Adult Day Service Use Among Minority Older Adults: Facilitators,Barriers,and Outcomes From an Updated Integrative Literature Review Between 2010 to 2021

Abstract

Adult day services (ADS) are one of the more popular long-term care options for racial and ethnic minority older Americans. Focusing on minority older adults, this study aims to (a) identify both the individual and structural/organizational levels factors associated with ADS use and to (b) examine ADS’ effect on health and well-being. Using the integrative review approach of Whittemore and Knafl, we found 14 studies published between 2010 to 2021. Findings concluded that individual-level needs and enabling factors were associated with ADS use and outcomes among minority older adults centered mostly on quality of life. Organizational/structural characteristics of ADS were never empirically examined in relation to service use or health outcomes. Future research should move beyond the individual level to identify and address the impact of the institutional structure, culture and practice on access, quality, and use.

Keywords

adult day care minority health outcomes long-term services and supports

Get full access to this article

View all access options for this article.

References

Adepoju

O. E.

Chae

Woodard

Smith

K. L.

Herrera

Han

Howard

D. L.

Dobbins

Ory

(2021). Correlates of social isolation among community-dwelling older adults during the COVID-19 pandemic. Frontiers in Public Health, 9, 702965. https://doi.org/10.3389/fpubh.2021.702965

Administration of Community Living . (2020). 2019 profile of older Americans. https://acl.gov/sites/default/files/Aging%20and%20Disability%20in%20America/2019ProfileOlderAmericans508.pdf

Andersen

R. M.

(1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10. https://doi.org/10.2307/2137284

Anderson

K. A.

Dabelko-Schoeny

Johnson

T. D.

(2013). The state of adult day services: Findings and implications from the MetLife National study of adult day services. Journal of Applied Gerontology, 32(6), 729–748. https://doi.org/10.1177/0733464812447284

Brown

E. L.

Friedemann

M.-L.

Mauro

A. C.

(2014). Use of adult day care service centers in an ethnically diverse sample of older adults. Journal of Applied Gerontology, 33(2), 189–206. https://doi.org/10.1177/0733464812460431

Caffrey

Lendon

J. P.

(2019). Service provision, hospitalizations, and chronic conditions in adult day services centers: Findings from the 2016 National study of long-term care providers. National Health Statistics Reports, 124, 1–9. https://www.ncbi.nlm.nih.gov/pubmed/31112122

Dabelko-Schoeny

King

(2010). In their own words: Participants’ perceptions of the impact of adult day services. Journal of Gerontological Social Work, 53(2), 176–192. https://doi.org/10.1080/01634370903475936

Dubus

(2017). A qualitative study of older adults and staff at an adult day center in a Cambodian community in the United States. Journal of Applied Gerontology, 36(6), 733–750. https://doi.org/10.1177/0733464815586060

Ellen

M. E.

Demaio

Lange

Wilson

M. G.

(2017). Adult day center programs and their associated outcomes on clients, caregivers, and the health system: A scoping review. Gerontologist, 57(6), e85–e94. https://doi.org/10.1093/geront/gnw165

10.

Fields

N. L.

Anderson

K. A.

Dabelko-Schoeny

(2014). The effectiveness of adult day services for older adults: A review of the literature from 2000 to 2011. Journal of Applied Gerontology, 33(2), 130–163. https://doi.org/10.1177/0733464812443308

11.

Gaugler

J. E.

Marx

Dabelko-Schoeny

Parker

Anderson

K. A.

Albers

Gitlin

L. N.

(2021). COVID-19 and the need for adult day services. Journal of the American Medical Directors Association, 22(7), 1333–1337. https://doi.org/10.1016/j.jamda.2021.04.025

12.

Gaugler

J. E.

Zarit

S. H.

(2001). The effectiveness of adult day services for disabled older people. Journal of Aging & Social Policy, 12(2), 23–47. https://doi.org/10.1300/J031v12n02_03

13.

Kim

B. J.

(2014). Mediating effect of adult day health care (ADHC) and family network on quality of life among low-income older Korean immigrants. Research on Aging, 36(3), 343–363. https://doi.org/10.1177/0164027513491971

14.

