School of Social Work, 14672California State University San Bernardino, San Bernardino, CA, USA.
School of Social Work, 139058Columbia University, New York City, NY, USA.
J Appl Gerontol. 2022 Oct;41(10):2253-2263. doi: 10.1177/07334648221106772. Epub 2022 Jun 2.
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.
成人日间服务（ADS）是美国少数族裔老年人更受欢迎的长期护理选择之一。本研究着眼于少数族裔老年人，旨在：(a) 确定与 ADS 使用相关的个人和结构/组织层面的因素，以及 (b) 检验 ADS 对健康和幸福感的影响。我们采用 Whittemore 和 Knafl 的综合审查方法，找到了 14 项发表于 2010 年至 2021 年之间的研究。研究结果表明，个人层面的需求和促成因素与 ADS 在少数族裔老年人中的使用及其结果相关，这些结果主要集中在生活质量上。ADS 的组织/结构特征从未在实证上与服务使用或健康结果相关联进行检验。未来的研究应超越个人层面，以确定和解决机构结构、文化和实践对获取、质量和使用的影响。
