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Table 6 CMOC 4: Supporting and monitoring residents’ hearing-related communication needs

From: Giving permission to care for people with dementia in residential homes: learning from a realist synthesis of hearing-related communication

Programme theory component

Context(s) and interventional strategies suggested by the included papers

Mechanism(s) and outcome(s)

References for data sources

CMOC 4: Supporting and monitoring residents’ hearing-related communication needs

Partnerships exist with local hearing services [context]. Workable and resourced procedures exist around monitoring the hearing-related communication needs of PLWDHL [context]. Staff are trained and supported in taking on responsibility for hearing aid use and maintenance [context].

These contexts are likely to develop when leadership, management and care staff, and audiologists get to meet regularly and focus on training and care planning to address the needs of PLWDHL.

Staff are likely to feel confident [mechanism], motivated (buy into) [mechanism], and express self-efficacy [mechanism] to promote residents’ hearing-related communication needs [outcome], provide advocacy, through monitoring residents’ hearing [outcome], and make appropriate referrals to hearing services concerning PLWDHL’s hearing-related communication [outcome].

[25, 27, 38, 41, 44, 46, 49, 50, 53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69]