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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Heather A. Finnegan & Laura Daari & Atul Jaiswal & Chiling Joanna Sinn & Kate Ellis & Lismi Kallan & Duyen Nguyen & Natasha L. Gallant, 2022. "Changing Care: Applying the Transtheoretical Model of Change to Embed Equity, Diversity, and Inclusion in Long-Term Care Research in Canada," Societies, MDPI, vol. 12(3), pages 1-11, May.
    • Handle: RePEc:gam:jsoctx:v:12:y:2022:i:3:p:87-:d:828531
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    References listed on IDEAS

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    1. Julian Clark, 2009. "Entrepreneurship and diversification on English farms: Identifying business enterprise characteristics and change processes," Entrepreneurship & Regional Development, Taylor & Francis Journals, vol. 21(2), pages 213-236, March.
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