Page 115 - Demo
P. 115
Implementation interventions through the lens of Normalisation Process Theory1134a consultation plan had been written and discussed with the care team. However, not all group homes went through the MDET method from start to finish. Also, some phases of MDET were not clearly identifiable in the data. This may have affected the findings. All data of 19 group homes were analysed by the first author, data of 15 out of 19 group homes were reviewed. Discussions about codes of implementation interventions were held in the beginning of the analysing process. After that, the first author discussed changes with the project leader due to the fact that the research assistant and 2nd author were not available. Also, the development of the NPT-EPOC framework was discussed only by the first author and project leader. This might have influenced our analysing process. During the analysis we realised there were two goals for which implementation interventions were used. The first goal was to guideline implementation of MDET. Being a multi-component programme with consecutive phases, interventions were needed to get people starting up and continuing the method. The second goal of reducing restrictive measures by use of the MDET method entailed behavioural changes of support staff. At the same time, some implementation interventions were used to achieve both goals at once. Earlier research also pointed out the intersection of professional implementation interventions and behavioural change techniques (Mazza et al., 2013). In this article, we have chosen to describe the distinction only when it was necessary to follow the process of implementation.The taxonomy of Cochrane EPOC review group was updated in 2015 (EPOC, 2015). However, professional implementation interventions described by Cochrane EPOC review group in 2002 were used for this study, to remain in line with the NPT-EPOC framework published by Johnson & May (Johnson & May, 2015).ConclusionProfessional implementation interventions are aimed at implementing new methods and changing behaviour of professionals in everyday work (EPOC,