Objective: To identify barriers and facilitators to pressure ulcer prevention behaviours in community-dwelling older people and their lay carers.

Design: Theoretically informed qualitative interviews with two-phase, deductive then inductive, thematic analysis.

Setting: The study was conducted in one geographical region in the UK, spanning several community National Health Service Trusts.

Participants: Community-dwelling older patients at risk of pressure ulcer development (n=10) and their lay carers (n=10).

Results: Six themes and subthemes were identified: (1) knowledge and beliefs about consequences (nature, source, timing and taboo); (2) social and professional role and influences (who does what, conflicting advice and disagreements); (3) motivation and priorities (competing self-care needs and carer physical ability); (4) memory; (5) emotion (carer exhaustion and isolation, carergiver role conflict and patient feelings) and (6) environment (human resource shortage and equipment).

Conclusions: There is minimal research in pressure ulcer prevention in community-dwelling older people. This study has robustly applied the theoretical domains framework to understanding barriers and facilitators to pressure ulcer prevention behaviours. Our findings will support co-design of strategies to promote preventative behaviours and are likely to be transferable to comparable healthcare systems nationally and internationally.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10953097PMC
http://dx.doi.org/10.1136/bmjopen-2023-080398DOI Listing

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