Adult Day Center Programs and Their Associated Outcomes on Clients, Caregivers, and the Health System: A Scoping Review

Ellen, Moriah; DeMaio, Peter; Lange, Ariella; Wilson, Michael G.

doi:10.1093/geront/gnw165

Cited by 62 publications

(58 citation statements)

References 29 publications

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“…4 These services should also serve as a respite for family caregivers, and it is claimed that such services may delay nursing home placement. 4 , 7 – 9 A recent Norwegian study found higher self-reported quality of life among people with dementia attending day care services compared to those not receiving day care. 10 By 2020, all Norwegian municipalities will be obliged to offer day care to people with dementia.…”

Section: Introductionmentioning

confidence: 99%

Farm-based day care in Norway – a complementary service for people with dementia

Ibsen¹,

Eriksen²,

Patil³

2018

JMDH

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BackgroundDay care services provide meaningful activities and coping experiences in a safe environment for people with dementia, as well as improve quality of life. Such services vary in types and settings. Farm-based day care (FDC) services are described as services that have been adapted from the farm setting, using farm resources to promote health. There is limited knowledge on the service offered in both FDC and regular day care services for people with dementia. The present study aims to investigate FDC in Norway and describe the services and the participants’ care environment.Materials and methodsWe mapped the existing farms offering day care in Norway by the spring 2017 (N=33) and collected information through two cross-sectional surveys (N=32) answered by the service providers at the farms.ResultsThe farms included in this survey provided day care services to 227 people with dementia, located in most regions of Norway. The services varied in terms of group size and half of the services had young people with dementia (≤65 years) and people with dementia at an early stage as their primary target group. About half of the staff had health care education (47.5%), and there were staff with agricultural competence available in most FDCs. All farms reported that the participants spent time outdoors every day, and all services, except two, had animals. The providers highlighted the opportunity to choose activities that were individually tailored for each participant, as the diversity of resources in the farm made it possible to organize different activities.ConclusionFDC services have similarities in organization, daily structure, and number of health education personnel to other day care services, but differ in type of care environment with a wide range of activities and available resources like farm buildings, gardens, animals, and outdoor areas.

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Section: Introductionmentioning

confidence: 99%

Farm-based day care in Norway – a complementary service for people with dementia

Ibsen¹,

Eriksen²,

Patil³

2018

JMDH

View full text Add to dashboard Cite

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“…According to previous research [19,26,27], DCCs show a positive effect on the well-being of older adults who visit DCCs regularly. To date, mainly clinical effectiveness of non-pharmacological treatments for community-dwelling people with cognitive impairments and their caregivers was assessed (e.g., [14,16,19,25,27,28]).…”

Section: Introductionmentioning

confidence: 92%

“…The prerequisites for receiving day care depend on the individual's need and the availability of a caregiver during day [22,23]. Independent from financing day care, similar models as above described "care as usual" day care exist in other industrialized countries [19,24,25].…”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness of a non-pharmacological treatment vs. “care as usual” in day care centers for community-dwelling older people with cognitive impairment: results from the German randomized controlled DeTaMAKS-trial

et al. 2020

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Background Cognitive impairment in older adults causes a high economic and societal burden. This study assesses the costeffectiveness of the multicomponent, non-pharmacological MAKS treatment vs. "care as usual" in German day care centers (DCCs) for community-dwelling people with mild cognitive impairment (MCI) or mild to moderate dementia over 6 months. Methods The analysis was conducted from the societal perspective alongside the cluster-randomized controlled, multicenter, prospective DeTaMAKS-trial with waitlist group design. Outcomes were Mini-Mental Status Examination (MMSE) and Erlangen Test of Activities of Daily Living in Persons with Mild Dementia or Mild Cognitive Impairment (ETAM) of 433 individuals in 32 DCCs. Incremental differences in MMSE and ETAM were calculated via a Gaussian-distributed and incremental cost difference via a Gamma-distributed Generalized Linear Model. Cost-effectiveness was assessed via costeffectiveness planes and cost-effectiveness acceptability curves (CEAC). Results At 6 months, MMSE (adjusted mean difference = 0.92; 95% confidence interval (CI): 0.17 to 1.67; p = 0.02) and ETAM (adjusted mean difference = 1.00; CI: 0.14 to 1.85; p = 0.02) were significantly better in the intervention group. The adjusted cost difference was − €938.50 (CI: − 2733.65 to 763.13; p = 0.31). Given the CEAC, MAKS was cost-effective for 78.0% of MMSE and 77.4% for ETAM without a need for additional costs to payers. Conclusions MAKS is a cost-effective treatment to stabilize the ability to perform activities of daily living and cognitive abilities of people with MCI or mild to moderate dementia in German DCCs. Thus, MAKS should be implemented in DCCs.

