The experience of attending a farm-based day care service from the perspective of people with dementia: A qualitative study

People with dementia have different needs, and it is important to have variation in the services that are offered for this population. Farm-based day care aims to meet this diversity in need, but research on such services is lacking. The present study provides knowledge about how people with dementia experience attending farm-based day care services in Norway. Ten semi-structured interviews were conducted for five different services, while the participants were at the farm. The interviews were analysed in accordance with the content analysis of Graneheim, U., & Lundman, B. (2004) [ Nurse Education Today, 24(2), 105-112] and revealed three main categories that included (1) social relations, (2) being occupied at the farm, and (3) individually tailored service. The findings were summarised in the overall theme that attending day care at a farm makes me feel like a real participant. Our findings indicate that the farm-based day cares in the present study provide person-centred care. The farm setting facilitates services that are tailored to the individual, where the participants get to use their remaining resources and spend time outdoors. Further, farm-based day care was described as being suitable for people with or without farm experience and must be seen as an important supplement to regular day care for those who could benefit from a more active service.

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Day Care for People with Dementia: A Qualitative Study Comparing Experiences from Norway and Scotland

Dementia ◽

10.1177/1471301217712796 ◽

2017 ◽

Vol 18 (4) ◽

pp. 1393-1409 ◽

Cited By ~ 4

Author(s):

Anne Marie M Rokstad ◽

Louise McCabe ◽

Jane M Robertson ◽

Margit G Strandenæs ◽

Signe Tretteteig ◽

...

Keyword(s):

Day Care ◽

Evidence Base ◽

Positive Outcomes ◽

Structured Interviews ◽

Caregiver Support ◽

Care Services ◽

People With Dementia ◽

Potential Benefits ◽

Satisfaction With Services ◽

Cross National

Potential benefits from day care attendance are reported in the literature for both people with dementia and caregivers, although the evidence-base is limited. The study aimed to explore and compare experiences of day care services for people with dementia as described by day care attendees and their caregivers in Norway and Scotland. Whereas day care receives prominence in Norway’s national dementia plan, Scotland does not highlight day care in its national dementia strategy. A qualitative cross-national comparative study was undertaken. Semi-structured interviews were conducted with 17 people with dementia and 17 caregivers in Norway, and 19 people with dementia and 15 caregivers in Scotland. Data were analyzed thematically and comparatively to explore the experiences and outcomes of the participants. Findings indicate positive outcomes from day care for both people with dementia and caregivers. Satisfaction with services related to meaningful activities, getting out of the home, strengthening social connections and careful staff facilitation to create a positive and welcoming atmosphere. There were strong similarities in the content of services and experiences reported in the two countries. Some minor differences were noted, with caregiver support being an area of notable divergence in experiences. Specialist day care for people with dementia seems to provide important support and positive outcomes for people with dementia, and respite and reassurance for their caregivers. More research is needed to further explore the effect of day care designed for people with dementia both on the attendees and their caregivers.

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Dropout from farm-based day care for people with dementia in Norway: a follow-up study

BMC Geriatrics ◽

10.1186/s12877-020-01826-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

T. L. Ibsen ◽

Ø. Kirkevold ◽

G. G. Patil ◽

S. Eriksen

Keyword(s):

Social Support ◽

Residential Care ◽

Day Care ◽

Agricultural Landscape ◽

Care Service ◽

Care Facility ◽

Individual Characteristics ◽

Residential Care Facility ◽

Care Services ◽

People With Dementia

Abstract Background Farm-based day care services (FDCs) for people with dementia are intending to provide social relationships and meaningful activities in an agricultural landscape and offer respite for next of kin. As this requires a certain cognitive and physical functioning, it is of interest to investigate how this service contribute during the course of dementia. In this study we aim to explore the individual characteristics predicting dropout from FDC. Furthermore, we investigate whether the participants who drop out of the service continue to live at home with another day care service or if they move to a residential care facility. Methods The study includes 92 people with dementia attending FDCs in Norway, assessed with standardized instruments at baseline between January 2017 and January 2018. They were followed for 1 year, and dropouts from FDC during this period were mapped. The association between individual characteristics and dropout was assessed using a Cox proportional hazards regression analysis. Results Thirty-eight people stopped attending FDCs during the study. Twenty-six moved to residential care. Among the 12 who continued to live in their own homes, 9 people started in a regular day care service. Higher score on educational level and more severe dementia, as well as lower scores on social support, increased the probability of stopping FDC. Conclusion FDCs appeared as a service that is stable over time for most participants, as more than two-third could use the care facility until the need of residential care. The transfers within care services and levels of care seemed to be characterized by continuity. More research on the growing population of educated older adults with dementia are warranted, to facilitate for their course of care needs. Finally, extended knowledge is needed to improve the collaboration between private and public networks, such as day care services, to improve the experience of social support for people with dementia.

