![]() The Normalisation Process Theory (NPT) is one such theory which furnishes researchers with a consistent framework that can be used to describe, assess and enhance implementation potential through identifying factors that promote and inhibit the routine incorporation of complex interventions into everyday practice. Ī greater role for theoretical approaches in implementation-focused research is one proposed strategy for overcoming translation gaps. We have the evidence that interventions can be effective but high quality evidence with regard to the choice and means of optimizing the elements of complex interventions has been much slower to emerge. The relative failure to implement what we know mirrors the important imbalance between investment in the development of new drugs and medical technologies versus addressing the fidelity with which care is delivered. Implementation science has emerged precipitately as an increasingly influential research field by recognizing that the findings from clinical and health services research have often failed to change population health outcomes. ‘The current literature demonstrates that there are problematic translational gaps continue to exist between demonstrating the positive impact of a novel healthcare intervention in a research environment and the implementation of this intervention into routine daily practice. The SMART MOVE trial is registered at Current Controlled Trials (ISRCTN99944116 Date of registration: 1st August 2012). We believe that this process amplifies the implementation potential of such an intervention in primary care. We carried out a theoretical analysis of stakeholder informed barriers and levers to the implementation of a novel exercise promotion tool in the Irish primary care setting. Despite certain obstacles, the opportunity exists for the successful implementation of a novel healthcare intervention that addresses a hitherto unresolved healthcare need, provided that the intervention has strong usability attributes for both disseminators and target users and coheres strongly with the core objectives and culture of the health care environment in which it is to operate. It was evident that introducing a new healthcare intervention demands a comprehensive evaluation of the intervention itself and also the environment in which it is to operate. Resultsįour themes emerged from the analysis : personal and professional exercise strategies roles and responsibilities to support active engagement utilisation challenges and evaluation, adoption and adherence. The Normalisation Process Theory was used to develop the topic guide for the interviews and also informed the data analysis process. A qualitative methodology with a combination of focus groups (general practitioners, practice nurses and non-clinical staff from four separate primary care centres, n = 14) and individual semi-structured interviews (intervention and control SMART MOVE trial participants, n = 4) with purposeful sampling utilising the principles of Framework Analysis was utilised. SMART MOVE trial participants and the staff from four primary care centres were invited to take part and all agreed to do so. ![]() The study took place in the West of Ireland with recruitment in the community from the Clare Primary Care Network. The aim of this qualitative evaluation of the SMART MOVE trial was to conduct a theoretically informed analysis, using normalisation process theory, of the potential barriers and levers to the implementation of a mhealth intervention to promote physical activity in primary care. Problematic translational gaps continue to exist between demonstrating the positive impact of healthcare interventions in research settings and their implementation into routine daily practice.
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