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Table 12 Refinement of CMO-C 1

From: Housing as a social determinant of health and wellbeing: developing an empirically-informed realist theoretical framework

Version Contextual factors Mechanism Outcome
Original • Security of tenure
• Tenancy support
• Responsiveness of landlord to problems
• Expectations, situation and capacity of tenant
Positive tenancy experience reduces stress and provides tenants with autonomy and control Improved health and wellbeing
Refined • Previous experience and expectations of housing service
• Standard of housing service (possibly including support and responsiveness)
Experience of (comparatively) good housing service reduces stress and enables tenants to gain benefits from housing as home Improved health and wellbeing