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. 2022 Nov 21;22(4):12. doi: 10.5334/ijic.6421

Table 2.

Consumer-level CIMO elements.


PROGRAMME MODALITY CONTEXT MECHANISM OUTCOME

Accessibility Consumer characteristics:
  • – Vulnerability

  • – (Dis)trust in health services

Programme characteristics:
  • – Home Visiting

  • – Place-based initiatives

Health system characteristics:
  • – Inflexibility

  • – Family – peer trust

  • – Provider sharing between providers and consumers – shared responsibility

  • – Building of self-help skills – self-efficacy and motivation

  • – Consumers’ improved access to care

  • – Service engagement


Referral pathways
Early intervention and public health approaches to interrupting cycles of family disadvantage, poor health and psychological trauma
Consumer characteristics:
  • – Vulnerability: Complexity of consumer’s problem

  • – consumers’ past experiences with services and willingness to give the service provider a chance

Programme characteristics:
  • – Home Visiting

  • – Place-based initiatives

Health system characteristics:
  • – Complex

  • – Sharing of information – knowledge acquisition and encouragement

  • – Effective engagement of consumers

  • – Consumers’ improved access to care

  • – Consumer outlook improved


Accompaniment
Co-design and co-production of the initiative in partnership with families and service partners
Consumer characteristics:
  • – Vulnerability

  • – Disconnected from health services

Programme characteristics:
  • – Programme flexibility

  • – Providers taking dual roles

  • – Provider sharing between providers and consumers – shared responsibility

  • – Family–provider trust

  • – Consumer independence

  • – Effective engagement of consumers

  • – Consumers’ improved access to care

  • – Consumer outlook improved


Case-based discussions:
Encouraging families for all their health needs and supporting progress towards self-efficacy (I)
Consumer characteristics:
  • – Vulnerability

  • – Disconnected from health services

Programme characteristics:
  • – Programme flexibility

  • – Providers taking dual roles

  • – Family – peer trust

  • – Sharing between providers and consumers – shared responsibility

  • – Sharing of information – knowledge acquisition and encouragement

  • – Building of self-help skills – self-efficacy and motivation

  • – Effective engagement of consumers

  • – Consumer priorities are reflected in initial goal setting