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Use of Home-Based Formal Services by Adult Day Care Clients with Alzheimer's Disease
Journal article   Open access   Peer reviewed

Use of Home-Based Formal Services by Adult Day Care Clients with Alzheimer's Disease

Kimberly A. Skarupski, Judith J. McCann, Julia L. Bienias, Fredric D. Wolinsky, Neelum T. Aggarwal and Denis A. Evans
Home health care services quarterly, Vol.27(3), pp.217-239
09/10/2008
DOI: 10.1080/01621420802320009
PMCID: PMC2745645
PMID: 19042238
url
https://www.ncbi.nlm.nih.gov/pmc/articles/2745645View
Open Access

Abstract

OBJECTIVES: To explore the association between adult day care (ADC) attendance and utilization of home-based formal services among people with Alzheimer's Disease (AD). METHODS: Data for this secondary analysis came from a longitudinal parent study of 457 subjects from 16 ADC programs and an Alzheimer's diagnostic center in metropolitan Chicago. We used the method of Generalized Estimating Equations to model the use of home-based formal services over time. RESULTS: Adjusting for relevant covariates, more days of ADC use at each follow-up was associated with decreased use of home-based formal services (coefficient = −.25, p < .0001). Older, unmarried caregivers who are children of the care recipients had lower use of home-based services. DISCUSSION: Results suggest that ADC services may substitute for specific types of home-based formal services. The projected increase in AD prevalence over the next several decades warrants a clearer understanding of how people with AD use formal services.
 Adult day services dementia home- and community-based services long-term care longitudinal study

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