This course provides concentrated training on the core problem in implementation science: understanding the mechanisms that motivate and shape implementation processes themselves, and then using that understanding to shape practice and improve outcomes. Implementation science has been defined as:

The scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, with the aim of improving the quality and effectiveness of health services and care.

We take a slightly different view. We focus on the process of implementation. We define implementation as a process that occurs when one group of actors seek to translate their strategic intentions into the everyday practices of others. Understanding how these processes work, what the work of implementation is, and how we can do implementation better, are the purposes of this intensive, participatory, short course. There are many ways of understanding, planning, and evaluating implementation projects, but in this course, we focus on Normalisation Process Theory (NPT) and its associated applications. NPT identifies, characterises, and explains the mechanisms that shape and motivate implementation processes. Importantly, its mechanisms have also been shown to predict implementation outcomes. 

We will focus on three aspects of this body of work:

1. Understanding the mechanisms that drive implementation processes using NPT. NPT provides a validated basis for understanding the dynamics of implementation processes and their outcomes.
2. Using Normalisation Process Theory applications: including the NoMAD survey instrument, the ItFits tool for intervention tailoring, and Patient-Centred Equity Design for complex interventions and their implementation.
3. Applying a structured pathway for real-world implementation: the SPRINT tool for implementation process design and evaluation. Using the SPRINT practice bundle and leadership taxonomies to conduct structured pre-implementation assessments.