Publications by Type: Peer reviewed articles

2025

Co-developing program theories for best fit social innovations in long-term care: lessons from across European implementation projects

Peer reviewed articles

Context: The need for socially innovative care models is crucial in addressing the challenges posed by ageing populations. Social innovations developed in other settings often require adaptation to ensure they are the best fit for a new setting.

Perspective: We propose that participatory Theory of Change workshops can strengthen the development and adaptation of best-fit social innovations in long-term care by engaging multiple stakeholders to develop a program theory which describes how a complex programme or policy is hypothesised to work in a given context. We use an example from InCARE, a European Union funded project from 2020 to 2023, which aimed to develop and use participatory processes to design and implement social innovations for long-term care in Spain, Austria and North Macedonia.

Implications: Theory of Change can work to develop a common vision with stakeholders, identify and adapt innovative ideas, engage early and meaningfully with stakeholders and partner with stakeholders who can support sustainability as well as outline the challenges and limitations inherent in the Theory of Change approach.

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2024

Financing and Provision of Long-Term Care in Europe: Reflections on Intergenerational Solidarity in Care for Older People

Peer reviewed articles

Increasing demand for long-term care (LTC) in Europe amid population ageing has challenged how states will evolve to respond to changing needs and questions the younger generations' willingness to support future care for older people. Using novel data from the InCARE survey (September 2021–March 2022), we investigate age-related attitudes towards the family's and state's role in financing and organising LTC, and whether caregiving experience or care regime type mediates these differences. Ordered logistic regressions indicate upward intergenerational solidarity of younger adults towards public responsibility relative to middle-aged individuals across countries, but also a stronger perceived obligation to provide care, despite potential negative career impacts. Caregiving experience mediates attitudes to informal care among mid-aged individuals, driven by intensity in care. Differences in attitudes across care regimes associate with differing levels of state generosity, where individuals in states with less responsibility for LTC are more supportive of the family's role in financing and providing care. Intergenerational differences in attitudes emerge predominantly where state support is less generous and greater responsibility is placed on the family. Our findings suggest the younger generation is generally likely to be supportive of a sustained role of the state in protecting against risks associated with LTC. Support for the state relative to familial obligations is strong among all age groups and across care regimes, suggesting LTC is recognised as a social risk deserving of coverage under social protection schemes and points to the substantial envisioned role of the state in protecting against finance and well-being risks associated with care in future.

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Gaps in public support for young carers

Peer reviewed articles

In this article, we analyse existing policies and support measures for young carers in Austria by contrasting these measures with young people’s lived experiences.

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Depends on whom you ask: discordance in reporting spousal care between older women and men across European welfare states

Peer reviewed articles

An investigation of systematic differences in reporting spousal care between caregivers and cared-for persons and their possible effects for the analysis of care regimes and correlation of care with health.

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Attitudes towards immigration and unemployment risk cleavages: Untangling the economically rooted group conflict framework

Peer reviewed articles

How do increasing economic risk cleavages amongst natives shape growing negativity towards immigration? Group conflict theory suggests that tension between immigrant and native groups arises as a reaction to the actual or perceived loss of economic privilege by the majority group members. Yet, such an economically rooted formation of sentiments towards immigration is widely debated. This article aims to clarify and more precisely assess the economic threat mechanisms of inter-group conflict, remedying limitations in earlier work. 

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