Table 1

Application of NPT to project design

NPT componentQuestions to consider in the NPT frameworkExample of application in this project
Coherence
(meaning and sense making by clinicians)
How is Bridges SMP different to usual practice?
Is Bridges SMP easy to describe?
What benefits will Bridges SMP bring and to whom?
How does Bridges SMP fit with the wider purpose of the clinical team?
Engagement and awareness raising of Bridges SMP with trauma team in multiple meetings and training opportunities to discuss what Bridges SMP is, the benefits and fit with the trauma setting; AHPs describing examples of changes to practice following training
Cognitive participation (commitment and engagement by clinicians)Will AHPs think Bridges SMP is a good idea?
Will AHPs be prepared to invest the time and energy for implementation?
Identifying and working with key change agents; offering flexible training sessions to minimise service disruption
Collective action
(the work clinicians do to make Bridges SMP function)
How will Bridges SMP affect the day-to-day work of AHPs?
How compatible is Bridges SMP with existing working practices?
Contextualising training to acute major trauma; emphasis on the value of integrate of self-management support into interactions with patients and families; support for change agents between training sessions
Reflexive monitoring
(how clinicians reflect on or appraise Bridges SMP)
How are AHPs likely to view Bridges SMP over time?
Will the effects of Bridges SMP be clear, on patients and AHPs?
Clinician questionnaires pre-training and post-training; training evaluation forms; sharing stories of successes and challenges of Bridges SMP at training part two; regular meetings with change agents to hear about implementation efforts
  • AHPs, allied health professionals; NPT, normalisation process theory; SMP, self-management programme.