The ABCs of hearing and vision care in long-term care communities: a systematic review and behavioral systems map of Actors, Behaviors, and COM-B factors.
Background and Objectives Despite the high prevalence of hearing and vision impairment among people living in long-term care (LTC) and their impact on quality of life, these sensory challenges are often disregarded. Hence, this systematic review aims to identify the actors and factors influencing he...
| Publicado en: | Gerontologist Vol. 66; no. 5; pp. 1 - 21 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
May2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193631786&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193631786 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: May2026 vid: 66 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 193631786 10.1093/geront/gnag020 ppf: 1 ppct: 20 formats: tig: atl: The ABCs of hearing and vision care in long-term care communities: a systematic review and behavioral systems map of Actors, Behaviors, and COM-B factors. aug: au: Anantharaman, Divya Meyer, Carly Nisar, Mehwish Kumaran, Sheela Keay, Lisa McAvoy, Sue Dawes, Piers affil: University of Queensland Centre for Hearing Research (CHEAR), School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia University of Queensland Centre for Hearing Research (CHEAR), School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, AustraliaBolton Clarke Research Institute, Brisbane, Queensland, Australia School of Optometry and Vision Science, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia School of Optometry and Vision Science, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, AustraliaThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia The University of Queensland Centre for the Business and Economics of Health, The University of Queensland, Brisbane, Queensland, Australia su: Elder care Health services accessibility Interprofessional relations Facilitated communication Rehabilitation Family roles Systems theory Motivation (Psychology) Health behavior Psychosocial factors Communication barriers Hard of hearing people Old age Treatment of hearing disorders Nursing home residents Medical information storage & retrieval systems Public health infrastructure Vision disorders Health facility administration Long-term health care CINAHL database Vision testing Hearing aids Optometrists Descriptive statistics Audiometry Systematic reviews MEDLINE Health services administrators Thematic analysis Rehabilitation of blind people Medical databases Mathematical models Online information services Stakeholder analysis Data analysis software Medical care for older people Theory Eyeglasses Psychology information storage & retrieval systems Health care teams Medical referrals sug: subj: Elder care Health services accessibility Interprofessional relations Facilitated communication Rehabilitation Family roles Systems theory Motivation (Psychology) Health behavior Psychosocial factors Communication barriers Hard of hearing people Old age Continuing Care Retirement Communities Optical Goods Stores Ophthalmic Goods Merchant Wholesalers Professional machinery, equipment and supplies merchant wholesalers All Other Health and Personal Care Stores Electromedical and Electrotherapeutic Apparatus Manufacturing Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers Offices of Optometrists Treatment of hearing disorders Nursing home residents Medical information storage & retrieval systems Public health infrastructure Vision disorders Health facility administration Long-term health care CINAHL database Vision testing Hearing aids Optometrists Descriptive statistics Audiometry Systematic reviews MEDLINE Health services administrators Thematic analysis Rehabilitation of blind people Medical databases Mathematical models Online information services Stakeholder analysis Data analysis software Medical care for older people Theory Eyeglasses Psychology information storage & retrieval systems Health care teams Medical referrals ab: Background and Objectives Despite the high prevalence of hearing and vision impairment among people living in long-term care (LTC) and their impact on quality of life, these sensory challenges are often disregarded. Hence, this systematic review aims to identify the actors and factors influencing hearing and vision care behavior in LTC and construct a literature informed behavioral systems map to demonstrate this complex system. Research Design and Methods A systematic review across five databases yielded 23 articles from 3,644 screened (January 2013–September 2024). Data on sensory care behaviors in LTC (screening, referring, receiving care, device use, and communication adaptation) were extracted, coded, and mapped to the COM-B (Capability, Opportunity, and Motivation—Behavior) framework with associated actors. A behavioral systems mapping prototype was developed with the synthesized data. Results Actors included residents, family members, care staff, LTC management, and hearing and vision professionals. Analysis revealed 31 factors across the COM-B framework related to the five sensory care behaviors. Eighteen factors affected multiple behaviors. Most salient among the interconnecting factors were collaborative care, family engagement, infrastructure, and perception of value. The synthesized behavioral systems map revealed ten feedback loops driving sensory care behaviors. Discussion and Implications The behavioral systems map provides crucial groundwork for developing comprehensive solutions to enhance hearing and vision care across LTC settings globally. It reveals that hearing and vision care involves multiple stakeholder groups and interconnected COM-B factors, whose components of capability, opportunity and motivation collectively influence care through feedback dynamics, creating emergent, self-organizing behaviors requiring multifaceted approaches. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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