In Their Own Words: Participants' Perceptions of the Impact of Adult Day Services

2010 ◽  
Vol 53 (2) ◽  
pp. 176-192 ◽  
Author(s):  
Holly Dabelko-Schoeny ◽  
Shawn King
Keyword(s):  
Adult Day Services ◽  
Day Services ◽  
The Impact

scholarly journals Adult Day Services as a Platform for Innovation: Moving Beyond Simply Attendance

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 618-618
Author(s):  
Keith Anderson
Keyword(s):  
Physical Activity ◽  
Board Game ◽  
Cognitive Behavioral Intervention ◽  
Behavioral Issues ◽  
Adult Day Services ◽  
Growing Body ◽  
Game Intervention ◽  
Day Services ◽  
The Impact ◽  
Basic Level

Abstract At the most basic level, adult day services (ADS) provide a congregate environment for participants and respite for caregivers. Researchers often evaluate the impact of ADS on participants and caregivers in terms of attendance; however, what happens in ADS (e.g., specific programs and interventions) may be equally or even more important than simply attendance. In this presentation, we review four recent innovative studies conducted in the ADS setting with participants: (a) a board game intervention to improve cognitive functioning; (b) a cognitive behavioral intervention to improve sleep; (c) an aromatherapy intervention to address behavioral issues; and (d) a dance and movement intervention to stimulate physical activity. While these interventions had varying levels of effectiveness, they do support a growing body of evidence that ADS can serve as a platform for innovation and suggest that attendance may be simply one facet of the overall ADS experience.

scholarly journals In Their Voices: Client and Staff Perceptions of the Physical and Social Environments of Adult Day Services Centers in Taiwan

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Chih-ling Liou ◽  
Shannon Jarrott
Keyword(s):  
Quality Of Life ◽  
Social Environments ◽  
Term Care ◽  
Staff Members ◽  
Adult Day Services ◽  
Field Notes ◽  
Social Environmental ◽  
Day Services ◽  
The Impact

Studies have examined the impact of environments on long-term care residents’ quality of life; however, environment gets little attention in adult day services (ADS). The current study gives voice to clients and staff by capturing their perceptions of the physical and social environments of their ADS centers. Data were collected from 23 interviews with staff and clients and 270 hours of participant observations at two ADS centers in Taiwan. The authors triangulated field notes with interview transcriptions and analyzed them with the Grounded Theory coding procedure method. Findings reveal clients’ and staff members’ perceptions of appropriate and inappropriate physical and social environmental features affecting quality of life at the center and reflecting Taiwanese culture. We address how perceived appropriate features can be sustained or replicated and how perceived inappropriate influences can be remedied. Results can be translated into action research by implementing supportive environments for both staff and clients at ADS centers.

scholarly journals Services That Matter for Aging in Place: Research on the Impact and Promise of Adult Day Centers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 617-618
Author(s):  
Tina Sadarangani ◽  
Holly Dabelko-Schoeny
Keyword(s):  
Behavioral Therapy ◽  
Well Being ◽  
The United States ◽  
Term Care ◽  
Adult Day Services ◽  
Adult Day Centers ◽  
Complex Population ◽  
Day Services ◽  
The Impact ◽  
Health And Well Being

Abstract Adult day service centers (ADCs) in the United States are increasingly recognized as an important source of community-based long-term care for older adults. However, awareness, widespread utilization, reimbursements, and access to ADCs have been limited by a lack of evidence on ADCs’ impact. In this interdisciplinary symposium, we explore current research taking place in the realm of adult day services to understand the reach and impact of ADCs. We begin by examining the most current center-level and user-level data from the National Center for Health Statistics, and demonstrate how these data can be used to inform research and policy. We subsequently evaluate survey data from the National Adult Day Services Association that captures clinical data being collected in ADCs (N=250) surrounding users’ clinical outcomes. We then explore the effectiveness of four interventions on ADC users’ health and functional status: board games, cognitive behavioral therapy, aromatherapy and dance. Finally, we examine the association between adult day services use by African American persons with dementia and depressive symptoms in their caregivers. Our findings suggest that ADCs serve a complex population with high rates of poverty and chronic conditions, but ADCs can have a meaningful impact on users’ health and well-being by leveraging innovative programming. We conclude by discussing how standardization of data collection efforts could enable researchers and policymakers to evaluate ADCs’ impact and target funding towards services that maximizes users’ health and well-being.

scholarly journals The Impact of COVID-19 on Adult Day Services' Closures and Programming

