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Qualitative/Quantitative:
Type of Instrument:
Number of Items:
23Subscale Information:
No SubscalesLanguage Availability:
Brief Description:
The Normalizing Process Theory Questionnaire (NoMAD) is an instrument used to assess, monitor or measure factors likely to affect normalization from the perspective of implementation participants.Website:
Citing Literature - Development/Original:
Rapley, T., Girling, M., Mair, F. S., Murray, E., Treweek, S., McColl, E., Steen, I. N., May, C. R., & Finch, T. L. (2018). Improving the normalization of complex interventions: part 1 - development of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT). BMC medical research methodology, 18(1), 133. https://doi.org/10.1186/s12874-018-0590-y. PMID: 30442093 PMCID: PMC6238361.
Finch, T. L., Girling, M., May, C. R., Mair, F. S., Murray, E., Treweek, S., McColl, E., Steen, I. N., Cook, C., Vernazza, C. R., Mackintosh, N., Sharma, S., Barbery, G., Steele, J., & Rapley, T. (2018). Improving the normalization of complex interventions: part 2 - validation of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT). BMC medical research methodology, 18(1), 135. https://doi.org/10.1186/s12874-018-0591-x. PMID: 30442094 PMCID: PMC6238372.
Finch TL, Rapley T, Girling M, Mair FS, Murray E, Treweek S, et al. Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol. Implement Sci. 2013;8(1):43. doi: 10.1186/1748-5908-8-43.Citing Literature - Empirical Use/Application:
Holdsworth, L. M., Stedman, M., Gustafsson, E. S., Han, J., Asch, S. M., Harbert, G., Lorenz, K. A., Lupu, D. E., Malcolm, E., Moss, A. H., Nicklas, A., & Kurella Tamura, M. (2023). "Diving in the deep-end and swimming": a mixed methods study using normalization process theory to evaluate a learning collaborative approach for the implementation of palliative care practices in hemodialysis centers. BMC health services research, 23(1), 1384. https://doi.org/10.1186/s12913-023-10360-7. PMID: 38082293 PMCID: PMC10712060.Version:
Not Found
Normalization Process Theory Questionnaire (NoMAD)
Qualitative/Quantitative:
The assessment instrument uses quantitative and/or qualitative data
- Quantitative
Type of Instrument:
The type of the assessment instrument
- Survey
Number of Items:
Number of items in the assessment instrument
23Subscale Information:
Names of each of the subscales and the number of items for each of the subscales
No SubscalesLanguage Availability:
Language(s) in which the assessment instrument is available
- English
- Swedish
Brief Description:
Brief summary description of assessment instrument
The Normalizing Process Theory Questionnaire (NoMAD) is an instrument used to assess, monitor or measure factors likely to affect normalization from the perspective of implementation participants.Website:
Website providing access to and/or describing the assessment instrument
Instrument and/or related documentation:
Citing Literature - Development/Original:
Reference for publication describing the development of the assessment instrument
Rapley, T., Girling, M., Mair, F. S., Murray, E., Treweek, S., McColl, E., Steen, I. N., May, C. R., & Finch, T. L. (2018). Improving the normalization of complex interventions: part 1 - development of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT). BMC medical research methodology, 18(1), 133. https://doi.org/10.1186/s12874-018-0590-y. PMID: 30442093 PMCID: PMC6238361.Finch, T. L., Girling, M., May, C. R., Mair, F. S., Murray, E., Treweek, S., McColl, E., Steen, I. N., Cook, C., Vernazza, C. R., Mackintosh, N., Sharma, S., Barbery, G., Steele, J., & Rapley, T. (2018). Improving the normalization of complex interventions: part 2 - validation of the NoMAD instrument for assessing implementation work based on normalization process theory (NPT). BMC medical research methodology, 18(1), 135. https://doi.org/10.1186/s12874-018-0591-x. PMID: 30442094 PMCID: PMC6238372.
