University of Minnesota School of Public Health, Minneapolis, MN, USA.
Center for Healthy Aging and Innovation at the University of Minnesota, Minneapolis, MN, USA.
J Alzheimers Dis. 2024;98(2):445-463. doi: 10.3233/JAD-230787.
Adult day services (ADS) are an important and often underutilized support resource for older adults. For persons living with dementia (PLWD), ADS is an optimal access point to not only receive therapeutic and rehabilitative activities, but as a vehicle for respite/relief for dementia caregivers. Yet, there is currently a lack of research on integrating caregiver interventions into home and community-based services such as ADS.
This paper reports on qualitative findings from the Improving Outcomes for Family Caregivers of Older Adults with Complex Conditions: The Adult Day Plus (ADS Plus) Program Trial.
Drawing from semi-structured interviews conducted with family caregivers and ADS site staff, we conducted a thematic analysis to examine the implementation process of ADS Plus.
Themes address the relational nature of the intervention, learning, influence of the administrative infrastructure, and receptivity of ADS Plus.
Our analysis determined that implementation of ADS Plus was feasible and accepted by site staff and dementia caregivers but also calls for additional evaluation of embedded caregiver support interventions across different contexts (e.g., staff size, limited technology environments) to further identify and test implementation mechanisms across settings.
成人日间服务（ADS）是为老年人提供的一项重要且经常未被充分利用的支持资源。对于患有痴呆症的人（PLWD）来说，ADS 不仅是接受治疗和康复活动的最佳切入点，也是痴呆症护理人员缓解压力的一种方式。然而，目前将护理人员干预措施融入家庭和社区为基础的服务（如 ADS）的研究还很缺乏。
本文报告了改善复杂疾病老年家庭成员护理人员结果：成人日间加强（ADS Plus）计划试验的定性研究结果。
我们从与家庭护理人员和 ADS 站点工作人员进行的半结构化访谈中，进行了主题分析，以检查 ADS Plus 的实施过程。
主题涉及干预措施的关系性质、学习、行政基础设施的影响以及对 ADS Plus 的接受程度。
我们的分析确定了 ADS Plus 的实施是可行的，得到了工作人员和痴呆症护理人员的认可，但也需要对不同环境（例如，员工规模、有限的技术环境）中的嵌入式护理人员支持干预措施进行进一步评估，以进一步确定和测试不同环境中的实施机制。