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 111-111
Author(s):  
Lauren Parker ◽  
Katherine Marx ◽  
Joseph Gaugler ◽  
Laura Gitlin
Keyword(s):  
Telephone Support ◽  
Community Based ◽  
Adult Day Services ◽  
Remote Services ◽  
Using Data ◽  
Day Services ◽  
The Impact

Abstract Nationally, adult day services (ADS) were forced to closed due to the COVID-19 pandemic. The forced closure of ADS programming consequentially impacted the services provided to clients. Many ADS continued to provide telephonic/remote services to clients, despite limited reimbursement from national and state sources for these services. Using data from ADS sites participating in the ADS-Plus Program (n= 22), this presentation examines the effects of COVID-19 on ADS closures and programming provided during the closure. About 86% (n=19) of the centers reported having to closed due to COVID-19. One-hundred percent of the sites reported offering telephone support to clients. Nearly 45% (n=10) of the centers reported not being reimbursed for this service. As ADS is a vital community-based resource for many families, it is important to demonstrate the crucial services provided by ADS to inform policymakers of the essentiality of day centers.

scholarly journals Adult Day Service Use Decreases Likelihood of Depressive Symptoms Among Black Dementia Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 618-618
Author(s):  
Lauren Parker ◽  
Laura Gitlin
Keyword(s):  
Depressive Symptoms ◽  
Service Use ◽  
Demographic Variables ◽  
Caregiver Training ◽  
Dementia Caregivers ◽  
Adult Day Services ◽  
Black Caregivers ◽  
Health Promoting ◽  
Day Services ◽  
Intervention Trials

Abstract Black Americans are more likely than others to age with Alzheimer’s Disease (AD) in the community and rely on family members for support. Despite reported positive aspects of caregiving, Black caregivers report greater need for daytime respite and caregiving support. Little is known regarding the health-promoting benefits of daytime respite, like adult day services (ADS), among Black caregivers. Using a sample of 190 Philadelphia-area Black caregivers for community-living persons with dementia, pooled from two behavioral intervention trials: Advancing Caregiver Training and Care of Persons with Dementia in their Environments, the study examined the association between ADS use and depressive symptoms. About 36% of the caregivers used adult day services for their family member with AD. Controlling for demographic variables, social support, self-rated health, religious coping, caregiver burden, and number of years caregiving Black caregivers who utilized ADS had lower depressive symptoms (β= -1.60, p<.05) relative not using ADS.

scholarly journals A qualitative study of organisational response to national quality standards for 7-day services in English hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizabeth Sutton ◽  
Julian Bion ◽  
Russell Mannion ◽  
Janet Willars ◽  
Elizabeth Shaw ◽  
...  
Keyword(s):  
Organisational Culture ◽  
National Standards ◽  
Local Context ◽  
Structured Interviews ◽  
Improvement Strategy ◽  
Senior Staff ◽  
National Quality ◽  
History Of ◽  
Day Services ◽  
The Impact

Abstract Background National standards are commonly used as an improvement strategy in healthcare, but organisations may respond in diverse and sometimes negative ways to external quality demands. This paper describes how a sample of NHS hospital trusts in England responded to the introduction of national standards for 7-day services (7DS), from an organisational behaviour perspective. Methods We conducted 43 semi-structured interviews with executive/director level and clinical staff, in eight NHS trusts that varied in size, location, and levels of specialist staffing at weekends. We explored approaches to implementing standards locally, and the impact of organisational culture and local context on organisational response. Results Senior staff in the majority of trusts described a focus on hitting targets and achieving compliance with the standards. Compliance-based responses were associated with a hierarchical organisational culture and focus on external performance. In a minority of trusts senior staff described mobilising commitment-based strategies. In these trusts senior staff reframed the external standards in terms of organisational values, and used co-operative strategies for achieving change. Trusts that took a commitment-based approach tended to be described as having a developmental organisational culture and a history of higher performance across the board. Audit data on 7DS showed improvement against standards for most trusts, but commitment-focused trusts were less likely to demonstrate improvements on the 7DS audit. The ability of trusts to respond to external standards was limited when they were under pressure due to a history of overall poor performance or resource limitations. Conclusions National standards and audit for service-level improvement generate different types of response in different local settings. Approaches to driving improvement nationally need to be accompanied by resources and tailored support for improvement, taking into account local context and organisational culture.

The State of Adult Day Services

2012 ◽  
Vol 32 (6) ◽  
pp. 729-748 ◽  
Author(s):  
Keith A. Anderson ◽  
Holly Dabelko-Schoeny ◽  
Teresa D. Johnson
Keyword(s):  
The State ◽  
Adult Day Services ◽  
Day Services
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