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Person-centered dementia care in home care services – highly recommended but still challenging to obtain: a qualitative interview study

BMC Health Services Research ◽

10.1186/s12913-021-06722-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kari-Anne Hoel ◽

Anne Marie Mork Rokstad ◽

Ingvild Hjorth Feiring ◽

Bjørn Lichtwarck ◽

Geir Selbæk ◽

...

Keyword(s):

Decision Making ◽

Home Care ◽

Shared Decision Making ◽

Care Service ◽

Home Care Services ◽

Shared Decision ◽

Care Services ◽

Person Centered Care ◽

People With Dementia ◽

Centered Care

Abstract Background Dementia is one of the main causes of disability and dependence in older people, and people with dementia need comprehensive healthcare services, preferably in their own homes. A well-organized home care service designed for people with dementia is necessary to meet their needs for health- and social care. Therefore, it is important to gain knowledge about how people with dementia experience the home care service and if the service responds to their wishes and needs. The aim of this study was to explore the experience of home care services among people with dementia, to understand the continuity in services, how the service was adapted to people with dementia, and how the patient experienced person-centered care and shared decision-making. Methods We used a qualitative, exploratory design based on a phenomenological-hermeneutic approach and performed individual in-depth interviews with persons with dementia. A convenience sample of 12 persons with moderate to severe degrees of dementia from four Norwegian municipalities participated in the study. The interviews were conducted in February 2019. Results The findings identified that the participants appreciated the possibility to stay safely in their own homes and mostly experienced good support from staff. They expressed various views and understanding of the service and experienced limited opportunities for user involvement and individualized, tailored service. The overall theme summarizing the findings was: “It is difficult for people with dementia to understand and influence home care services, but the services facilitate the possibility to stay at home and feel safe with support from staff.” Conclusion The participants did not fully understand the organization of the care and support they received from the home care services, but they adapted to the service without asking for changes based on their needs or desires. Although person-centered care is recommended both nationally and internationally, the participants experienced little inclusion in defining the service they received, and it was perceived as unclear how they could participate in shared decision-making.

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Personalisation, customisation and bricolage: how people with dementia and their families make assistive technology work for them

Ageing and Society ◽

10.1017/s0144686x18000661 ◽

2018 ◽

Vol 39 (11) ◽

pp. 2502-2519 ◽

Cited By ~ 15

Author(s):

Grant Gibson ◽

Claire Dickinson ◽

Katie Brittain ◽

Louise Robinson

Keyword(s):

Technology Use ◽

Dementia Care ◽

Assistive Technologies ◽

Everyday Practice ◽

Structured Interviews ◽

Manage Care ◽

Age In Place ◽

Care Services ◽

People With Dementia ◽

The Everyday

AbstractAssistive technologies (ATs) are being ‘mainstreamed’ within dementia care, where they are promoted as enabling people with dementia to age in place alongside delivering greater efficiencies in care. AT provision focuses upon standardised solutions, with little known about how ATs are used by people with dementia and their carers within everyday practice. This paper explores how people with dementia and carers use technologies in order to manage care. Findings are reported from qualitative semi-structured interviews with 13 people with dementia and 26 family carers. Readily available household technologies were used in conjunction with and instead of AT to address diverse needs, replicating AT functions when doing so. Successful technology use was characterised by ‘bricolage’ or the non-conventional use of tools or methods to address local needs. Carers drove AT use by engaging creatively with both assistive and everyday technologies, however, carers were not routinely supported in their creative engagements with technology by statutory health or social care services, making bricolage a potentially frustrating and wasteful process. Bricolage provides a useful framework to understand how technologies are used in the everyday practice of dementia care, and how technology use can be supported within care. Rather than implementing standardised AT solutions, AT services and AT design in future should focus on how technologies can support more personalised, adaptive forms of care.

