[Implementation of the Meeting Centre Support Programme in Spanish-speaking countries: an exploratory analysis of the
Mauricio Molinari-Ulate1, Cinthia Vallejos2, Henriëtte G van der Roest3
1Grupo de Investigación en Psicociencias, Instituto de Biomedicina de Salamanca, (FIBSAL), Universidad de Salamanca, Salamanca, España; Departamento de Investigación y Desarrollo, Instituto Ibérico de Investigación en Psicociencias (IBIP), Fundación INTRAS, Zamora, España.
Background And Objective:
The lack of resources and inadequate health systems in low- and middle-income countries hinder the ability to address the challenges of dementia care. An alternative model with greater socio-community integration and a more favourable cost-benefit profile is the Meeting Centre Support Programme (MCSP). This study explores the MCSP implementation process through the cases of Spain and Ecuador, identifying barriers and facilitators to inform its application in other Spanish-speaking countries.
Materials And Methods:
An exploratory multiple-case analysis was conducted using in-depth, semi-structured virtual interviews with key stakeholders in Ecuador (n=14) and Spain (n=2). Data were analysed using thematic analysis.
Results:
The main barriers identified in both the European and Ecuadorian contexts were project funding and coordination and collaboration between institutions. Stakeholder enthusiasm and interinstitutional collaboration were identified as the main facilitators. In both Spain and Ecuador, access to training materials and education in the Meeting Centre methodology proved to be critical. Differences between urban and rural populations emerged as an additional barrier.
Conclusions:
An implementation process adapted to the context of interest is recommended, along with the sociocultural adaptation of training materials and the development of strategies to overcome context-specific barriers, such as creating tools to deliver services remotely to reach rural populations.
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