Beyond Respite: The Role of Adult Day Services in Supporting Dementia Caregivers

Anderson, Keith; Dabelko‐Schoeny, Holly; Fields, Noelle; Carter, James R.

doi:10.1080/01621424.2015.1040939

Cited by 7 publications

(9 citation statements)

References 14 publications

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“…To reduce institutionalization and help persons with dementia remain at home for as long as possible and to prevent health issues amongst informal caregivers, there is a trend towards increased attention to and use of day care services as an important area of community services [4] [5] [6]. The purpose of this kind of service is to offer meaningful activities to persons with dementia while providing respite care for informal caregivers [7] [8] [9]. In people with dementia, both verbal expressions, e.g.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Place on Everyday Life: Observations of Persons with Dementia in Regular Day Care and at the Green Care Farm

Myren¹,

Enmarker²,

Saur³

2017

Health

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Day care services for persons with dementia are becoming an important aspect of community services. Place, therefore, becomes vital concerning how such establishments are organized regarding both the physical and social environment and the programs that are offered. The aim of this study was to describe the influence of place on everyday life in two different organized daycare services for persons with dementia. Based on observations and informal conversations with persons with dementia and staff members at a green care farm and a regular day care, we used an inductive manifest content analysis. The analysis reveals a main category: enabling and collaboration in daily life. The results are discussed in light of Goffman's analysis of the structures of social encounters from the perspective of the dramatic performance. The main findings in this study involve how place contributes to enabling activities and collaboration between participants and staff, as it influences participants' ability to achieve an active or passive role in everyday life at the day care services.

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Section: Introductionmentioning

confidence: 99%

The Influence of Place on Everyday Life: Observations of Persons with Dementia in Regular Day Care and at the Green Care Farm

Myren¹,

Enmarker²,

Saur³

2017

Health

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“…We did not find studies specifically comparing the effects of DC and HC services on changes in cognitive and physical functions as well as behavioral symptoms of PWD. Nevertheless, previous studies have demonstrated that DC services can have a positive impact on health and well‐being of PWD and caregivers …”

Section: Discussionmentioning

confidence: 96%

“…Nevertheless, previous studies have demonstrated that DC services can have a positive impact on health and well-being of PWD 19,23,30 and caregivers. 25,31 We observed that behavioral symptoms improved in both groups after 1 year of receiving services in the comparison of matched cohorts, even though the difference between the two groups was not significant. This finding indicates that both types of services were effective in managing behavioral symptoms among PWD.…”

Section: Discussionmentioning

confidence: 97%

Day care vs home care: Effects on functional health outcomes among long‐term care beneficiaries with dementia in Korea

Lee

Yim

Choi

et al. 2018

Int J Geriat Psychiatry

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Objectives First, to compare changes in cognitive function, behavioral symptoms, and physical function for Korean Long‐Term Care Insurance (LTCI) beneficiaries with dementia in day care (DC) and home care (HC) settings over 1 year. Second, to examine the association between LTCI service type and the aforementioned health outcomes. Methods A retrospective matched cohort study was conducted using the national data set of the National Health Insurance Service in Korea. We identified 7822 beneficiaries with dementia who received either DC or HC services consistently for 1 year from 2008 to 2009. The propensity score matching method was used, yielding 416 participants in each group. Paired samples t‐tests and logistic regression analyses were conducted. Results Baseline differences between the two groups are present. According to multiple regression models, DC, when compared with HC, was related to less deterioration in cognitive and physical function but was associated with less improved behavioral symptoms 1 year after the LTCI enrollment. In the comparison between matched cohorts, DC, when compared with HC, was associated with less cognitive decline, less disability progression, and similar decrease in behavioral symptoms. Conclusions Cognitive function and disability declined less in the DC group, compared with the HC group. Conversely, behavioral symptoms showed a similar decrease between the two groups after 1‐year follow‐up. Further research is necessary to examine key features of DC services that have helped delay functional deterioration and alleviate behavioral symptoms.

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“…These programs used a predominantly rehabilitative model; thus, programing and evaluation was focused on resolving or preventing further functional decline with the goal of delaying institutionalization (Hasselkus, 1992). Over the past 40 years, the growth in day programs as a service for people with dementia has continued, and they are situated in some locations as the primary form of care in the community for people with dementia (Anderson et al, 2015;Sands & Suzuki, 1983;Smyth Henry, Cox, Reifler, & Asbury, 2000;Weissert, 1989). As expected, research on day programs for people with dementia reflects their historical development as a form of intervention to prevent functional decline, a goal evident in the type of outcomes measured, and who is considered the target of intervention.…”

Section: What Is a Day Program? The History Of Day Programs For Peoplmentioning

confidence: 99%

Re-thinking the nature of day programs for people with dementia: Implications for research

Symonds-Brown¹,

Ceci²,

Duggleby

et al. 2019

Dementia

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Day programs are commonly identified in dementia strategies as a solution for keeping people with dementia home for as long as possible. Limited research evidence is available to support these policy approaches, and much of what exists demonstrates equivocal results. While key day program researchers have called for improvements in methodological and theoretical efforts, we argue that basic assumptions concerning what a day program is, and how the effects of day programs should be studied, also require reconsideration. Problematization is a systematic review strategy used to identify and critique assumptions guiding research practices and knowledge development in a field of study. The approach entails a broad overview of a field of research alongside a close reading of key texts to identify prevailing assumptions about the object of study and how it can be known. The intent is to discern how these assumptions are influencing research practices and thus knowledge development. A review of historical texts and research literature reviews was used (1) to identify trends in day program research between 1990 and 2018 and (2) to support identification of influential and typical studies for closer analysis ( n = 36). The outcome of our analysis of the research literature suggests three sets of assumptions that guide much of the day program research literature: dementia is mainly treated as a problem of the individual; day programs are treated as stand-alone units of substitute care; and the space of day programs is seen as a simple background to care. We argue that the assumptions regarding care and space have narrowed the field of research and contributed to the production of equivocal findings. We suggest alternative framings of notions of care and space, informed by a Science and Technology Studies’ approach to care practices, to generate knowledge about day programs that can usefully inform policy and practice.

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Beyond Respite: The Role of Adult Day Services in Supporting Dementia Caregivers

Cited by 7 publications

References 14 publications

The Influence of Place on Everyday Life: Observations of Persons with Dementia in Regular Day Care and at the Green Care Farm

The Influence of Place on Everyday Life: Observations of Persons with Dementia in Regular Day Care and at the Green Care Farm

Day care vs home care: Effects on functional health outcomes among long‐term care beneficiaries with dementia in Korea

Re-thinking the nature of day programs for people with dementia: Implications for research

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