Skip to main content

Table 2 Normalization Process Theory Core Constructs

From: A mixed methods systematic review of the effects of patient online self-diagnosing in the ‘smart-phone society’ on the healthcare professional-patient relationship and medical authority

Coherence (CO) (Sense-making work)

Cognitive Participation (CP) (Relationship work)

Collective Action (CA) (Enacting work)

Reflexive Monitoring (RM) (Appraisal work)

The sense-making work that people do individually and collectively when they are faced with online self-diagnosis and seeking online health information

The relational work that people do individually and collectively to build and sustain online health information seeking

The operational work that people do by investing effort and time to engage in online self-diagnosis and seeking online health information and to use this information in consultations

The appraisal work that people do when online self-diagnosing or seeking online health information that affects them and others around them

Differentiation:

Initiation

Interactional workability

Systemization

How a set of practices are different from each other

Key participants driving a set of practices forward

Interactional work people do with each other in consultations and other everyday settings

Collecting information to determine how effective and useful it is

Communal specification:

Enrolment

Relational integration

Communal appraisal

A shared understanding of aims and benefits of a set of practices

Strategies used to engage in tasks and help secure implementation

Communicating reliable knowledge about tasks to build accountability and maintain confidence

Working together to determine and evaluate the worth of a set of practices

Individual specification:

Legitimation

Skill set workability

Individual appraisal

An understanding of the responsibilities around a task and practices

The belief that the set of practices is correct and if it is right to be involved

Task allocation and performances

Working as individuals to appraise the effects on themselves

Internalization:

Activation

Contextual Integration

Reconfiguration

Understanding the benefits and values of a set of practices

Defining actions, behaviours and procedures needed to sustain a practice and stay involved

Managing a set of practices through the allocation of different kinds of resources

Redefining procedures or modifying practices.