be interpreted as how it may benefit an individual (Individual Specification) or the family (Communal Specification). Coherence also includes how the DSP is differentiated from current methods used to complete said work (Differentiation).Q4
Cognitive participationCognitive participation or ‘relational work’ details how families organise themselves to create a network of individuals who participate in using the DSP. This organisation includes identifying key participants (Initiation) and reorganising or redistributing the work present within existing relationships (Enrolment). Cognitive participation also includes how individuals feel that it is right for them to be involved with the DSP (Legitimation) so that they may continue to use it (Activation).Q15
Collective actionCollective action or ‘operational work’ is how families interact with the DSP (Interactional Workability) and with each other (Relational Integration). Collective action can also refer to the overlap between the demands of the DSP and an individual’s capabilities (Skillset Workability). It also includes how resources and support are allocated towards families to help them use the DSP (Contextual Integration).Q23
Reflexive monitoringReflexive monitoring or ‘appraisal work’ is how families access or review information (Systematisation) to appraise the DSP collectively or individually (Communal and individual Appraisal). Appraisal is used to refine the DSP (Reconfiguration).Q35
  • DSP, Digital Support Platform.