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Identifying barriers and facilitators to implementing family-centred care in adult audiology practices: a COM-B interview study exploring staff perspectives

Abstract Objective: This study explored staff perspectives of the barriers and facilitators to improving the implementation of family-centred care (FCC) in audiology practice. Design: Semi-structured interviews, informed by the COM-B (Capability–Opportunity–Motivation–Behaviour) model, were conducted with staff members at a private hearing care company in Australia. Study Sample: Thirteen participants were interviewed including managers, clinicians, and front-of-house staff. Results: Staff with different roles had different perspectives on barriers; however, the main barriers included: (1) insufficient knowledge regarding the principles of FCC and its benefits; (2) insufficient knowledge regarding the reasons why a family member should attend the appointment; (3) inadequate skills in how to ask for family member attendance; (4) experiencing discomfort when asking clients to bring a family member to their appointment; (5) inconsistent training and tools to support the implementation of FCC; (6) organisational culture not supporting FCC; and (7) a lack of confidence in abilities to manage conflict between clients and family members within appointments. Conclusions: The study indicated that there were numerous barriers to be overcome for staff to further implement FCC into their current practice. The interview findings will be used to develop an intervention to improve the implementation of FCC in audiology practice.