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participatory development, and benefits for patients as healthcare processes and organizations were discussed [11]. These conversations completed educational material by allowing potential adopters to explore questions regarding implications of the system for their own practice, as well as its efficacy, in deciding whether or not to adopt HeLP- Diabetes [11]. Table 1. Implementation strategies for HeLP-Diabetes targeting NPT constructs (adapted from [14]). Coherence Cognitive Participation Collective Action Reflexive Monitoring Local opinion leaders Interprofessional education Educational meetings Continuous quality improvement Educational materials Local consensus processes Tailored interventions Audit and feedback Educational outreach visits Educational materials Reminders Strategies to support Cognitive Participation included provision of a training session for HCPs to understand the actions and procedures necessary to ensure sustainable and successful implementation of the intervention [11]. Training sessions also included opportunities for staff within specific implementation sites to explore implementation with respect to local working contexts [11]. This was an important step in ensuring that implementation was flexible enough to accommodate planning for local contingencies (e.g. differences in how work is assigned within teams, methods of communication with patients). Educational meetings and materials were also used to provide ongoing support for Collective Action processes during implementation. HCPs were given access to the HeLP-Diabetes system, allowing them to explore: how the intervention fitted the skill sets of staff; what resources might be necessary to support implementation at different sites; the knowledge necessary for HCPs to develop confidence in using the system; and how it might impact on interactions between colleagues, and with patients [11]. This process was supported by educational materials in the form of training booklets to support staff in becoming familiar with system functions (i.e. creation of a login, signing up a patient) [11]. Continual engagement with staff across the period of implementation also served a Reflexive monitoring function, as staff suggested that they would offer HeLP-Diabetes to patients more if they were receiving a greater number of relatedenquiries from patients [11]. This led to development of additional patient-focused advertising strategies to increase awareness including: TV screen adverts in waiting rooms; talks given at self- management groups; attendance at Diabetes UK events; coverage in practice newsletters; and mass mailouts to all patients at some implementation sites [11]. What is interesting to note here is the relationship between Reflexive monitoring in the form of staff feedback, and its use in revision of Collective action processes relating to Interactional workability (that is, a suggested change to the implementation strategy targeted at the relationship between HCP and patient) [11]. M.BracherandC.R.May / ImplementingandEmbeddingHealth InformaticsSystems 181