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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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