A Comparative Analysis of Short Stays versus Long Stays in Adult Day Health Care Programs

Dabelko, Holly I.

doi:10.1300/j010v42n01_04

Cited by 4 publications

(6 citation statements)

References 15 publications

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“…Outre le fait que ces personnes ont un rôle important dans la connaissance qu'ont les personnes âgées des services formels et dans l'utilisation qu'elles font de ces services Cotrell et Engel, 1998;Strain et Blandford, 2002) 1) Déterminer les facteurs qui influencent la durée de séjour en centre de jour . 2) Comparer les utilisateurs qui abandonnent rapidement à ceux qui pousuivent la participation (Dabelko, 2005 …”

Section: Déterminants De L'utilisationunclassified

“…De façon étonnante, le revenu familial n'est pas associé à l'utilisation du centre de jour (Beiseker et coll., 1996;Henry et Capitman, 1995;Kosloski et Montgomery, 1994;Lynch et coll. ;Zarit et coll., 1999b) Dabelko, un financement privé (la personne défraie le coût) est associé à une plus grande probabilité de cesser l'utilisation à l'intérieur des quatre premières semaines suggérant que le manque de ressources financières peut limiter l'accès au service (Dabelko 2005). …”

Section: Facteurs De Capacité Personnels Ou Communautairesunclassified

“…Les difficultés de transport ont été rapportées comme barrières à l'utilisation du centre de jour (Beisecker et coll., 1996;Lawton et coll., 1991 , un suivi individualisé pour une meilleure intégration au groupe des personnes qui ont des problèmes de santé mentale (Dabelko, 2005), la possibilité d'offrir non seulement le transport « de porte à porte (door to door) », mais un service « indoor to door », soit une aide à l'intérieur du domicile pour aider la personne âgée à se préparer pour le centre de jour (Dabelko, 2005). …”

Section: Caractéristiques Des Servicesunclassified

“…Ce résultat est cohérent avec ceux de deux études antérieures (Chappell, 1983;Dabelko, 2005). Des résultats similaires avaient été observés pour le statut professionnel, où le fait d'avoir oeuvré dans des postes au statut social plus élevé (postes professionnels ou de gestion) avait été associé négativement 247 au contact avec le centre de jour (Chappell, 1983 Dans la présente étude, où les services de centre de jour sont accessibles dans les quartiers multiethniques, les personnes immigrantes les utilisent autant ou même un peu plus que les personnes nées au Canada.…”

Section: Facteurs Prédisposantsunclassified

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L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

et al. 2007

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Objectives: The purpose of this study was to document the use of ADCs by seniors with functional limitations. There were three main objectives: 1) To identify the characteristics of ADC users versus non-users and to identify the determinants of use.2) To explore how well ADC program activities matched the different needs of participants with various health and functional characteristics profile.3) To examine the factors related to regularity of ADC attendance.Methods: This study was based on a secondary analysis of data collected from 723 seniors participating in the Services intégrés pour personnes âgées (SIPA) demonstration project implemented in two CLSCs in Montreal. ADC use data were obtained for a six month period, from the five ADCs serving the same catchment area. To better understand the ADC program characteristics, individual interviews and focus groups were carried out with ADC coordinators. Data were analysed with descriptive statistics, cluster analysis, and logistic and multiple regression analysis. Results:The results are presented in three articles, one for each main objective. Article 1:The proportion of ADC users was 18.8 % (CI 0.95: 16.0 -21.7%). The following factors increased the probability of ADC use: being younger (OR: 1.12; CI 0.95: 1.06 -1.19); not having a university degree (OR: 1.92; CI 0.95: 1.04 -3.57); receiving help from the CLSC for daily living activities more than once a week (OR: 1.73 and 2.48 for help two to five times per week and six to seven times per week respectively; CI 0.95: 1.06 -2.80 and 1.22 -5.06); being in the catchment population of an ADC with a lower daily fee (OR: 1.054; CI 0.95: vii 1.001 -1.108 for each 1$ fee increase); and for men only, having had a stroke or presenting with more functional incapacities (interaction between gender and presence of a stroke: OR: 0.298; CI 0.95: 0.108 -0.825; interaction between gender and functional capacity as measured by OARS: OR: 1.096; CI 0.95: 1.019 -1.178). In addition, the probability of ADC use was higher among individuals who live with the person identified as their caregiver.However, this association was found only among persons born in Canada (interaction between whether they lived with caregiver and country of birth: OR: 0.417; CI 0.95: 0.185 -0.938). Article 2: Four different participant profile groups were identified using cluster analysis: 1) frail seniors of advanced age who had a large number of health problems;2) individuals who were younger and more independent than the average participants who appeared early users of ADC; 3) individuals with functional impairment related to cognitive problems; and 4) those with movement disorders which affected their independence.Classification of program activities by a panel of experts distinguished eight categories of activities: physical exercise; groups for those with common diagnoses or functional problems; functional activities; cognitive stimulation; music or reminiscence activities; sports and physical games; social skills and interaction; disease prevention and ...