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Carers’ experiences of timely access to and use of dementia care services in eight European countries

Ageing and Society ◽

10.1017/s0144686x19001119 ◽

2019 ◽

pp. 1-18 ◽

Cited By ~ 1

Author(s):

Hannah Jelley ◽

Liselot Kerpershoek ◽

Frans Verhey ◽

Claire Wolfs ◽

Marjolein de Vugt ◽

...

Keyword(s):

Service Use ◽

Study Participant ◽

Formal Care ◽

Structured Interviews ◽

Care Services ◽

People With Dementia ◽

Timely Access ◽

Mixed Feelings ◽

Barriers To Service ◽

Person With Dementia

AbstractTimely access to care services is crucial to support people with dementia and their family carers to live well. Carers of people with dementia (N = 390), recruited from eight countries, completed semi-structured interviews about their experiences of either accessing or not using formal care services over a 12-month period in the Access to Timely Formal Care (Actifcare) study. Participant responses were summarised using content analysis, categorised into clusters and frequencies were calculated. Less than half of the participants (42.3%) reported service use. Of those using services, 72.8 per cent reported timely access and of those not using services 67.2 per cent were satisfied with this situation. However, substantial minorities either reported access at the wrong time (27.2%), or feeling dissatisfied or mixed feelings about not accessing services (32.8%). Reasons for not using services included use not necessary yet, the carer provided support or refusal. Reasons given for using services included changes in the condition of the person with dementia, the service's ability to meet individual needs, not coping or the opportunity to access services arose. Facilitators and barriers to service use included whether participants experienced supportive professionals, the speed of the process, whether the general practitioner was helpful, participant's own proactive attitude and the quality of information received. To achieve timely support, simplified pathways to use of formal care services are needed.

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Developing Care Professionals: Changing Disability Services in Sweden

Professions and Professionalism ◽

10.7577/pp.2017 ◽

2018 ◽

Vol 8 (2) ◽

pp. e2017 ◽

Cited By ~ 1

Author(s):

Richard Gäddman Johansson ◽

Ulla Hellström Muhli

Keyword(s):

Close Contact ◽

Care Service ◽

Care Work ◽

Disability Services ◽

Intellectual And Developmental Disabilities ◽

Front Line ◽

Structured Interviews ◽

Care Services ◽

Care Workers ◽

Line Contacts

In Sweden, professionalization projects in disability care services are currently being undertaken in order to differentiate and establish a professional identity for professionals within care work. The aim of this paper was to analyse the experiences of care workers’ meaning of the professionalization process concerning their occupation and their occupational identity in relation to tasks they perform in front-line contacts with persons with intellectual and developmental disabilities at respite care service homes. Semi-structured interviews were conducted with ten care workers. The meaning of the professionalization projects is an ongoing process of a connected mission, meaning that the care work is performed in close contact with care receivers and that it takes place within an informal and free framework, predicated on a logic of possessing a particular kind of “care-feeling.”

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Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia

Ageing and Society ◽

10.1017/s0144686x13000937 ◽

2013 ◽

Vol 35 (4) ◽

pp. 704-724 ◽

Cited By ~ 7

Author(s):

STÉPHANIE J. M. NOWAK ◽

CLAUDIA C. M. MOLEMA ◽

CAROLINE A. BAAN ◽

SIMON J. OOSTING ◽

LENNEKE VAANDRAGER ◽

...

Keyword(s):

The Netherlands ◽

Day Care ◽

Central Government ◽

Municipal Services ◽

Term Care ◽

Care Services ◽

People With Dementia ◽

Health And Social Care ◽

Green Care Farms

ABSTRACTResponsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.

