We just received great news!
The MDM team, led by Frances Mair just got awarded a grant from Chief Scientist Office of Scotland to conduct the project “Developing a conceptual model of the burden of treatment and the “work” involved in living with heart failure”. Other investigators mentioned in the award include Carl May and Victor Montori.
Here is the project summary:
This project grant is the first in a program of research developing the “Minimally Disruptive Medicine (MDM)” research agenda. Poor adherence to treatment regimens and lifestyle advice may lead to an additional burden of poor health for chronic heart failure (CHF) patients, their families and the health service. Non-adherence is often regarded as a problem of individual volition or about lack of patient understanding. However, CHF patients often have multiple co-morbidities – and generally face an increasing burden of work in managing their conditions. This work includes complex pharmaceutical regimes, frequent clinic attendances, lifestyle changes and self care responsibilities.
As this treatment burden grows, patients find it difficult to meet the demands placed on them. In this project we aim to identify, describe, and explain the work involved in living with CHF, through analysis of both archived and new CHF patient perception interviews. We aim to develop a robust conceptual model of CHF work in order to inform the development of new points (and forms) of clinical intervention.
Here we go!
Minimally Disruptive Medicine 
Professor May,
I came across your blog while researching Normalization Process Theory. I was particularly intrigued by your comment about looking at NPT from a different perspective, specifically sports. I was wondering if you’ve pursued that further. I ask because I am involved in a research study looking at an educational intervention designed to minimize/eliminate, concussions in ice hockey. My particular area of interest is how injury and especially injurious behaviour have become normalized in the sport. There are several theories that might explain this (e.g., sport ethos) but they are typically applied to male sports experience and we are seeing injurious behaviour in female sport as well.
I’d appreciate your thoughts on the applicability of NPT to sport.
Thanks in advance and best regards.
Susan