Table 6.

Normalization process theory constructs and Healthy Living for People with type 2 Diabetes: Starting Out–specific meanings of the constructs.

Constructs	HDSOa-specific meaning of the constructs
1. Coherence (sense-making of the intervention; anchoring in experience)	How well HCPsb understood the HDSO program and how it was different to face-to-face courses. Whether HCPs valued the projected benefits of the HDSO program to people with T2DMc and the primary care team, and whether they developed a shared sense of benefit of the program.
2. Cognitive participation (engagement and commitment of the participant)	The engagement of HCPs in the HDSO program, whether they thought it was a good idea, and whether they were willing to invest time, energy, and work into it.
3. Collective action (the work participants do to make the intervention function)	The additional work for practices of promoting the program (including sending recruitment packs or text messages, and printing and displaying flyers in waiting areas). The work for HCPs of fitting discussions about DSME and referrals to the HDSO program into time-limited consultations. Any additional training needed to be able to explain and demonstrate the program, and send referrals.
4. Reflexive monitoring (how participants reflect on or appraise the intervention)	Whether HCPs perceived the worth of the HDSO program, and its impact on their other tasks.

^aHDSO: Healthy Living for People with type 2 Diabetes: Starting Out.

^bHCP: health care professional.

^cT2DM: type 2 diabetes mellitus.