The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admissions, and Days in Hospital: A Propensity-Matching Study

Kelly, Ronald

doi:10.1093/geront/gnv145

Cited by 10 publications

(10 citation statements)

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“…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).…”

Section: Resultsmentioning

confidence: 99%

“…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).…”

Section: Resultsmentioning

confidence: 99%

“…Substantial annual cost savings were estimated as a result of lower use of health services following psycho-social group work (Pitkala et al , 2009), while monitoring of blood pressure at day centres was thought to have the potential to reduce cardiovascular disease and associated costs (Resnick et al , 2012). Whereas one study found that attendance alone made no impact on use of hospital and specialist health services (Iecovich and Biderman, 2013 c ), another found that attenders spent significantly fewer days in hospital than non-attenders and had significantly shorter hospital stays, possibly due to regular contact with centres’ health-care professionals (Kelly, 2017). One may infer from the above studies that interventions in day centres may be best placed to impact on primary care services.…”

Section: Mapping Outcomes Of Attendance and Interventions Against Daymentioning

confidence: 99%

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

2018

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With a policy shift towards personalisation of adult social care in England, much attention has focused on individualised support for older people with care needs. This article reports the findings of a scoping review of United Kingdom (UK) and non-UK literature, published in English from 2005-2017, about day centres for older people without dementia and highlights the gaps in evidence. This review, undertaken to inform new empirical research, covered the perceptions, benefits and purposes of day centres. Searches, undertaken in October/November 2014 and updated in August 2017, of electronic databases, libraries, websites, research repositories and journals, identified seventy-seven relevant papers, mostly non-UK. Day centres were found to play a variety of roles for individuals and in care systems. The largest body of evidence concerned social and preventive outcomes. Centre attendance and participation in interventions within them impacted positively on older people’s mental health, social contacts, physical function and quality of life. Evidence about outcomes is mainly non-UK. Day centres for older people without dementia are under-researched generally, particularly in the UK. In addition to not being studied as whole services, there are considerable evidence gaps about how day centres are perceived, their outcomes, what they offer, to whom and their wider stakeholders, including family carers, volunteers, staff and professionals who are funding, recommending or referring older people to them.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Mapping Outcomes Of Attendance and Interventions Against Daymentioning

confidence: 99%

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

2018

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“…More recent studies have found emerging evidence that ADS utilization may actually delay nursing home placement, particularly, when the caregiver is an adult child and when ADS is used in appropriate doses (Fields et al, 2014; Kelly, Puurveen, & Gill, 2016). The most promising research with regard to health care utilization has indicated that ADS use may result in lower rates of hospitalization, fewer emergency department visits, and fewer days spent in the hospital when comparing ADS users and nonusers (Kelly, 2017).…”

Section: Outcomes and Impact Of Adsmentioning

confidence: 99%

Developing a Set of Uniform Outcome Measures for Adult Day Services

Anderson

Geboy²,

Jarrott

et al. 2018

J Appl Gerontol

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Adult day services (ADS) provide care to adults with physical, functional, and/or cognitive limitations in nonresidential, congregate, community-based settings. ADS programs have emerged as a growing and affordable approach within the home and community-based services sector. Although promising, the growth of ADS has been hampered by a lack of uniform outcome measures and data collection protocols. In this article, the authors detail a recent effort by leading researchers and practitioners in ADS to develop a set of uniform outcome measures. Based upon three recent efforts to develop outcome measures, selection criteria were established and an iterative process was conducted to debate the merits of outcome measures across three domains-participant well-being, caregiver well-being, and health care utilization. The authors conclude by proposing a uniform set of outcome measures to (a) standardize data collection, (b) aid in the development of programming, and

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“…This causes difficulty in understanding what works, for whom and in what circumstances within the day care setting [ 19 ]. A study by Kelly [ 20 ▪▪ ] investigated the effect of day programme attendance by older people living at home on numbers and rates of emergency room admissions, hospital admissions and days in hospital. This large study matched older people attending an adult day programme with a nonattendee on the basis of similar propensity scores from clinical, psychosocial and functional co-variates.…”

Section: Outcomes Of Attending a Day Care Facilitymentioning

confidence: 99%

The role of day care in supporting older people living with long-term conditions

Lunt¹,

Dowrick²,

Lloyd‐Williams³

2018

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewFor older people with long-term conditions, regular structured activities within a community setting meeting others are thought to improve well being and quality of life. Historically local authority-run day care centres were widely available, but austerity measures have meant that in many areas, such provision has been markedly reduced and different models of day care services are being developed. There is little known about outcomes of day care provision for older people with long-term conditions.Recent findingsThis review has critically examined the recent evidence on outcomes of day care provision for older people with long-term conditions and will focus on three areas – physical functioning, intergenerational provision and measurement of outcomes. In terms of interventions to improve physical functioning for older people with long-term conditions attending day care, there are few studies and it is difficult to generalize but there appears to be a trend for positive impact on physical functioning when activities are incorporated into a day care programme. There is a paucity of research on intergenerational provision, however, the small number of studies suggest positive benefits. Studies measuring outcomes for older people with long-term conditions attending day care services are very limited in terms of outcome data with the exception of a Canadian study, which suggested that attendance at day care could reduce hospital attendance and admissions.SummaryThis review reveals a lack of research of day care provision for older people with long-term conditions. There is a suggestion in the small number of articles included in this review that there can be benefits both in terms of global outcomes of attendance and in improved physical functioning; there is limited evidence of the value of intergenerational provision. Robust research with collection of meaningful outcomes is required to ensure that the increasing number of older people with long-term conditions are enabled to access high-quality day care provision.

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The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admissions, and Days in Hospital: A Propensity-Matching Study

Abstract: Findings replicate and extend results from previous research that reported a decreased reliance on costly health care services by seniors who attend adult day programs.

Cited by 10 publications

References 32 publications

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

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

Developing a Set of Uniform Outcome Measures for Adult Day Services

The role of day care in supporting older people living with long-term conditions

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