Table 3 Facilitators identified in preliminary stakeholder engagement activities 

Intervention matches well with the mission and philosophy of the service

Educational meetings: promoting cognitive participation by emphasising the benefits to patients, practices and healthcare system (coherence).

Identify and prepare NM Bridges “champions” to actively and enthusiastically promoting the intervention.

Coherence (internalised meaning). The coherence of NM Bridges will be derived from the meaning users collectively invest in it. Communal specification: the process through which clinicians, share and create an understanding of this new practice will be explored. Cognitive participation (legitimation): The belief that NM Bridges is right for the context, in terms of being a needed adjunct to existing tools and approaches will drive engagement

Acceptability, organisational feasibility, appropriateness

Self-report, semi-structured interviews, IAM, AIM, NoMAD

The flexibility afforded by the NM Bridges intervention

Educational meetings and educational materials to reinforce the flexibility of the intervention and its underlying collaborative philosophy, ability to be tailored within consultations

Reflexive monitoring (communal appraisal): regarding the outcomes and values of NM Bridges. Collective action (relational integration): to enhance participant’s understandings of NM Bridges. Not only how and when to use the Bridges approach, but also understanding the expressions and concerns of other staff members

Fidelity, acceptability, adoption rates

Observation, checklists, self-report, semi-structured interviews, AIM, FIM, IAM, NoMAD

The perceived effectiveness & usefulness of NM Bridges by the service

Identify and prepare NM Bridges “champions” to actively promote the intervention, mobilise resources, communicate how the intervention fits into a vision for the larger organisation.

Educational meetings and educational materials to reinforce mechanisms that the intervention targets and provide opportunity for dialogical reflection on processes.

Reflexive monitoring (systematisation): The participants’ judgement of NM Bridges regarding usefulness and effectiveness will be monitored and used to drive implementation and engagement. Communal appraisal. Communal and individual appraisal regarding the outcomes and values of NM Bridges.

Fidelity, acceptability, technical feasibility, adoption, appropriateness

Observation, checklists, self-report, semi-structured interviews, AIM, FIM, IAM, NoMAD