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Who Benefits from Adult Day Care: Changes in Functional Ability and Mental Functioning during Attendance1

Published online by Cambridge University Press:  29 November 2010

Neena L. Chappell
Neena L. Chappell
Affiliation:
University of Manitoba
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Abstract

This paper examines changes in functional ability and mental functioning among participants (aged 50 and over) of Adult Day Care programs in Manitoba, Canada. It compares those who improve, remain stable, and deteriorate on each of these two dimensions in terms of their condition at time 1, a host of demographic factors, subjective and social factors, characteristics of their participation in the program, and diseases as coded from their medical claims records. In doing so it explores whether or not it is possible to identify who will benefit while in the program. The results provide only a potential answer to the question, but do suggest that the ADC program is performing an important social function which is related to improved functional ability, especially among those living alone and with fewer relatives. For mental health, the findings suggest the program works in conjunction with the existing marital relationship, benefiting most those still married. Research efforts are ongoing.

Résumé

La capacité fonctionnelle et les fonctions mentales d'un groupe de sujets âgés de 50 ans et plus bénéficiant d'un programme de soins du jour pour adultes au Manitoba (Canada) ont été examinés et ont donné lieu à des comparaisons portant sur le taux d'amélioration, de stabilité et de détérioration de ces deux dimensions en fonction des éléments suivants: état des sujets au temps 1, facteurs démographiques, facteurs subjectifs et sociaux, caractéristiques de la participation aux programmes, et maladies (enregistrées au dossier médical). L'investigation avait pour but de determiner la possibilité d'identifier les sujets susceptibles de tirer parti des programmes. Les résultats obtenus ne fournissent pas de réponse définitive, mais ils permettent de croire que le programme joue un rôle important, lié à la capacité fonctionnelle chez les personnes seules ainsi que chez celles qui n'ont que peu de parents. Concernant la santé mentale, les découvertes permettent de penser que le programme agit en collaboration avec la relation conjugate des intéressés, profitant davantage à ceux qui ont encore un conjoint. Les recherches se poursuivent.

Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 2 , Issue 1 , March 1983 , pp. 9 - 26
Copyright
Copyright © Canadian Association on Gerontology 1983

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References

REFERENCES

Auerbach, L. and Gerber, A.Perceptions 2, Implications of the Changing Age Structure of the Canadian Population, Ottawa, Science Council, 1976.Google Scholar
Brody, E.M.Community Housing for the Elderly: The Program, the People, the Decision Making Process, and the Research. The Gerontologist, 1978, 18, 121–128.CrossRefGoogle ScholarPubMed
Chappell, N.L. and Havens, B.Old and Female: Testing the Double Jeopardy Hypothesis. Sociological Quarterly, 1980, 21, 157–171.CrossRefGoogle Scholar
Chappell, N.L. and Penning, MJ. The Trend Away from Institutionalization. Research on Aging, 1979, 1, 361–387.CrossRefGoogle Scholar
Chappell, N.L.Peer and Intergenerational Support Networks among the Elderly, Their Relevance for the Home Care Service Bureaucracy, Final Report submitted to the Social Sciences and Humanities Research Council of Canada, 1982.Google Scholar
Cumming, E. and Henry, W. Growing Old, the Process of Disengagement, New York: Basic Books, 1961.Google Scholar
Dulude, L. Women and Aging: A Report on the Rest of our Lives. Ottawa, Advisory Council on the Status of Women, 1978.Google Scholar
Flathman, D.P. and Larsen, D.E. Evaluation of Three Geriatric Day Hospitals in Alberta. Unpublished report, Division of Community Health Sciences, Faculty of Medicine, University of Calgary, Alberta, 1976.Google Scholar
Heumann, T.F.Planning Assisted Independent Living Programs for the Semi-Independent Elderly. The Gerontologist, 1976, 19, 145–162.Google Scholar
Hurtado, A.V., Greenlick, M.R., McCabe, M. and Saward, E.W.The Utilization and Cost of Home Care and Extended Care Facility Services in a Comprehensive, Prepaid Group Practice Program. Medical Care, 1972, 10, 8–15.CrossRefGoogle Scholar
Kahn, R.L., Goldfarb, A.I., Pollack, M. and Peck, A.Brief Objective Measures for the Determination of Mental Status in the Aged. American Journal of Psychiatry, 1960, 107, 326–328.CrossRefGoogle Scholar
Kahn, K.A., Hines, W., Woodson, A.S. and Burkham-Armstrong, G.A Multidisciplinary Approach to Assessing the Quality of Care in Long-term Care Facilities. The Gerontologist, 1977, 17, 61–65.CrossRefGoogle ScholarPubMed
Kelman, H.R.The Underdevelopment of Evaluative Research on Health Services for the Elderly in the United States. International Journal of Health Services, 1980, 10, 501–511.CrossRefGoogle ScholarPubMed
Lalonde, M.A New Perspective on the Health of Canadians, A Working Document. National Health & Welfare, Ottawa, 1974.Google Scholar
Lopata, H.Z.Widowhood in an American City. Schenkman Publishing Co., Mass., 1973.Google Scholar
Manitoba Health Services Commission, in-house guidelines on Adult Day Care, 1979.Google Scholar
Morris, R. and Harris, E.Home Health Services in Massachusettes, 1971: Their Role in Care of the Long-term Sick. American Journal of Public Health, 1972, 62, 1088–1093.CrossRefGoogle Scholar
Motuz, C.The Manitoba/Canada Home Care Study, An Overview of the Findings, Ottawa, Department of National Health and Welfare, 1982.Google Scholar
Noelker, L. and Harel, Z.Aged Excluded from Home Health Care: An Inter-organizational Solution. The Gerontologist, 1978, 18, 37–41.CrossRefGoogle Scholar
Province of Manitoba, aging in Manitoba (vol. 1), Winnipeg, Manitoba: Department of Health and Social Development, 1973.Google Scholar
Spasoff, R.A., Kraus, A.S., Beattie, E.J., Holden, D.E.W., Lawson, J.S., Rodenburg, M. and Woodcock, G.M.A Longitudinal Study of Elderly Residents of Long-stay Institutions. The Gerontologist, 1978, 18, 282–292.CrossRefGoogle ScholarPubMed
Streib, G.Statement to the Select Committee on Aging.House of Representative, 96th Congress, U.S. Government,Washington,1980.Google Scholar
Weiner, M.B., Brok, A.J. and Snadowsky, A.M.Working with the Aged. N.J.: Prentice-Hall, 1978.Google Scholar
Weissert, W., Wan, T., Livieratos, B. and Kate, S.Effects and Costs of Day Care Services for the Chroncially Ill. Medical Care, 1980, XVIII, 567–584.CrossRefGoogle Scholar