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. 2017 Mar 28;14(4):350. doi: 10.3390/ijerph14040350

Table 2.

Summary of Normalisation Process Theory (NPT)-informed interview themes and sub-themes.

NPT Construct Theme Sub-Themes
Coherence Making sense of screening and brief alcohol interventions
  • Validated screening tools interpreted as a useful framework to inform practice.

  • Limited differentiation between individual components of screening and brief interventions.

Cognitive Participation Investing in preventative interventions for alcohol
  • Perceived conflict between structured screening and alcohol interventions and patient-centred approach.

  • Nurses viewed as better suited to delivering routine, task-based preventative care.

Collective Action Implementing or day-to-day delivery of brief alcohol interventions
  • Patient-related factors influence GPs’ delivery of alcohol interventions.

  • Financial incentives shape the organisation and provision of screening for problem drinking.

Reflexive Monitoring Evaluating and modifying brief alcohol interventions, and embedding change
  • GPs revert to “business as usual” in their approach to preventative alcohol care over time.