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; Denis A. Evans

doi:10.1080/01621420802320009

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, Denis A. Evans

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

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.

Original language	English (US)
Pages (from-to)	217-239
Number of pages	23
Journal	Home health care services quarterly
Volume	27
Issue number	3
DOIs	https://doi.org/10.1080/01621420802320009
State	Published - 2008
Externally published	Yes

Keywords

Adult day services
Dementia
Home- and community-based services
Long-term care
Longitudinal study

ASJC Scopus subject areas

Health Policy
Community and Home Care
Public Health, Environmental and Occupational Health

Access to Document

10.1080/01621420802320009

Cite this

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title = "Use of home-based formal services by adult day care clients with Alzheimer's Disease",

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.",

keywords = "Adult day services, Dementia, Home- and community-based services, Long-term care, Longitudinal study",

author = "Skarupski, {Kimberly A.} and McCann, {Judith J.} and Bienias, {Julia L.} and Wolinsky, {Fredric D.} and Aggarwal, {Neelum T.} and Evans, {Denis A.}",

note = "Funding Information: This research was supported by grants from the National Institutes of Health, National Institute on Aging (NIH/NIA: R011–AG10315 and R011–AG09966). The authors thank the adult day care staff, the care recipients, and their caregivers for their time and dedication to this project. We also thank Ms. Melinda Scheuer and her staff of research assistants for data collection activities, Mr. George Dombrowski and his staff for data management, and Ms. Woojeong Bang, Mr. Todd Beck, Ms. Linyun Zhou, and Ms. Liping Gu for analytic programming and analyses. We also thank Dr. Tricia J. Johnson, Director, Center for Health Management & Policy Research and Economist in the Department of Health Systems Management at Rush University Medical Center, for her helpful review of the manuscript. We would also like to acknowledge the contribution of Dr. David W. Gilley to the original conceptualization of the parent study.",

year = "2008",

doi = "10.1080/01621420802320009",

language = "English (US)",

volume = "27",

pages = "217--239",

journal = "Home health care services quarterly",

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T1 - Use of home-based formal services by adult day care clients with Alzheimer's Disease

AU - Skarupski, Kimberly A.

AU - McCann, Judith J.

AU - Bienias, Julia L.

AU - Wolinsky, Fredric D.

AU - Aggarwal, Neelum T.

AU - Evans, Denis A.

N1 - Funding Information: This research was supported by grants from the National Institutes of Health, National Institute on Aging (NIH/NIA: R011–AG10315 and R011–AG09966). The authors thank the adult day care staff, the care recipients, and their caregivers for their time and dedication to this project. We also thank Ms. Melinda Scheuer and her staff of research assistants for data collection activities, Mr. George Dombrowski and his staff for data management, and Ms. Woojeong Bang, Mr. Todd Beck, Ms. Linyun Zhou, and Ms. Liping Gu for analytic programming and analyses. We also thank Dr. Tricia J. Johnson, Director, Center for Health Management & Policy Research and Economist in the Department of Health Systems Management at Rush University Medical Center, for her helpful review of the manuscript. We would also like to acknowledge the contribution of Dr. David W. Gilley to the original conceptualization of the parent study.

PY - 2008

Y1 - 2008

N2 - 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.

AB - 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.

KW - Adult day services

KW - Dementia

KW - Home- and community-based services

KW - Long-term care

KW - Longitudinal study

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Use of home-based formal services by adult day care clients with Alzheimer's Disease

Abstract

Keywords

ASJC Scopus subject areas

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