An Observational Study of Intergenerational Activities and Behavior Change in Dementing Elders at Adult Day Care Centers

1993 ◽  
Vol 36 (4) ◽  
pp. 321-333 ◽  
Author(s):  
Sally Newman ◽  
Christopher Ward

This study investigated whether dementing adult day care clients demonstrate consistent positive behaviors (i.e., eye contact, smiling, attentiveness, etc.) during structured, weekly activities with young children that these adults do not demonstrate during similar activities when the young children are not present. The study built on a preliminary informal study conducted in conjunction with an intergenerational adult day care project. Participants for the study were twenty-one adult day care clients who have behavioral characteristics of Alzheimer's or related disorders. The study involved five consective weeks of planned, structured music activities prepared by a musical therapist as part of the regular intergenerational activities of the adult day care center. The same activities were repeated twice in the same day at each site, once with children present and once without them present. Two fixed videotape cameras recorded client behaviors in three-minute segments. Scoring was completed by trained, “blind” scorers. The scorers tallied positive behaviors by individuals for randomly selected ten-second segments of the taped intervals. Sessions with and without children were compared using non-parametric tests. Categories of behaviors were compared and specific observed behavioral changes were reported.

2020 ◽  
Vol 45 (1) ◽  
pp. 69-77
Author(s):  
Liat Ayalon ◽  
Ella Cohn-Schwartz

Objectives: The present study evaluated the reciprocal temporal associations between one’s subjective age (or felt age) and one’s social relations in the adult day care center (ADCC) over two waves of data collection, spread about 1 year apart. Method: Participants from four ADCCs in Israel were approached in 2017 and repeatedly, in 2018 ( N = 224 in Wave 1 and N = 259 in Wave 2). The ADCC social network included both outgoing ties of familiar relationships with other ADCC members as reported by the respondent (out-degree centrality) and ingoing ties, based on reports of other ADCC members who were familiar with the respondent (in-degree centrality). Results: Out-degree and in-degree centrality at baseline were not associated with change in subjective age. Subjective age at the first time point was not associated with change in out-degree centrality, but it was negatively associated with change in in-degree centrality. Even after controlling for sociodemographic and health variables, adults who felt younger were subsequently cited by more ADCC members. Conclusions: The findings stress the importance of subjective age to one’s relationship in the ADCC. It is suggested that a younger subjective age is a desired quality in the ADCC.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1091-1093
Author(s):  
Alison M. Hardy ◽  
David R. Lairson ◽  
Ardythe L. Morrow

Substantial costs occur each year due to infectious illness attributable to day-care center attendance by young children.1-3 Estimates of the value of work missed by parents in the US due to day-care-associated upper respiratory tract and diarrheal illness combined have ranged from $1602 million to $4003 million per year. Infectious diarrhea is one of the most common illnesses among young children. Several epidemiologic studies have shown increased risk of developing infectious diarrhea with attendance in group care, especially among children under 3 years of age.4-6 The cost burden of diarrheal illness among children attending day-care centers (DCCs) has not been adequately quantified, and few analyses have considered the effect that the type of care arrangement given ill children exerts on cost. To estimate the cost burden of gastrointestinal-tract illness in day-care centers (DCCs), we used data collected during a 16-month cohort study of rotavirus diarrhea in four DCCs. In addition, we surveyed parents to assess factors affecting cost of illness and to assess the range of ill-child-care options used by parents. METHODS Selection of Day Care Centers Four DCCs in Houston, Texas, were selected for participation in the rotavirus cohort study from a list of licensed DCCs generated by the Texas Department of Human Services. Potential study sites were centers with sufficient numbers of infants and toddlers located within a 7-mile radius of the University of Texas Medical School. Center directors gave informed consent for their centers to participate in the study. Day-Care Center Population From October 1989 through April 1991, children age 1-18 months with no known underlying disease in four licensed DCCs were enrolled in the rotavirus cohort study.


Author(s):  
Till Halbach ◽  
Trenton Schulz ◽  
Wolfgang Leister ◽  
Ivar Solheim

We transformed the existing learning program Language Shower, which is used in some Norwegian day-care centers in the Grorud district of Oslo municipality, into a digital solution using an app for smartphone or tablet with the option for further enhancement of presentation by a NAO robot. The solution was tested in several iterations and multiple day-care centers over several weeks. Measurements of the children’s progress across learning sessions indicate a positive impact of the program using a robot as compared to the program without robot. In-situ observations and interviews with day care center staff confirmed the solution’s many advantages, but also revealed some important areas for improvement. In particular, the speech recognition needs to be more flexible and robust, and special measures have to be in place to handle children speaking simultaneously.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 977-985
Author(s):  
Cesar G. Victora ◽  
Sandra C. Fuchs ◽  
José Antonio C. Flores ◽  
Walter Fonseca ◽  
Betty Kirkwood

Objective. To investigate risk factors for pneumonia for infants <2 years of age. Design. Hospital-based, case-control study with neighborhood control subjects. Setting. Urban area in southern Brazil. Subjects. Five hundred ten infants with radiologically confirmed pneumonia who were admitted to a pediatric hospital. One age-matched neighborhood control subject was selected for each case. Results. Multiple conditional regression modeling was used to control for confounding, taking into account the hierarchical relationships between risk factors. The incidence of radiologically confirmed pneumonia was associated with low paternal education, the number of persons in the household, young maternal age, attendance at day-care centers, low birth weight and weight-for-age, lack of breast-feeding and of non-milk supplements, and a history of previous pneumonia or wheezing. Day-care center attendance showed the highest risk, with an adjusted odds ratio of 11.75. Conclusions. In addition to continued efforts toward appropriate case management, actions directed against the above risk factors may help prevent the major cause of deaths of children younger than 5 years.


PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 299-300
Author(s):  
Jay A. Jacobson ◽  
Gregory A. Filice ◽  
J. Ted Holloway

Household contacts exposed to patients with meningococcal disease are at demonstrably higher risk of that disease than the general population.1,2 Less intimate and less prolonged contact such as that involving hospital personnel3 or school classmates4 is not clearly associated with increased risk. This may well be due to the fact that older children and adults commonly have protective antibodies.5 Preschoolers, on the other hand, are more often susceptible as shown by their higher age-specific primary6 and secondary7 attack rates. When a child who attends a day-care center nursery develops meningococcal disease the presumed exposure of numerous susceptibles is a theoretically dangerous situation.


1988 ◽  
Vol 9 (1) ◽  
pp. 35-37
Author(s):  
Eileen A. Korhumel

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