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Section: Déterminants De L'utilisationunclassified

Section: Facteurs De Capacité Personnels Ou Communautairesunclassified

Section: Caractéristiques Des Servicesunclassified

Section: Facteurs Prédisposantsunclassified

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L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

et al. 2007

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“…The fact that PACE participants have higher rates of cognitive impairment, adult day center attendance, and caregiver support points to potential unmeasured differences between the two groups, supported by research findings that people attending adult day centers differ from those receiving other home‐ and community‐based services: They are more likely to be cognitively impaired and less likely to live alone (Dabelko, ; Dabelko & Balaswamy, ; Zarit et al, ); one study summarized reasons for enrollment as signs of family caregivers in crisis (MetLife Mature Market Institute, ).…”

Section: Discussionmentioning

confidence: 99%

Comparing PACE with a Medicaid‐Only Managed Long‐Term Care Plan: Health Outcomes Over Time

Nadash¹

2013

World Med & Health Policy

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Outcomes from a partially integrated model of managed long‐term care—The VNS CHOICE program (VCP)—were compared to those from a fully capitated model—the Program of All‐Inclusive Care for the Elderly (PACE). A retrospective cohort design examined discharge, morbidity, and functional status for 3,200 individuals over 18 months. Although the two populations were close in average functional status, the PACE sample was sicker and more cognitively impaired. Higher rates of death were found in the PACE program (22 percent vs. 10 percent over 18 months) and a greater likelihood of decline in instrumental activities of daily living; higher functional disability scores (ADLs) predicted discharge in PACE but not in VCP. When propensity score stratification was used to compare like populations, the impact of program enrolment on outcomes became statistically insignificant, suggesting that a partially capitated model performs at least as well as the fully capitated PACE model.

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Mediating Effect of Adult Day Health Care (ADHC) and Family Network on Quality of Life Among Low-Income Older Korean Immigrants

Kim

2013

Res Aging

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The purpose of this study is to examine the direct and indirect effects of Adult Day Health Care (ADHC) and family network on Quality of Life (QOL) for low-income older Korean immigrants in Los Angeles County, CA. A cross-sectional survey of low-income older Korean immigrants who use ADHC programs was conducted. Self-reported measures included sociocultural characteristics, acculturation, cognitive function, family network, utilization of ADHC, and QOL. The study found that for QOL, two variables had only direct effects: years in ADHC and acculturation. Family network was directly associated with QOL and indirectly associated with it through the variable "years in ADHC." Our findings indicate that a strong family network is positively associated with more years of attendance in ADHC, and with higher QOL scores. Thus, policy makers and practitioners should be aware of the positive association among social networks, attendance in ADHC, and higher QOL among low-income older Korean immigrants.

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A Comparative Analysis of Short Stays versus Long Stays in Adult Day Health Care Programs

Cited by 4 publications

References 15 publications

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

Comparing PACE with a Medicaid‐Only Managed Long‐Term Care Plan: Health Outcomes Over Time

Mediating Effect of Adult Day Health Care (ADHC) and Family Network on Quality of Life Among Low-Income Older Korean Immigrants

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