Ask the consumer: an innovative approach to dementia-related adult day service evaluation.

Historically, family caregivers have been considered the "consumers" when evaluating respite programs for persons with dementia offered by adult day service (ADS) centers. The purpose of this article is to describe a unique evaluation of ADS conducted directly with persons with dementia. Seventeen persons who regularly attended the Silver Club, an ADS program associated with the University of Michigan Turner Geriatric Clinic, were interviewed by an independent, trained interviewer using a single group, one-time, cross-sectional administration of a consumer satisfaction survey. Fifteen persons were able to complete the interview successfully. The implication of this evaluation is that when specially designed procedures are used, persons with dementia are capable of contributing usable data to consumer satisfaction surveys. Including the voice of this vulnerable population improves the quality of an agency 's overall evaluation process and supports the basic philosophy of ADS to preserve the self-worth, independence, and dignity of cognitively impaired individuals.