Table 3.

Overview of three final context-mechanism-outcome configuration

CMO1: Namaste Care provides regular, structured access to social and physical stimulation for people living with advanced dementia
Context	Mechanism	Outcome
Namaste Care provides access to social and physical stimulation through a routine/structure consisting of:  • Designated space  • Considered timing  • Regular skilled facilitator  • Repetition of intervention  • Social interaction  • Regular drinks and snacks	• Residents: familiarity, consistency, reassurance, recognition • Trust develops between residents and carers • Namaste Care is seen by staff as a core activity • Staff are ‘intentionally present’ with residents • Staff given permission to engage	• Decrease in agitation/behavioural symptoms/anxiety • Improvements in mood • Intervention become part of care home routine • Staff satisfaction
CMO2: Namaste Care equips staff to work with people with complex behaviours and variable responses
Context	Mechanism	Outcome
Namaste Care is delivered through a multi-sensory experience (effect) that provides a ‘toolkit’ of activities (resource) for staff	• Residents are soothed and relaxed by multi-sensory experience • Residents feel stimulated through multiple interactions • Staff notice/are more responsive to the needs of residents • Moments of connection are created between staff and residents	• Agitation/behavioural symptoms • Anxiety • Mood
CMO3: Namaste Care provides a framework for person-centred care
Context	Mechanism	Outcome
Namaste Care focuses attention on residents’ biography and preferences (person-centred care)	• Resonates with staff’s understanding of person-centred care • Staff notice/are more aware of the needs of residents. • Trust develops between residents and carers	• Agitation • Mood • Engagement • Improved communication between staff and residents • Improved communication between residents and family & staff and family