scholarly journals Service Use Objectives among Older Adult Day Care Clients with Disability in Japan

2021 ◽  
Vol 11 (3) ◽  
pp. 608-614
Author(s):  
Takashi Naruse ◽  
Noriko Yamamoto-Mitani
Keyword(s):  
Family Support ◽  
Social Participation ◽  
Day Care ◽  
Service Use ◽  
Eating Habits ◽  
Outcome Evaluation ◽  
Adult Day Care ◽  
Term Care ◽  
The Social ◽  
Chi Squared

Quality assurance in long-term care settings requires outcome evaluation reflecting client-specific needs of service use. This study aimed to explore the clients’ needs of adult day care (ADC). Data of 360 clients from 11 ADC agencies in Japan were analyzed. Clients’ needs for ADC use were evaluated by their respective ADC staff using 17 items of four domains: “social participation,” “hygiene and health,” “exercise and eating habits,” and “family support.” The prevalence of four domain needs was calculated and the relationship between physical independency and the presence of needs in the four domains was examined by the chi-squared test. A total of 291 (80.8%) clients had one or more needs while 69 (19.2%) clients had none. The social participation need was most prevalent (270, 75.0%) and 249 clients (69.1%) had combination needs, including social participation, along with another domain. “Feeling like revisiting the ADC” was the most common need (60.6%); it was more frequently needed by those with a higher level of independence (p = 0.003). The study findings suggest that an outcome measure relevant to social participation can be considered as the most common benefits of ADC use. However, ADCs with clients who are more dependent should consider hygiene, nursing, and family support needs.

scholarly journals Measurement Development for Japanese Clients’ Experiences during Adult Day Care Service Use (The J-AdaCa Tool)

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 363
Author(s):  
Takashi Naruse ◽  
Anthony G. Tuckett ◽  
Hiroshige Matsumoto ◽  
Noriko Yamamoto-Mitani
Keyword(s):  
Day Care ◽  
Service Use ◽  
Eating Habits ◽  
Care Service ◽  
Measurement Development ◽  
Measurement Tool ◽  
Adult Day Care ◽  
Structured Interviews ◽  
Term Care ◽  
Care Outcomes

Adult day care (ADC) is among the most common services in the Japanese long-term care context, but information on how such care is offered remains scarce. This study aimed to develop a measurement tool to assess the richness of clients’ experiences regarding their ADC service use. Through a collaboration with ADC administrators and staff, semi-structured interviews were conducted with three ADC clients (in one ADC agency), and a questionnaire survey (17 items about clients’ and their families’ experiences within ADC) was applied to 360 ADC clients (in 11 ADC agencies). Principle component analysis showed four factors regarding experience of ADC use: “Social participation”, “Hygiene and health”, “Exercise and eating habits”, and “Family support”. These positive experiences might be effectively provided if stakeholders refer to clients’ needs during ADC experiences, and their effective provision may relate to better care outcomes.

Friends in Passing: Social Interaction at an Adult Day Care Center

1995 ◽  
Vol 41 (1) ◽  
pp. 63-78 ◽  
Author(s):  
Barbara Williams ◽  
Pamela Roberts
Keyword(s):  
Social Interactions ◽  
Day Care ◽  
Participant Observation ◽  
Sense Of Self ◽  
Care Center ◽  
Cognitively Impaired ◽  
Adult Day Care ◽  
Helping Relationships ◽  
Day Care Center ◽  
The Social

This study explores the social interactions and friendships that exist among cognitively impaired adult day care participants. A five month participant observation of an adult day care center was conducted, involving fifty-three clients ranging in age from sixty-six to ninety-three. Findings indicate that the clients engage in a variety of social interactions and friendships, enabling them to maintain a sense of self as well as to adjust to the norms of the group. Specific areas to be discussed are: general socializing, enduring friendships, helping relationships and client integration. A descriptive approach such as this provides the opportunity to examine the complexity of social interactions, including the positive relationships available to the cognitively impaired elderly.

scholarly journals RELATIONSHIP-CENTERED CARE: ADULT DAY CARE FOR PERSONS LIVING WITH DEMENTIA AND THE SENSES FRAMEWORK

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S72-S73
Author(s):  
Samantha Woog ◽  
Eleanor McConnell ◽  
Deborah Gold ◽  
Kirsten Corazzini
Keyword(s):  
Day Care ◽  
Care Setting ◽  
Long Term Care ◽  
Adult Day Care ◽  
Term Care ◽  
Centered Care ◽  
The Senses ◽  
Residential Long Term Care ◽  
Relationship Centered

