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Enhancing quality of life of families who use adult day services: Short- and long-term effects of the adult day services plus program
Journal article   Open access   Peer reviewed

Enhancing quality of life of families who use adult day services: Short- and long-term effects of the adult day services plus program

Laura N Gitlin, Karen Reever, Marie P Dennis, Esther Mathieu and Walter W Hauck
The Gerontologist, v 46(5), pp 630-639
Oct 2006
DOI: https://doi.org/10.1093/geront/46.5.630
PMID: 17050754
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/geront/46.5.630View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze),  Open

Abstract

Adult Aged, 80 and over Caregivers - psychology Cost of Illness Day Care, Medical - methods Female Humans Male Middle Aged Patient Care Management Quality of Life Time
This study examined the short- and long-term effects of Adult Day Services Plus (ADS Plus), a low-cost care management intervention designed to enhance family caregiver well-being, increase service utilization, and decrease nursing home placement of impaired older adults enrolled in adult day care. We used a quasi-experimental design, to recruit 129 caregivers from three adult day centers. Two centers offered adult day services and ADS Plus (n = 67); the third center (n = 62) offered only routine adult day services. ADS Plus involved a staff social worker who provided care management and support to family caregivers through face-to-face and telephone contact. Education, counseling, and referral services were offered for 12 months. At 3-month follow-up, ADS Plus participants (n = 106) reported less depression (p =.016), improved confidence managing behaviors (p =.013) and enhanced well-being (p = .001) compared with controls. Long-term effects analyses (n = 69) showed that, compared with controls, ADS Plus participants continued to report less depression (p = .005) and enhanced confidence managing behaviors (p = .007). Also, intervention participants used adult day services on average 37 days more than controls (p = .003) and had fewer nursing home placements (n = 8) than controls (n = 17). ADS Plus is cost efficient and is easy to implement within adult day centers. It affords important clinical and public health benefits, including enhanced caregiver well-being, greater adult day service use, and fewer nursing home placements.

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93 citations in Web of Science
106 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Web of Science research areas
Gerontology
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