Changing Care: Applying the Transtheoretical Model of Change to Embed Equity, Diversity, and Inclusion in Long-Term Care Research in Canada

Heather A. Finnegan, Laura Daari, Atul Jaiswal, Chiling Joanna Sinn, Kate Ellis, Lismi Kallan, Duyen Nguyen and Natasha L. Gallant
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Heather A. Finnegan: Manitoba Centre for Health Policy, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
Laura Daari: Department of Psychology, University of Regina, Regina, SK S4S 0A2, Canada
Atul Jaiswal: École d’optométrie, Université de Montréal, Montréal, QC H3T 1J4, Canada
Chiling Joanna Sinn: Institute for Research on Aging, McMaster University, Hamilton, ON L8S 4L8, Canada
Kate Ellis: Research & Innovations, Loch Lomond Villa, Saint John, NB E2J 3S3, Canada
Lismi Kallan: Quality Improvement, Macassa Lodge, Hamilton, ON L8V 3M7, Canada
Duyen Nguyen: Government of New Brunswick, Fredericton, NB E3B 5H1, Canada
Natasha L. Gallant: Department of Psychology, University of Regina, Regina, SK S4S 0A2, Canada

Societies, 2022, vol. 12, issue 3, 1-11

Abstract: Healthcare policy reform is evident when considering the past, present and future of long-term care (LTC) in Canada. Some of the most pressing issues facing the LTC sector include the changing demographic composition in Canadian LTC homes, minimal consideration for the role of intersectionality in LTC data collection and analysis, and the expanding need to engage diverse participants and knowledge users. Using the Transtheoretical Model of Change (TTMC) as a framework, we consider opportunities to address intersectionality in LTC research. Engaging diverse knowledge users in LTC (e.g., unpaid caregivers, paid care staff), community (e.g., advocacy groups, service providers) and policy decision-makers (e.g., provincial government) is crucial. Empowering individuals to participate, modifying environments to support engagement, and facilitating ongoing partnerships with knowledge users are critical aspects of change efforts. Addressing structural barriers (e.g., accessibility, capacity, jurisdictional policies, and mandates) to research in LTC is also essential. The TTMC offers a framework for planning and enacting individual, organizational, and system-level changes for the future of LTC.

Keywords: ageism; caregiving; classism; (dis)ablism; diversity; equity; inclusion; nursing homes; retirement homes; teams (search for similar items in EconPapers)
JEL-codes: A13 A14 P P0 P1 P2 P3 P4 P5 Z1 (search for similar items in EconPapers)
Date: 2022
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