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“There isn't an easy way of finding the help that's available.” Barriers and facilitators of service use among dementia family caregivers: a qualitative study

International Psychogeriatrics ◽

10.1017/s1041610216002532 ◽

2017 ◽

Vol 29 (5) ◽

pp. 765-776 ◽

Cited By ~ 21

Author(s):

Ashley Macleod ◽

Gemma Tatangelo ◽

Marita McCabe ◽

Emily You

Keyword(s):

Family Caregivers ◽

Service Use ◽

Care Service ◽

Aged Care ◽

Community Dwelling ◽

Barriers And Facilitators ◽

Care Recipient ◽

Structured Interviews ◽

Good Communication ◽

People With Dementia

ABSTRACTBackground:Family caregivers of people with dementia have significant unmet needs in regard to their caregiving role. Despite this, they are reluctant to utilize services to reduce their burden. The aim of this study was to examine the barriers and facilitators of service use among family caregivers of people with dementia.Method:Semi-structured interviews were conducted with 24 family caregivers of community-dwelling people with dementia. Of these, 12 were partner caregivers (4 men, 8 women) and 12 were offspring caregivers (2 men, 10 women). The interviews were transcribed and analyzed using thematic analysis.Results:Six main barriers and three facilitators were identified. These barriers and facilitators were relevant across many types of services and supports. The barriers were: the inability to find information about relevant services or support, the poor quality or mistrust of the services, the inflexibility of services, caregivers’ beliefs about their obligations to the caregiving role and resistance by the care recipient. Key facilitators were: having good communication with the care recipient, having an “expert” point of contact, and having beliefs about the caregiving role that enabled the use of services.Conclusion:Given the significant changes in the aged care service-system, it is important to discuss the barriers faced by family caregivers of people with dementia. This will inform the development of targeted strategies to address the lack of service use among these family caregivers.

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Automatic Speech Recognition in Mobile Customer Care Service

International Journal of New Practices in Management and Engineering ◽

10.17762/ijnpme.v4i01.34 ◽

2015 ◽

Vol 4 (01) ◽

pp. 07-11

Author(s):

Ms. Pooja Sahu

Keyword(s):

Speech Recognition ◽

Automatic Speech Recognition ◽

Care Service ◽

Recognition System ◽

Care Services ◽

Mobile Shopping ◽

Customer Care ◽

The One ◽

The Individual ◽

The Voice

In the project an automatic speech system is used in mobile customer care services. In existing mobile customer care services, customer have to wait for 4 to 5 minutes to get into the option what they want to inquire. Based on the requirement, we go for filtering the incoming calls. Persons who require particular data are dynamically move to speech recognition system that identifies the type of the enquiry chosen. Speech recognition is the one which dynamically identifies the individual speaking based on analyzing the speech waves. It helps in identifying the voice of the speaker to know the recognized user. It also helps in accessing services like telephone banking, mobile shopping, database services and securing the information which is confidential.

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Impact of day care services on physical and cognitive functions in old people with dementia

10.21203/rs.3.rs-34793/v1 ◽

2020 ◽

Author(s):

Cheng-Fu Lin ◽

Jia-Jyun Wu ◽

Yu-Hui Huang ◽

Li-Ying Ju ◽

Shih-Yi Lin ◽

...

Keyword(s):

Cognitive Functions ◽

Day Care ◽

Nutritional Assessment ◽

Short Form ◽

Care Service ◽

Care Center ◽

Mini Nutritional Assessment ◽

Disease Stage ◽

Old People ◽

People With Dementia

Abstract Background Day care service (DCS) provides various activities in a professionally environment to meet the old people with functional limitations. However, relatively little is known about the effects of DCS on physical and mental functions. Methods We used a comprehensive geriatric assessment to evaluate the changes before and after DCS among participants in a hospital-affiliated geriatric day care center. The burden of the participants’ families was also assessed. Results The 18 participants with a median age of 80.9 (interquartile range (IQR): 75.2–86.6 y/o) were enrolled and followed up for six months. Based on the clinical dementia rating (CDR), disease stage was very mild in 3 participants, mild in 10, moderate in 3, and severe in 2. The activities of daily living (ADL) scores of the participants improved significantly from 75 (IQR: 60.0–80.0) at baseline to 77.5 (IQR: 65.0–90.0) at the sixth month (p < 0.001), and mini-mental state examination (MMSE) scores from 15 (IQR: 11.5–20.0) to 18 (IQR: 15.8–24.0) (p = 0.026). There was a positive correlation of baseline mini-nutritional assessment-short form score and the 3-level version of the European Quality of Life-5 dimensions utility index with both ADL and MMSE scores at the six-month follow-up. In addition, the family burden scale was reduced from 22 to 15 (p = 0.002). Conclusion The physical and cognitive functions in old people with dementia who received DCS were improved, and their families’ stress burden was alleviated.

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