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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