Outcomes of Adult Day Services for Participants: A Conceptual Model

Dabelko, Holly I.; Zimmerman, Jennifer

doi:10.1177/0733464807307338

Cited by 33 publications

(46 citation statements)

References 36 publications

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“…Researchers need to give more thought about what outcomes we might reasonably expect of respite and as well as taking into account the goals of caregivers (Dabelko & Zimmerman, 2008; Zarit et al, 1998). Some specific outcomes of respite for caregivers include having time away from the care receiver, and reducing feelings of overload and strain in providing care.…”

Section: Research Challenges In the Study Of Respitementioning

confidence: 99%

Exploring the benefits of respite services to family caregivers: methodological issues and current findings

Zarit

Bangerter

Liu

et al. 2016

Aging & Mental Health

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Objectives There is growing emphasis on empirical validation of the efficacy of community-based services for older people and their families, but research on services such as respite care faces methodological challenges that have limited the growth of outcome studies. We identify problems associated with the usual research approaches for studying respite care, with the goal of stimulating use of novel and more appropriate research designs that can lead to improved studies of community-based services. Method Using the concept of research validity, we evaluate the methodological approaches in the current literature on respite services, including adult day services, in-home respite and overnight respite. Results Although randomized control trials (RCTs) are possible in community settings, validity is compromised by practical limitations of randomization and other problems. Quasi-experimental and interrupted time series designs offer comparable validity to RCTs and can be implemented effectively in community settings. Conclusion An emphasis on RCTs by funders and researchers is not supported by scientific evidence. Alternative designs can lead to development of a valid body of research on community services such as respite.

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Section: Research Challenges In the Study Of Respitementioning

confidence: 99%

Exploring the benefits of respite services to family caregivers: methodological issues and current findings

Zarit

Bangerter

Liu

et al. 2016

Aging & Mental Health

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“…Positive outcomes for participants themselves have been more difficult to document (Gaugler & Zarit, 2001). Dabelko and Zimmerman (2008) suggested the inability of previous researchers to establish the impact of ADS on participants may be reflective of limited studies examining outcomes driven by program design and participant experiences. Many previous studies have used administrative records or caregiver reports to examine participant outcomes of interest to funders (see Gaugler & Zarit, 2001).…”

Section: In Their Own Words: Participants' Perceptions Of the Impact mentioning

confidence: 99%

In Their Own Words: Participants' Perceptions of the Impact of Adult Day Services

Dabelko‐Schoeny

King

2010

Journal of Gerontological Social Work

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Despite the growth in the number of adult day services programs providing long-term care in the United States, researchers have struggled to consistently identify the benefits of the services to older adult participants. Instead of identifying participant outcomes driven by administrative databases, funding requirements or accreditation expectations, this study attempted to identify outcomes through the lived experiences of the older adult participants through one-on-one interviews after 3 months of attendance. The purpose of this qualitative study was to gain an understanding of the experiences of older adult participants and to build theoretical understandings that connect experiences with outcomes. Twenty-eight semistructured interviews were conducted with older adults attending 4 day health programs administered by 1 organization in a large mid-west City. Three main program experiences were identified: social connections with participants, empowering relationships with staff, and participation and enjoyment of activities and services. These experiences seemed to be associated with perceived improvements in psychosocial well-being and a perceived decrease in burden or dependence on the caregiver. The findings provide theoretical connections that are helpful for exploring the impact of adult day services based on participant perspectives. Results suggest a need for further examination of the role social workers play in supporting psychosocial services within adult day programs.

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“…Overall caregivers' viewed the palliative day-care as a flexible service that meets the needs of patients' and caregivers' to enable them to stay at home [67], operating within a combined model (social {socialisation and preventative services} and nursing {assessment, treatment and rehabilitation services}) which focused on individual needs [68]. Essentially palliative day-care through providing services based on individual needs ensures therapeutic activities are provided for patients' and this careful planning creates a sense of accomplishment for staff and most importantly contributes to patients' well-being and quality of life [69,70].…”

Section: Discussionmentioning

confidence: 99%

Family caregivers’ perceptions of an Irish palliative day-care unit: A qualitative descriptive study

Reidy¹,

Me²,

Doody³

2018

Nurs Palliat Care

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Aim and objectives: To describe family caregiver's perceptions of a palliative day-care service.Background: An emphasis on homecare for patients with advanced disease has meant that family caregivers' have greater responsibilities. Caregivers' can become vulnerable, prone to exhaustion, fatigue, anxiety, sleeplessness, weight loss, burnout, social isolation and general deterioration in health. Palliative day-care can alleviate carer stress and burden by providing care and supporting carers. Little evidence exists of caregivers' perceptions of palliative day-care units.

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Outcomes of Adult Day Services for Participants: A Conceptual Model

Cited by 33 publications

References 36 publications

Exploring the benefits of respite services to family caregivers: methodological issues and current findings

Exploring the benefits of respite services to family caregivers: methodological issues and current findings

In Their Own Words: Participants' Perceptions of the Impact of Adult Day Services

Family caregivers’ perceptions of an Irish palliative day-care unit: A qualitative descriptive study

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