Additional file 4: of Understanding the implementation of interventions to improve the management of chronic kidney disease in primary care: a rapid realist review

Conceptual framework of the relationships between different mechanisms contributing to the successful implementation of chronic kidney disease interventions in primary care. These mechanisms fell into categories corresponding to the domains of the Normalisation Process Theory (NPT) including: ‘Coherence’ (that is, sense-making work), ‘Cognitive participation’ (engagement work), ‘Collective action’ (operational/functional work), and ‘reflexive monitoring’ (feedback and quality improvement work) [21]. Mechanisms prolonging sustainability was an additional category that appeared to be important. (DOCX 47 kb

Trial CONSORT Diagram.

<p>Trial CONSORT Diagram.</p

Health related quality of life for intervention and control patients.

<p>Health related quality of life for intervention and control patients.</p

Baseline characteristics of participants.

<p>Values are number (percentage) unless stated otherwise.</p><p>Baseline characteristics of participants.</p

Intervention uptake and evaluation.

<p>Values are number (percentage).</p><p>Intervention uptake and evaluation.</p