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Implementation interventions through the lens of Normalisation Process Theory954to redefine procedures or modify the practice) (Finch et al., 2013; Johnson & May, 2015; May & Finch, 2009; May et al., 2009).While the social mechanisms of Normalisation Process Theory may be rather abstract, Johnson and May (2015) found that it was possible to link these mechanisms to the more concrete implementation interventions as described within the aforementioned EPOC taxonomy. Furthermore, the social mechanisms of NPT offered explanations for the differences in effectiveness for these implementation interventions found in their systematic review of the literature. They found that more effective implementation interventions, such as Patient-Mediated Interventions, Audit and Feedback, Educational Outreach Visits and Reminders tended to initiate more social mechanisms of NPT especially in the areas of Collective Action and Reflexive Monitoring. Less effective interventions, such as Local Consensus Processes and Local Opinion Leaders tended to focus on Coherence or Cognitive Participation (Johnson & May, 2015). In long-term care for people with intellectual disabilities, little is known about the effectiveness of implementation interventions on social mechanisms in implementation processes. During the MDET trial, which was set up without a pre-established implementation plan, interventions were used by the coordinating researcher and MDET-experts when hindering factors occurred in the uptake or progress of the method. They assumed interventions to be effective based on their tacit knowledge or previous experiences with overcoming hindering factors in dissemination or implementation processes. Studying this tacit knowledge might reveal valuable knowledge on implementation interventions and their influence on social mechanisms in long-term intellectual disability care. Aim and objectivesThis paper was aimed at understanding the social mechanisms at work in implementation processes in long-term care for people with intellectual disabilities. These mechanisms may manifest themselves when professional implementation interventions are applied. The EPOC taxonomy provides a well-known terminology for identifying such interventions. However, given the differences between regular health care and long-term care, the