Finch TL, Rapley T, Girling M, Mair FS, Murray E, Treweek S, et al. Improving the normalization of complex interventions: measure development based on normalization process theory (NoMAD): study protocol. Implement Sci. 2013;8(1):43. doi: 10.1186/1748-5908-8-43.
Citing Literature - Empirical Use/Application:
Reference for publications on the application of the assessment instrument
Holdsworth, L. M., Stedman, M., Gustafsson, E. S., Han, J., Asch, S. M., Harbert, G., Lorenz, K. A., Lupu, D. E., Malcolm, E., Moss, A. H., Nicklas, A., & Kurella Tamura, M. (2023). "Diving in the deep-end and swimming": a mixed methods study using normalization process theory to evaluate a learning collaborative approach for the implementation of palliative care practices in hemodialysis centers. BMC health services research, 23(1), 1384. https://doi.org/10.1186/s12913-023-10360-7. PMID: 38082293 PMCID: PMC10712060.Version:
Number/name of the most recent version of the assessment instrument
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- Framework for Analyzing Adoption of Complex Health Innovations
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- Framework for Enhancing the Value of Research for Dissemination and Implementation
- Framework for Spread
- Framework for the Dissemination & Utilization of Research for Health-Care Policy & Practice
- Framework for the Transfer of Patient Safety Research into Practice
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- General theory of implementation
- Generic Implementation Framework
- Greenhalgh Diffusion of Innovations in Service Organizations
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- Interacting Elements of Integrating Science, Policy, and Practice
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- Sustainment
- Use evaluative and iterative strategies
Constructs Assessed:
Constructs assessed by the assessment instrument (linked to constructs included in the D&I models webtool)Theories, Models, Frameworks Relevant:
Implementation Outcomes:
The relevance of the assessment instrument to various implementation outcomesImplementation Strategies:
The implementation strategy/ies evaluated by the assessment instrumentPhase of Implementation Process:
Not FoundPhase of implementation process when the assessment instrument can be used
Intended Focus
- Individual (Patient, Community Member)
- Researcher/Evaluator
- Administrator
- Clinical Outpatient
- Clinical Inpatient
- Residential Care
- Community Organization
- Public Health Agency
- School
- Workplace
Levels of Data Collection:
The level(s) from which the assessment instrument collects dataIntended Priority Population:
Intended priority population from whom data are collected using the assessment instrumentIntended Priority Setting:
Intended priority setting in which the assessment instrument is usedPolicy:
Not FoundAssessment instrument is relevant to policyEquity Focus:
Not Found
Psychometric Properties
- Unspecified Validity
Scoring:
NoThe assessment instrument produces a composite scoreNorms:
Not FoundMeasures of central tendency and distribution for the total score are based on small, medium, large sample sizeResponsiveness:
YesThe ability of the assessment instrument to detect change over time (i.e., sensitivity to change or intervention effects).Validity:
The extent to which an instrument measures what it is intended to measure accurately.Reliability:
Not FoundThe extent to which results are consistent results over time, across raters, across settings, or across items intended to measure the same thing.Factor Analysis:
Not FoundA statistical method that uses the correlation between observed variables to identify common factors.
Pragmatic Properties
- Guidance to Administer
- Medium: Asyncronous collection of data
- Adaptive Instrument
Time to Administer:
Not FoundThe amount of time required to complete the assessment instrumentSecondary Data:
Not FoundCost:
FreeCost associated with access to assessment instrument (Some insturments might require login.)Literacy:
YesReadability of the items reported on.Interpretation:
NoExpertise needed for interpretation of data is reported.Training:
NoExpertise needed to use the assessment instrument is reportedResources Required to Administer:
None/LowResources needed to administer the assessment instrument (FTE for data collector, equipment, etc.)User Guidance:
Guides are provided to support administration of assessment instrument/data collection, and/or analysis of data from the assessment instrument, and/or interpretation of data, and/or action/decision on how to use dataObtrusiveness:
Degree of intrusion the participants will experience because of the data collection when using the assessment instrument (e.g., assessment instruments that rely on use of secondary data or automated data will be less obtrusive)Interactivity:
Data collection and/or result generation involves interactive components.
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