Perceptions of the Impact of Intergenerational Programming on the Physical Well-Being of Participants in Adult Day Services

2009 ◽  
Vol 7 (4) ◽  
pp. 355-370 ◽  
Author(s):  
Aaron P. C. Weintraub ◽  
Timothy S. Killian
Keyword(s):  
Well Being ◽  
Adult Day Services ◽  
Day Services ◽  
The Impact ◽  
Intergenerational Programming

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 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 Caregiver Stress: Biomarkers Linked to Disease Risk and the Psychobiology of Stress Reduction

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 179-179
Author(s):  
Janelle Beadle ◽  
Felipe Jain
Keyword(s):  
Cardiovascular Disease ◽  
Stress Reduction ◽  
Disease Risk ◽  
Well Being ◽  
Physical And Mental Health ◽  
Adult Day Services ◽  
Experience Of Stress ◽  
Day Services ◽  
The Relationship

Abstract Caregivers to older adults with chronic diseases frequently experience chronic stress which can negatively affect caregivers’ physical and mental health, and increase disease risk. This interdisciplinary symposium will highlight critical factors influencing caregiver stress, and the role of biomarkers in detecting caregiver disease risk. First, we will discuss the effects of stress and emotional experiences on risk for cardiovascular disease in caregivers of persons with dementia (PWD). In the first talk, Dr. Mausbach will examine relationships among perceived stress, blood glucose and risk of diabetes and cardiovascular disease in caregivers of PWD. Next, Dr. Losada-Baltar will discuss the degree to which caregivers’ ambivalent feelings towards providing care are associated with inflammatory markers of cardiovascular risk. Following this, two talks will investigate critical links between stress and caregiver emotional well-being. Dr. Liu will report relationships among the stress-related hormone cortisol, sleep, and anxiety in the context of adult day services. Dr. Beadle will examine the degree to which caregivers’ affiliative, empathetic interactions with others relate to their experience of stress through cortisol assessments and neuroimaging. The final talk by Dr. Jain will investigate the effects of a Mentalizing Imagery Therapy intervention for family PWD caregivers on stress, evidence for mindfulness as a causal mediator of stress reduction, and the relationship to brain networks associated with emotion regulation. Taken together, this symposium will identify relevant psychosocial and biological factors that contribute to caregiver stress, as well as discuss the psychobiology of amelioration of caregiver stress.

scholarly journals ADULT DAY SERVICES IN A RURAL REGION: CHALLENGES AND OPPORTUNITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S154-S155
Author(s):  
Sandra S Butler ◽  
Jennifer Crittenden ◽  
Dyan Walsh ◽  
Lenard Kaye
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Service Providers ◽  
Positive Impact ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Adult Day Services ◽  
Challenges And Opportunities ◽  
Day Services ◽  
Intergenerational Programming

Abstract Adult day services (ADS) programs provide stimulation and socialization for older adults with cognitive and physical disabilities, and much needed respite for family caregivers. Like many services for older adults, ADS programs are far less available in rural regions of the country than in more urban settings. This paper reports on a needs assessment for an ADS program in a small city, which serves as a health and human services hub for a large rural area; a particular focus of the study was to assess the feasibility and interest in intergenerational programming. Family caregivers were surveyed (n = 84) about their use and knowledge of and interest in ADS. Less than one in five respondents were using or had ever used ADS. Cost (20%) and ignorance of such programs (20%) were primary reasons for not using ADS; reduction of stress was the most frequently cited reason for using ADS (73%). Ten in-person interviews were conducted with ADS program directors and service providers who refer clients to ADS. Funding issues emerged as the key challenge given lack of private insurance coverage and poor reimbursement levels from public insurance programs. Challenges around transportation, stigma, and marketing of services also surfaced in the interviews. Nonetheless, all ten informants spoke of the positive impact of ADS for both consumers and their caregivers, and generally endorsed intergenerational activities, though with caveats. Implications will be discussed, including the need for greater financial support for this valuable aspect of our long-term supports and services system.

Functionality and Risk of Falls in Elders Followed in a Day Care Center in Brazil

2018 ◽  
Vol 87 (3) ◽  
pp. 309-322
Author(s):  
Igor de Matos Pinheiro ◽  
Crésio Alves
Keyword(s):  
Activities Of Daily Living ◽  
Day Care ◽  
Daily Living ◽  
Fear Of Falling ◽  
Care Center ◽  
Well Being ◽  
Quasi Experimental ◽  
Risk Of Falls ◽  
Day Services ◽  
The Impact

Adult day centers provide comprehensive care for older adults and may enhance autonomy, well-being, and socialization. This quasi-experimental study evaluated the impact of such multidisciplinary day care on functionality, fear of falling, and risk of falls in community elders. Fifty-two seniors who attended day services were followed for 1 year. During the year, the adults maintained functionality for activities of daily living, presented improvement in instrumental activities of daily living, and no longer presented high risk for falls. No association was found between the risk of falling and fear of falling, however. Results are discussed in terms of the positive outcomes of attending day services.

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 Taking a Break: Daily Respite Effects of Adult Day Services as Objective and Subjective Time Away From Caregiving

2020 ◽  
Author(s):  
Molly J Wylie ◽  
Kyungmin Kim ◽  
Yin Liu ◽  
Steven H Zarit
Keyword(s):  
Positive Affect ◽  
Multilevel Models ◽  
Well Being ◽  
Subjective Time ◽  
Adult Day Services ◽  
Work Conflict ◽  
Daily Affect ◽  
Day Services ◽  
Design And Methods ◽  
Time Away

Abstract Background and Objectives Adult day services (ADS) can provide emotional and physical relief for caregivers of persons with dementia. While prior studies conceptualized ADS use at the aggregate level as a dichotomous construct, little is known about objective and subjective respite as distinct constructs. This study investigated how objective and subjective breaks from caregiving were associated with caregivers’ daily emotional well-being. Research Design and Methods Family caregivers (N = 173) whose relatives were using ADS at least twice a week participated in daily interviews over eight consecutive days (day N = 1,359). Participants provided information on daily respite hours and daily affect. They also reported perceived frequency of breaks from caregiving responsibilities and primary and secondary caregiving stressors (i.e., overload and work conflict). Multilevel models were used to examine the research questions. Results On average, caregivers reported 7.12 respite hours on ADS days and 1.74 respite hours on non-ADS days. Having more objective respite was associated with higher positive affect, whereas more subjective respite was associated with lower negative affect, after controlling for ADS use and other covariates. Further, caregivers with greater work conflict experienced more benefits to their positive affect as a result of objective respite. Discussion and Implications Objective and subjective respite are unique aspects of caregiving that may have varying impact on caregivers. Respite may be especially beneficial for caregivers experiencing conflict between work and caregiving.

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