Patient Health Information Technology Designed for Shared Decision Making: If We Implement It, Will It Become Normal Clinical Practice?

: Personal health records designed for shared decision making have the potential to engage patients in self-management decision making. This pre-implementation evaluation was underpinned by Normalization Process Theory and utilized mixed methods to describe the cognitive and behavioral work of implementation, and its potential to integrate into practice. Participants invest in sense-making, commitment and appraisal processes with strong agreement for positive impact on engagement. Future implementation success will depend on a systemic investment of collective action.