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日本失能老人日间照料中心评估与规划的逻辑模型

A Logic Model for Evaluation and Planning in an Adult Day Care for Disabled Japanese Old People.

机构信息

Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

School of Nursing, Midwifery & Social Work, The University of Queensland, At Lucia, QLD 4072, Australia.

出版信息

Int J Environ Res Public Health. 2020 Mar 20;17(6):2061. doi: 10.3390/ijerph17062061.


DOI:10.3390/ijerph17062061
PMID:32244980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7143420/
Abstract

Adult day care (ADC) provides various services for meeting clients' needs. Based on the mini-Delphi method with 46 ADC staff and the discussions with eight ADC administrators, this study developed and finalized a comprehensive logic model to represent the elements of ADC. For the three basic structures of a logic model-inputs/activities, outputs, and outcomes-the model contained seven core categories and 23 sub-categories. The ADC inputs/activities consisted of two core categories: "Place to stay" and "Intervention from staff". These inputs/activities caused two kinds of outputs: "Clients' experiences" and "Families' experiences". "Accumulating experiences" with repeated ADC visits was established as the link between the ADC outputs and outcomes, which were "Clients' change" and "Families' change". ADC centers provide various experiences for their clients and their caregivers, ranging from the fulfillment of needs for fundamental care to psychiatric care and self-actualization. Improving various model-related inputs/interventions can produce better experiences and outcomes. The model can guide ADC administrators, policymakers, and researchers in the evaluation of a heterogeneous ADC service program that is community-based, thereby ensuring optimal care for clients with an efficient use of resources.

摘要

成人日托(ADC)提供各种服务以满足客户的需求。本研究采用迷你德尔菲法,对 46 名 ADC 工作人员进行调查,并与 8 名 ADC 管理人员进行讨论,制定并最终确定了一个综合逻辑模型,以代表 ADC 的各个要素。对于逻辑模型的三个基本结构——投入/活动、产出和结果——该模型包含了七个核心类别和 23 个子类别。ADC 的投入/活动包括两个核心类别:“停留场所”和“员工干预”。这些投入/活动导致了两种产出:“客户体验”和“家庭体验”。通过重复 ADC 访问积累的“体验”被确立为 ADC 产出和结果之间的联系,即“客户的变化”和“家庭的变化”。ADC 中心为其客户及其护理人员提供各种体验,从满足基本护理需求到精神科护理和自我实现。改善各种与模型相关的投入/干预措施可以产生更好的体验和结果。该模型可以指导 ADC 管理人员、政策制定者和研究人员评估以社区为基础的异质 ADC 服务项目,从而确保为客户提供最佳护理,并有效地利用资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18f2/7143420/c6bdf0ae3164/ijerph-17-02061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18f2/7143420/c6bdf0ae3164/ijerph-17-02061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18f2/7143420/c6bdf0ae3164/ijerph-17-02061-g001.jpg

相似文献

[1]
A Logic Model for Evaluation and Planning in an Adult Day Care for Disabled Japanese Old People.

Int J Environ Res Public Health. 2020-3-20

[2]
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[3]
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[4]
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[5]
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[6]
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BMC Public Health. 2025-5-24

[2]
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[3]
Designing a Midwife-Led Birth Center Program Based on the MAP-IT Model: A Sequential Explanatory Mixed-Methods Study.

Reprod Health. 2024-7-4

[4]
Examining the impact of spatial accessibility to rehabilitation facilities on the degree of disability: A heterogeneity perspective.

SSM Popul Health. 2023-8-9

[5]
Factors Affecting Long-Term Care Preferences in Turkey.

Ann Geriatr Med Res. 2022-12

[6]
Logical model of telenursing program of a high complexity oncology care center.

Rev Esc Enferm USP. 2022

[7]
Experiences of Disabled Older Adults in Tokyo's Adult Day Care Centers during COVID-19-A Case Study.

Int J Environ Res Public Health. 2022-4-28

[8]
Older Adults Used Fewer Home Care Services during the COVID-19 Pandemic: Findings from a Secondary Analysis of an Urgent Survey in Japan.

Ann Geriatr Med Res. 2021-12

[9]
Prevalence and Associated Factors of Malnutrition and Sarcopenia in a Daycare Facility: A Cross-Sectional Study.

Healthcare (Basel). 2020-12-18

[10]
Measurement Development for Japanese Clients' Experiences during Adult Day Care Service Use (The J-AdaCa Tool).

Healthcare (Basel). 2020-9-24

本文引用的文献

[1]
Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived.

Ageing Soc. 2020-1

[2]
Investigating the effect of physical games on the memory and attention of the elderly in adult day-care centers in Babol and Amol.

Clin Interv Aging. 2019-5-10

[3]
Preventing pressure injury in nursing homes: developing a care bundle using the Behaviour Change Wheel.

BMJ Open. 2019-6-3

[4]
Brief telephone counselling is effective for caregivers who do not experience any major life events - caregiver-related outcomes of the German day-care study.

BMC Health Serv Res. 2019-1-9

[5]
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Aging Ment Health. 2018-10-10

[6]
Knitters in a Day Center: The Significance of Social Participation for People With Mild to Moderate Dementia.

Qual Health Res. 2017-8-24

[7]
Adult Day Center Programs and Their Associated Outcomes on Clients, Caregivers, and the Health System: A Scoping Review.

Gerontologist. 2017-11-10

[8]
Effectiveness of a community-based program for suicide prevention among elders with early-stage dementia: A controlled observational study.

Geriatr Nurs. 2017

[9]
An Evidence-Based Cue-Selection Guide and Logic Model to Improve Pressure Ulcer Prevention in Long-term Care.

J Nurs Care Qual. 2016

[10]
Clinical correlates of difficult-to-treat depression: Exploring an integrated day-care model of treatment.

Nord J Psychiatry. 2016

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