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“…The literature on Adult Day Programs (ADP) catering to older adults with impairments related to aging, is much more extensive 19 than the literature about MSADPs; however, findings on participant satisfaction and health outcomes are similar to those for MSADPs. Scholarly reviews suggest that participants generally are satisfied with services, 19,20 and that programs increase participants' emotional well-being, 20 but evidence of improvement in health or ADLs is lacking.…”

Section: O N L I N E F I R S Tmentioning

confidence: 99%

Benefits of Multiple Sclerosis Adult Day Program Participation for People with Multiple Sclerosis

Marrow¹,

Roeser²,

Gasper³

et al. 2019

International Journal of MS Care

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Background: Multiple Sclerosis Adult Day Programs are non-medical service programs providing care and support to people with multiple sclerosis experiencing levels of impairment interfering with employment and activities of daily living. The purpose of this study was to identify how program participants think Multiple Sclerosis Adult Day Programs benefit them. Methods: We conducted in-depth interviews with 95 people with multiple sclerosis who were Multiple Sclerosis Adult Day program participants. Interviews occurred as part of site visits to ten (10) programs across the country. We supplemented participants' interviews with interviews of Program staff and ethnographic observation of activities at each site over one to three days. Results: Participants reported several benefits from participating in a Multiple Sclerosis Adult Day Program. Almost universally, participants explained that receiving and giving social support was the most important benefit. Other positive outcomes described included the following: increased emotional well-being; better understanding and acceptance of multiple sclerosis; practical know-how for accomplishing ordinary tasks; and increased mobility and improved motor functioning. Conclusions: Participants believe that Multiple Sclerosis Adult Day Programs have a profound influence on their psychosocial health, much of which they attribute to membership in a socially cohesive community. Clinicians and policy makers should consider these programs for people with multiple sclerosis who have unmet psychosocial needs and experience functional impairments.

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Adult Day Center Programs and Their Associated Outcomes on Clients, Caregivers, and the Health System: A Scoping Review

Cited by 62 publications

References 29 publications

Farm-based day care in Norway – a complementary service for people with dementia

Farm-based day care in Norway – a complementary service for people with dementia

Cost-effectiveness of a non-pharmacological treatment vs. “care as usual” in day care centers for community-dwelling older people with cognitive impairment: results from the German randomized controlled DeTaMAKS-trial

Benefits of Multiple Sclerosis Adult Day Program Participation for People with Multiple Sclerosis

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Adult Day Center Programs and Their Associated Outcomes on Clients, Caregivers, and the Health System: A Scoping Review

Cited by 62 publications

References 29 publications

Farm-based day care in Norway &ndash; a complementary service for people with dementia

Farm-based day care in Norway &ndash; a complementary service for people with dementia

Cost-effectiveness of a non-pharmacological treatment vs. “care as usual” in day care centers for community-dwelling older people with cognitive impairment: results from the German randomized controlled DeTaMAKS-trial

Benefits of Multiple Sclerosis Adult Day Program Participation for People with Multiple Sclerosis

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Farm-based day care in Norway – a complementary service for people with dementia

Farm-based day care in Norway – a complementary service for people with dementia