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BMC Health Services Research
Published in: BMC Health Services Research 1/2020

Open Access 01-12-2020 | Care | Research article

Patient and service-related barriers and facitators to the acceptance and use of interventions to promote communication in health and social care: a realist review

Authors: Gerard Leavey, Emma Curran, Deirdre Fullerton, Steven Todd, Sonja McIlfatrick, Vivien Coates, Max Watson, Aine Abbott, Dagmar Corry

Published in: BMC Health Services Research | Issue 1/2020

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Abstract

Background

More people living into old age with dementia. The complexity of treatment and care, particularly those with multiple health problems, can be experienced as disjointed. As part of an evaluation of a ‘healthcare passport’ for people living with dementia we undertook a realist review of communication tools within health and social care for people living with dementia.

Aims

To explore how a ‘healthcare passport’ might work in the ‘real world’ of people living with dementia through a better understanding of the theoretical issues related to, and the contextual issues that facilitate, successful communication.

Methods

A realist review was considered the most appropriate methodology to inform the further development and evaluation of the healthcare passport. We undertook a purposive literature search related to communication tools to identify (a) underlying programme theories; (b) published reports and papers on their use in various healthcare settings; (c) evidence on barriers and facliitators of their use.

Results

Communication tools were noted as a way of improving communication and outcomes through: (1) improvement of service user autonomy; (2) strengthening the therapeutic alliance; and (3) building integrated care. However, while intuitively perceived to of benefit, evidence on their use is limited and key barriers to their acceptance and use include: (1) difficulties in clearly defining purpose, content, ownership and usage; (2) understanding the role of family caregivers; and (3) preparation among healthcare professionsals.

Conclusion

Patient-held communication tools may be helpful to some people living with dementia but will require considerable preparation and engagement with key stakeholders.
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Metadata
Title
Patient and service-related barriers and facitators to the acceptance and use of interventions to promote communication in health and social care: a realist review
Authors
Gerard Leavey
Emma Curran
Deirdre Fullerton
Steven Todd
Sonja McIlfatrick
Vivien Coates
Max Watson
Aine Abbott
Dagmar Corry
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2020
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-020-05366-4

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