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Table 2 Definition of key terms in CHAT

From: The paediatric change laboratory: optimising postgraduate learning in the outpatient clinic

(1) The object of the activity: Objects are defined as the meaning or purpose of the activity, which defines and distinguish it from other activities [14].

(2) The activity system: An activity system can act as an object of stimulation in creating change [38].

(3) Contradictions: Contradictions are conceived as part of the multi-voicedness (different perspectives of participants) of an activity, which is the source of tensions, underlying contradictions in the activity. Contradictions are structural tensions between the opposing forces in the activity.

(4) Expansive learning cycle: Contradictions are driving forces of change and they origin from the historically accumulated tensions between activity systems. When the double bind of contradictory demands, made by activity systems, are overcome by participants expansive learning might result.