Kuo

Torres-Gil

F. M.

(2001). Factors affecting utilization of health services and home-and community-based care programs by older Taiwanese in the United States. Research on Aging, 23(1), 14–36. https://doi.org/10.1177/0164027501231002

15.

Lendon

J. P.

Rome

Sengupta

(2021). Variations between adult day services centers in the United States by the racial and ethnic case-mix of center participants. Journal of Applied Gerontology, 40(9), 1029–1038. https://doi.org/10.1177/0733464820934996

16.

Liou

C.-L.

Dellmann-Jenkins

(2020). Exploring the organizational culture in adult day services (ADS) and its effect on healthcare delivery in Taiwan. Current Gerontology and Geriatrics Research, 2020, 4934983. https://doi.org/10.1155/2020/4934983

17.

Mock

Goebelbecker

Pomerantz

DeGennaro

Perweiler

(2021). Examining the Impact of COVID-19 on loneliness and social isolation among affordable housing residents. Innovation in Aging, 5(Suppl 1), 1011–1011. https://doi.org/10.1093/geroni/igab046.3596

18.

Parker

(2021-2025). Impact of adult day services on psychosocial and physiological measures of stress among African American dementia family caregivers [grant].

19.

Parker

L. J.

Gaugler

J. E.

Samus

Gitlin

L. N.

(2019). Adult day service use decreases likelihood of a missed physician’s appointment among dementia caregivers. Journal of the American Geriatrics Society, 67(7), 1467–1471. https://doi.org/10.1111/jgs.15995

20.

Parker

L. J.

Gitlin

L. N.

(2021). Does adult day service use improve well-being of black caregivers of people living with dementia? Innovation in Aging, 5(4), igab037. https://doi.org/10.1093/geroni/igab037

21.

Penn Lendon

Singh

(2021). Adult day services center participant characteristics: United States, 2018. NCHS Data Brief, 411, 1-8. http://doi.org/10.15620/cdc:106697

22.

Rome

Lendon

J. P.

Harris-Kojetin

(2020). Differences in characteristics of adult day services centers, by level of medical service provision. CDC.

23.

Sadarangani

(2020-2022). Bridging communication gaps between primary care providers and adult day service centers to reduce emergency department use and hospitalizations among persons with dementia [Grant]. NYU.

24.

Sadarangani

Chong

Park

Missaelides

Johnson

Trinh-Shevrin

Brody

(2021a). A qualitative analysis of the delivery of person-centered nutrition to Asian Americans with dementia in the adult day health care setting. Journal of Applied Gerontology, 40(2), 179–188. https://doi.org/10.1177/0733464820910030

25.

Sadarangani

Zhong

Vora

Missaelides

(2021b). “Advocating every single day” so as not to be forgotten: Factors supporting resiliency in adult day service centers amidst COVID-19-related closures. Journal of Gerontological Social Work, 64(3), 291–302. https://doi.org/10.1080/01634372.2021.1879339

26.

Sadarangani

T. R.

Murali

K. P.

(2018). Service use, participation, experiences, and outcomes among older adult immigrants in American adult day service centers: An integrative review of the literature. Research in Gerontological Nursing, 11(6), 317–328. https://doi.org/10.3928/19404921-20180629-01

27.

Schmitt

E. M.

Sands

L. P.

Weiss

Dowling

Covinsky

(2010). Adult day health center participation and health-related quality of life. The Gerontologist, 50(4), 531–540. https://doi.org/10.1093/geront/gnp172

28.

Silverstein

N. M.

Wong

C. M.

Brueck

K. E.

(2010). Adult day health care for participants with Alzheimer’s disease. American Journal of Alzheimer’s Disease & Other Dementias®, 25(3), 276–283. https://doi.org/10.1177/1533317510361237

29.

Tong

Walsh

C. A.

Bouchard

Lai

D. W.

(2020). Social inclusion and immigrant older adults. In Handbook of social inclusion: Research and practices in health and social sciences (pp. 1–22). Springer International Publishing. https://doi.org/10.1007/978-3-030-48277-0_40-1

30.

Whittemore

Knafl

(2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52, 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x.

31.

Wolinsky

F. D.

Johnson

R. J.

(1991). The use of health services by older adults. Journal of Gerontology, 46(6), S345–S357. https://doi.org/10.1093/geronj/46.6.s345

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.16 MB