Transforming long-term care: a participatory theory of change approach toward community-centered solutions

Ulla-Díez, Sara M., Oliva Manzano, Silvia, Comas-Herrera, Adelina ORCID: 0000-0002-9860-9062, Breuer, Erica, García-Soler, Álvaro and Ramón Jiménez, María (2025) Transforming long-term care: a participatory theory of change approach toward community-centered solutions. Journal of Applied Gerontology. ISSN 0733-4648

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Abstract

Long-term care is a priority for public policy in Spain, especially after COVID-19. The InCARE Project (Supporting INclusive development of community-based long-term CARE services through multi-stakeholder participatory approaches) promoted participatory policy and service development, using a Theory of Change (ToC) approach. The Theory of Change describes a causal pathway for making strategic changes in the long-term care system over the next decade, aiming to achieve the desired impacts. A two-day workshop was held with 32 stakeholders, including policymakers, professionals, family carers, and people who use care services. A national ToC and a specific pilot project ToC outlined the steps required to improve the long-term care system to fulfill the needs and preferences of people in situations of dependency. The Theory of Change approach can be highly valuable for policy design, and it provides an integrated action map to guide the changes and inform political and management actions in the coming years.

Item Type:	Article
Additional Information:	© The Author(s) 2025.
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences
Date Deposited:	25 Mar 2025 09:54
Last Modified:	01 Apr 2025 08:00
URI:	http://eprints.lse.ac.uk/id/eprint/127627

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