Table 1.
Qualitative questions and their origins in the NPT construct and components
| NPT construct | Construct’s components | Interview questions |
| Coherence (sense-making) | Differentiation | Can you describe the REACH-HF intervention and how it differs from your usual way of working? |
| Communal specification | What is your colleagues understanding of the purpose of the REACH-HF intervention? | |
| Individual specification | How does the intervention affect the nature of your work? | |
| Internalisation | In your opinion, what it the value of the REACH-HF intervention? To you? To your patients? | |
| Cognitive participation (relational work) | Initiation | Who are the individuals (you can include yourself) that drive REACH-HF forward and get others involved? What are their roles? What are they doing to support the project? |
| Enrolment | How did the team need to change in order to introduce REACH-HF? | |
| Legitimation | How do you feel about being involved in the REACH-HF project? | |
| Activation | What is the future of REACH-HF in your service? What factors can enable the integration of REACH-HF into a cardiac rehabilitation service? | |
| Collective action (operational work) | Interactional workability | How easy or difficult has it been to integrate REACH-HF into your existing work? |
| Relational integration | How has implementing REACH-HF affected working relationships within the team? | |
| Skills and workability | How do the skills of the staff delivering REACH-HF match the needs of the programme? | |
| Contextual integration | Was REACH-HF training sufficient to allow for successful implementation? If not, what other topics or skills could have been included? Are there enough resources available to support the REACH-HF programme? Are there any other barriers to delivering REACH-HF on your patch? |
|
| Reflexive monitoring (appraisal work) | Systematisation | Are you in any way evaluating effectiveness, usefulness or impact of REACH-HF on the service? |
| Communal appraisal | Do your colleagues consider the intervention worthwhile? | |
| Individual appraisal | Do you consider it worthwhile? | |
| Reconfiguration | Can the REACH-HF intervention be easily modified and improved to suit your way of working? If yes, in what way? |
NPT, Normalisation Process Theory; REACH-HF, Rehabilitation EnAblement in CHronic Heart Failure.