Table 2 Core constructs of normalisation process theory (Major themes) and study findings (Minor themes)
NPT construct | Emergent study themes |
|---|---|
Coherence: | • T-CBT alters practitioner-client communication. |
• T-CBT challenges risk management. | |
• T-CBT challenges collaboration. | |
• T-CBT may be more limited in content. | |
• T-CBT delivery demands different skills. | |
• Client diagnosis/case complexity may limit T-CBT utility. | |
• T-CBT is advantageous for patient access and reach. | |
Cognitive Participation: | • T-CBT is a macro and meso level directive. |
• Front line support for T-CBT may be lacking. | |
• T-CBT is enabled by professional autonomy. | |
• T-CBT is aligned with service efficiency. | |
• T-CBT acceptability is influenced by organisational culture. | |
Collective Action: | • Confidence in T-CBT requires a mixed delivery model. |
• T-CBT is delivered within a risk-minimisation framework. | |
• T-CBT implementation requires increased resourcing. | |
• T-CBT requires local protocol and policy development. | |
Reflexive Monitoring: | • Local T-CBT champions exist. |
• T-CBT supporters draw on experiential learning. | |
• T-CBT is acceptable in practice. | |
• T-CBT has proven client gains. | |
• Technical support will enhance information sharing. | |
• T-CBT requires dedicated training. |