Effects of adult day care services on disability in older persons: Evaluation of a designed service package in Iran

Abstract

Objective: To assess the effects of a rehabilitation service package designed by the State Welfare Organization of Iran for adult day care centres on the disability of older clients. Methods: A case-control study, with 46 older participants in the case group and 46 participants, matched for level of disability, in a control group. The World Health Organization Disability Assessment Schedule 2 was used to collect data at 4 time-points: baseline and 2, 4, and 6 months later. Data were analysed using repeated-measures analysis of variation. Results: The rehabilitation service package had significant effects on the disability scores of older users of day care services. The disability scores significantly changed within the subjects (p = 0.010) and between the 2 groups (p < 0.001). Within-subjects effects in all 6 domains ("understanding and communication" (p = 0.002), "getting around" (p = 0.046), "self-care" (p < 0.001), "getting along with people" (p < 0.001), "life activity" (p < 0.001) and "participation" (p < 0.001)) and between-subjects effects, in all except the "self-care" domain, showed significant differences during the 6-month study period (p = 0.003, p < 0.001, p <0.001, p < 0.001, and p < 0.001, respectively). Conclusion: The adult day care service package may have a positive role in decreasing measures of disability among older persons over a 6-month period.

Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived

“…Target users included functionally impaired/frail, socially isolated or retired people and, less often, family carers. Four possible aims of day centres were stated: To provide social and preventive services (Fitzpatrick et al , 2005; Lund and Englesrud, 2008; Boen et al , 2010; Caiels et al , 2010; Dabelko-Schoeny and King, 2010; MaloneBeach and Langeland, 2011; Kuzuya et al , 2012; Iecovich and Biderman, 2013 b ; Fawcett, 2014; Marhankova, 2014; Liu et al , 2015; Shahbazi et al , 2016; Kelly, 2017). To support continued independence of attenders (Ron, 2007; Schmitt et al , 2010; Kuzuya et al , 2012; Liu et al , 2015; Kelly et al , 2016).…”

“…To support continued independence of attenders (Ron, 2007; Schmitt et al , 2010; Kuzuya et al , 2012; Liu et al , 2015; Kelly et al , 2016). To support attenders’ health and daily living needs (Lund and Englesrud, 2008; Boen et al , 2010; Dabelko-Schoeny and King, 2010; Schmitt et al , 2010; Kuzuya et al , 2012; Al-Dosseri et al , 2014; Fawcett, 2014; Liu et al , 2015; Shahbazi et al , 2016). To enable family carers to have a break and/or continue with employment (Schmitt et al ., 2010; Al-Dosseri et al ., 2014; Fawcett, 2014).…”

“…To provide social and preventive services (Fitzpatrick et al , 2005; Lund and Englesrud, 2008; Boen et al , 2010; Caiels et al , 2010; Dabelko-Schoeny and King, 2010; MaloneBeach and Langeland, 2011; Kuzuya et al , 2012; Iecovich and Biderman, 2013 b ; Fawcett, 2014; Marhankova, 2014; Liu et al , 2015; Shahbazi et al , 2016; Kelly, 2017).…”

“…To support attenders’ health and daily living needs (Lund and Englesrud, 2008; Boen et al , 2010; Dabelko-Schoeny and King, 2010; Schmitt et al , 2010; Kuzuya et al , 2012; Al-Dosseri et al , 2014; Fawcett, 2014; Liu et al , 2015; Shahbazi et al , 2016).…”

“…Attendance at two day centres that integrated health and social care prevented decline, with a bio-psychosocial model of support resulting in attenders faring significantly better than a control group in disability and functioning domains of getting around, getting along with people, life activities and participation (Shahbazi et al , 2016). Individually tailored therapeutic packages, however, had less impact, resulting in small improvements in physical wellbeing in attenders compared with non-attenders; impact on functional ability was very limited and psychological wellbeing did not change (Murphy et al , 2017).…”