Abstract Relationship-centered dementia care (RCDC) has been related to improved quality of residential long-term care for persons living with dementia (PLWD). The senses framework supports accomplishing RCDC, whereby PLWD meet fundamental needs or senses through caregiving relationships. This study explored the application of the senses framework to a non-residential, long-term care setting, and included relationships across formal and informal caregivers. The study design is a qualitative, descriptive study of PLWD (N=3), with matched formal (N=3) and informal (N=3) caregivers in one adult day care setting in North Carolina. Semi-structured individual interviews explored each of the six senses of security, belonging, continuity, purpose, achievement, and significance. Interviews were analyzed using both inductive and deductive thematic analysis. Themes elucidate convergence and divergence of how senses are met or not met across triads of caregiving relationships. Findings inform our understanding of how to integrate the larger social network of PLWD for relationship-centered care.

scholarly journals The Connections of Elderly Characters and Taiwanese Society in Edward Yang’s Movie “Yi Yi” (A One and a Two)

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 101-102
Author(s):  
Sheng-Chin Hsu
Keyword(s):  
Narrative Analysis ◽  
Social Systems ◽  
Family Members ◽  
Age Groups ◽  
Term Care ◽  
Aged People ◽  
Alternative Approach ◽  
The Social ◽  
Narrative Functions ◽  
Low Birthrate

Abstract As an aging society, Taiwanese is facing the low birthrate and low death rate, and many policies and social systems are facing difficulties. According to the social atmosphere, young and senior groups have many conflicts in between. Finding an alternative approach to reveal the social value of aged people becomes an important mission. The Taiwanese’ movie “Yi-Yi”(A one and a two, 2000) is the final masterpiece of Director Edward Yang, and he won the best director in Festival de Cannes. The story is taken place in a traditional Taiwanese wedding party, and there is a grandma who was invited to this party before her pass out. The grandma did not weak up until the end of this story. The director Yang filmed this sick character in the story and he showed the family members were gathering around their grandma. This study adopts the narrative analysis on elders in “Yi Yi”. There are three findings. First, the elder character is speechless but her sickness drives family members coming home. Second, the long term care is a heavy duty for family, but it reflects the preparations of individual physically and emotionally. Third, the meaning of image of elders is not image itself but family solidarity and social connection. The narrative theory and gerontology build a perspective to understand the social values and narrative functions of elderly people in “Yi-Yi”. It shows the conflict between different age groups and enlarges the spectrum of understanding elders in both Taiwanese’ movie and Taiwanese society.

The effectiveness of a combination of Occupational Therapy and Social Skills Training in people with schizophrenia: A rater-blinded randomized controlled trial

2021 ◽  
pp. 030802262110229
Author(s):  
Selma Ercan Doğu ◽  
Hülya Kayıhan ◽  
Ahmet Kokurcan ◽  
Sibel Örsel
Keyword(s):  
Social Skills ◽  
Occupational Therapy ◽  
Social Participation ◽  
Social Skills Training ◽  
Clinical Symptoms ◽  
Training Group ◽  
Skills Training ◽  
Occupational Performance ◽  
The Social ◽  
Skills Training Group

Introduction This study aimed to assess the impact of a holistic combination of Occupational Therapy and Social Skills Training on occupational performance, social participation, and clinical symptoms in people with schizophrenia. Method 60 people with schizophrenia were randomly assigned to two groups. One group received standardized Social Skills Training once a week for a total of 10 sessions, while the other group received a combination of Occupational Therapy and Social Skills Training once a week for a total of 16 sessions. Results A greater increase was determined in the scores of COPM total performance/satisfaction and the Community Integration Questionnaire in the Occupational Therapy and Social Skills Training group. Furthermore, these achievements were sustained in the Occupational Therapy and Social Skills Training group compared to the Social Skills Training group at the 6-month follow-up. Conclusion The clients received the combination of Occupational Therapy and Social Skills Training showed a better improvement compared to the Social Skills Training group in terms of occupational performance, social participation, and severity of clinical symptoms. The use of Occupational Therapy in a holistic approach in psychosocial rehabilitation of people with schizophrenia can increase their functionality and social participation. Further studies are needed to assess long-term effects of Occupational Therapy in schizophrenia.

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