Table 3.

Themes and Related NPT Construct

ThemeNPT Construct
Prompt overwhelmingly viewed as easy, simple to use, accurateCoherence
Clinicians considered prompt as an effective way to increase awareness of HL and increase conversations with patients about HL
Clinician and staff buy-in played a vital role in implementationCognitive participation
Clinicians prioritized prompt during annual visitsCollective action
MA involvement in prompt workflow varied by health system, clinic, and clinician
Prompt resulted in more conversations about HL, but uncertain impact on patient outcomesReflexive monitoring
  • HL = hearing loss; NPT = Normalization Process Theory.