Public's Perceived Need for Adult Day Care versus Actual Use

Barber, Gerard M.; Paton, Ruth Nelson; Wishnia, Gracie C.

doi:10.1300/j027v14n02_05

Cited by 5 publications

(5 citation statements)

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“…Dans l'étude de Kosloski et Montgomery (1994) auprès de personnes âgées ayant au moins deux limitations d'activités quotidiennes, 6 % des participants utilisaient un centre de jour. Dans une enquête populationnelle de 11 comtés du Kentucky et de l'Indiana, Barber, Paton et Wishnia (1993) ont estimé que 5439 familles comptaient au moins une personne âgée de plus de 60 ans qui présentait des incapacités et nécessitait au moins cinq heures de soins par jour de la part d'un membre de la famille. Les données sur le nombre d'utilisateurs de centre de jour dans la région étudiée faisaient état de 149 participants, soit environ 2,7 % du bassin de population qui présente théoriquement des besoins pour ce type de service.…”

Section: L'utilisation Des Centres De Jourunclassified

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

et al. 2007

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Objectives: The purpose of this study was to document the use of ADCs by seniors with functional limitations. There were three main objectives: 1) To identify the characteristics of ADC users versus non-users and to identify the determinants of use.2) To explore how well ADC program activities matched the different needs of participants with various health and functional characteristics profile.3) To examine the factors related to regularity of ADC attendance.Methods: This study was based on a secondary analysis of data collected from 723 seniors participating in the Services intégrés pour personnes âgées (SIPA) demonstration project implemented in two CLSCs in Montreal. ADC use data were obtained for a six month period, from the five ADCs serving the same catchment area. To better understand the ADC program characteristics, individual interviews and focus groups were carried out with ADC coordinators. Data were analysed with descriptive statistics, cluster analysis, and logistic and multiple regression analysis. Results:The results are presented in three articles, one for each main objective. Article 1:The proportion of ADC users was 18.8 % (CI 0.95: 16.0 -21.7%). The following factors increased the probability of ADC use: being younger (OR: 1.12; CI 0.95: 1.06 -1.19); not having a university degree (OR: 1.92; CI 0.95: 1.04 -3.57); receiving help from the CLSC for daily living activities more than once a week (OR: 1.73 and 2.48 for help two to five times per week and six to seven times per week respectively; CI 0.95: 1.06 -2.80 and 1.22 -5.06); being in the catchment population of an ADC with a lower daily fee (OR: 1.054; CI 0.95: vii 1.001 -1.108 for each 1$ fee increase); and for men only, having had a stroke or presenting with more functional incapacities (interaction between gender and presence of a stroke: OR: 0.298; CI 0.95: 0.108 -0.825; interaction between gender and functional capacity as measured by OARS: OR: 1.096; CI 0.95: 1.019 -1.178). In addition, the probability of ADC use was higher among individuals who live with the person identified as their caregiver.However, this association was found only among persons born in Canada (interaction between whether they lived with caregiver and country of birth: OR: 0.417; CI 0.95: 0.185 -0.938). Article 2: Four different participant profile groups were identified using cluster analysis: 1) frail seniors of advanced age who had a large number of health problems;2) individuals who were younger and more independent than the average participants who appeared early users of ADC; 3) individuals with functional impairment related to cognitive problems; and 4) those with movement disorders which affected their independence.Classification of program activities by a panel of experts distinguished eight categories of activities: physical exercise; groups for those with common diagnoses or functional problems; functional activities; cognitive stimulation; music or reminiscence activities; sports and physical games; social skills and interaction; disease prevention and ...

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Section: L'utilisation Des Centres De Jourunclassified

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

et al. 2007

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“…Using a stratified random sample of 1913 households in Kentucky and Indiana from telephone interviews and organizational records, Barber, Paton, & Wishnia (1993) found that among caregivers, use o f adult day services was lower than perceived need.…”

Section: Related Researchmentioning

confidence: 99%

“…Objective need was measured as the presence of a person in the household who had difficulty with either walking or dressing, or of someone who spent five or more hours a day caring for another adult in the household. Barber, Paton & Wishnia (1993) used difference of means tests to compare utilization and non-utilization. Factors that contributed to under-utilization included the lack o f transportation and a lack o f knowledge about adult day services.…”

Section: Related Researchmentioning

confidence: 99%

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Individual and Environmental Factors that Influence Length of Stay in Adult Day Health Care Programs

Dabelko

2004

Journal of Gerontological Social Work

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The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction.In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion.Oversize materials (e.g., maps, drawings, charts) are reproduced by sectioning the original, beginning at the upper left-hand comer and continuing from left to right in equal sections with small overlaps.

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“…Two of the nurse participants maintained that many potential ADC users are not aware of the concept of ADC. Lack of public knowledge about ADC services had been attributed to their underuse (Barber, Paton, & Wishnia, 1993; Douglas & Visconti, 1998). The senior participants expressed the need for increased marketing of ADC to facilitate older persons' understanding and use of such services.…”

Section: Community Awarenessmentioning

confidence: 99%

Adult Day Care: Northern Perspectives

Ritchie

2003

Public Health Nursing

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This qualitative study explores older adults', caregivers', and nurses' perceptions regarding adult day care (ADC). The study took place in two small towns and one small city in the northern interior region of British Columbia, Canada, with the intent to develop ADC programs that reflect the needs of older persons and their caregivers. The 32 participants contributed their perceptions in focus groups and individual interviews. The interviews, in this descriptive/exploratory study, were audiotaped, transcribed verbatim, and analyzed using inductive, qualitative techniques. The participants acknowledged ADC services as essential to the health and well-being of older adults and their caregivers. The major themes that emerged were need for respite; aging in place; ADC programming; program characteristics; staff knowledge, skills, and attitudes; and northern perspectives. The study participants identified a number of possible reasons for underuse of ADC programming in the north. This study provides information that can facilitate the grounding of ADC policy within the clients' perspectives and a northern context. The participants' thoughts also highlight areas of policy that have broad applicability to the provision of services to the elderly in any setting.

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Public's Perceived Need for Adult Day Care versus Actual Use

Cited by 5 publications

References 2 publications

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

L'utilisation des services de centre de jour par les personnes âgées qui présentent des incapacités

Individual and Environmental Factors that Influence Length of Stay in Adult Day Health Care Programs

Adult Day Care: Northern Perspectives

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