Use of Adult Day Care Centers: Do They Offset Utilization of Health Care Services?

Iecovich, Esther; Biderman, Aya

doi:10.1093/geront/gns036

Cited by 17 publications

(11 citation statements)

References 31 publications

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“…ADCCs also provide physiotherapy, occupational therapy, nursing care and dietary supervision. Additional services such as showering, shaving, or pedicure can be purchased at extra fees ( Iecovich & Biderman, 2012b ).…”

Section: Formal Settings To Potentially Alleviate Loneliness and Incrmentioning

confidence: 99%

Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities

Ayalon

2018

Innovation in Aging

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Background and ObjectivesThe present study compares how 2 settings: adult day care centers (ADCCs) and continuing care retirement communities (CCRCs) fare with regard to loneliness and anxiety about aging. Loneliness is a highly prevalent and distressing subjective experience of inadequate social relations, which has negative effects on health and well-being. Anxiety about aging is defined as worries brought up by imagining the negative consequences and losses associated with old age. The study also examines whether anxiety about aging accounts for differences in loneliness between the 2 settings. This study took place in Israel, where ADCCs are funded by the National Insurance Institute of Israel and CCRCs tend to be funded by private income and wealth. Despite notable differences between the settings, a common goal of both is to reduce loneliness among older adults.Research Design and MethodsA cross-sectional design of 4 ADCCs and 4 CCRCs (N = 456).ResultsCompared with CCRC residents, older adults in ADCCs reported higher levels of loneliness (Mean [SD] = 1.46 [0.60], Mean [SD] = 1.78 [0.80], respectively, t [df]= −5.10 [448], p < .001) and higher levels of anxiety about aging (Mean [SD] = 2.96 [0.88], Mean [SD] = 3.27 [0.99], respectively, t [df] = −3.42 [440], p < .001). Anxiety about aging partially accounted for the differences between the 2 settings in levels of loneliness (B = 0.03, 95% confidence interval [CI]: 0.0037–0.0651).Discussion and ImplicationsAlthough it is not possible to determine causality from this cross-sectional design, it is possible that CCRCs provide a better social outlet for older adults than ADCCs.

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Section: Formal Settings To Potentially Alleviate Loneliness and Incrmentioning

confidence: 99%

Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities

Ayalon

2018

Innovation in Aging

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“…Some studies have failed to demonstrate clearly positive outcomes [24, 25], but others suggest that these programs may enhance quality of life and reduce stress [26, 27]. …”

Section: Examples Of Services and Supports Provided By Community-bmentioning

confidence: 99%

Community-Based Supports and Services for Older Adults: A Primer for Clinicians

Siegler

Lama

Knight

et al. 2015

Journal of Geriatrics

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Although 20% of adults 60 years and older receive community-based supports and services (CBSS), clinicians may have little more than a vague awareness of what is available and which services may benefit their patients. As health care shifts toward more creative and holistic models of care, there are opportunities for CBSS staff and primary care clinicians to collaborate toward the goal of maintaining patients’ health and enabling them to remain safely in the community. This primer reviews the half-century history of these organizations in the United States, describes the most commonly used services, and explains how to access them.

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“…Consistently, attending day programs at senior centers has also been found to delay institutional and nursing home placement [23,24] as well as improving wellbeing and mental wellness and reducing depression rates [19]. Ron [25] found that regular attendance to senior centers contributed to the selfesteem of older females, while Iecovich and Biderman [26] found that users of adult day care centers had significant quality of life benefits but found no evidence that users of senior centers used less health services compared with nonusers [27].…”

Section: Introductionmentioning

confidence: 99%

Physical activity benefits of attending a senior center depend largely on age and gender: a study using GPS and accelerometry data

et al. 2020

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Background: Senior centers offer important opportunities for physical activity and social interaction. Seniors who visit a senior center regularly can gain physical activity from transportation and from specific activities offered within the senior center. However, there is very little knowledge regarding the specific physical activity gains obtained from regular visits to senior centers, and no effort has been made to use device-based measures of physical activity to test the potential physical activity benefits of attending a senior center. Methods: To fill this gap, the present study examined the physical activity patterns of 227 seniors living in the Barcelona Metropolitan Area in Spain. Using GPS and Accelerometer 7-day tracking data, and GIS measures we assessed the light physical activity and moderate-to-vigorous intensity physical activity (MVPA) benefits of attending the senior center on a weekly and daily basis. Results: Seniors who attended a senior center at least once a week did not accumulate significantly more daily physical activity (211.6 min; 95% CI 196.6; 226.6) than seniors without any visit 215.9 min; 95% CI 202.7; 229). However, on a day-to-day basis, it was found that visiting a senior center had positive effects in physical activity and was associated with less sedentary time among younger participants in general (− 18.2 daily min 95% CI − 33.2;-3.3 p = 0.016) and among older female participants in particular (− 19.7 daily min 95% CI -21.06;-18.5 p = 0.011). Conclusions: The benefits of attending senior centers in terms of physical activity should not be viewed as universal, but rather as contingent to the demographics of the user, and the type of activity that the visit is replacing.

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Use of Adult Day Care Centers: Do They Offset Utilization of Health Care Services?

Abstract: The current form of ADCC in Israel focuses mainly on meeting social needs of the participants and therefore do not meet the their actual health needs. Therefore, inclusion of health services within ADCC may have an offset effect, but this necessitates further examination.

Cited by 17 publications

References 31 publications

Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities

Loneliness and Anxiety About Aging in Adult Day Care Centers and Continuing Care Retirement Communities

Community-Based Supports and Services for Older Adults: A Primer for Clinicians

Physical activity benefits of attending a senior center depend largely on age and gender: a study using GPS and accelerometry data

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