Dallah Namar Hospital, Riyadh, Saudi Arabia.
King Khalid Hospital, Tabuk, Saudi Arabia.
J Cross Cult Gerontol. 2024 Dec;39(4):415-434. doi: 10.1007/s10823-024-09518-5. Epub 2024 Oct 5.
Adult daycare centers (ADCs) enable older adults to socialize and enjoy planned group activities while receiving healthcare services. These centers also assist caregivers by empowering them to remain in the workforce. This study aims to explore the challenges in establishing ADCs in Saudi Arabia (SA) from the perspectives of healthcare professionals, healthcare policymakers, older adults, and caregivers. Additionally, this study's objective is to identify the barriers, facilitators, and applicability of ADCs in SA. A qualitative study was conducted using semi-structured individual interviews. Inductive and deductive thematic analyses were employed to identify common themes regarding the barriers and facilitators to the applicability of ADCs in SA. Five researchers independently examined the transcripts using inductive analysis. Deductive analysis mapped the themes to Campinha-Bacote's cultural competence model. Data were collected from 46 participants, including caregivers, older adults, healthcare professionals, and healthcare policymakers. The findings highlight that the main facilitators to establishing ADCs in SA are the expected positive impact on the psychological and physical well-being of older adults and their caregivers. Conversely, cost and transportation, in addition to cultural considerations are possible barriers. This study identified the perceived benefits of ADCs for older adults and caregivers from a Saudi societal perspective. Thematic analysis showed that ADC's applicability in SA is possible, with some modifications to fit within the Saudi context. Additional efforts are necessary to promote the concepts and services that ADCs provide for older adults and to encourage support for these centers by non-profit organizations and the government.
成人日托中心（ADCs）使老年人能够在接受医疗保健服务的同时进行社交和享受有计划的团体活动。这些中心还通过授权护理人员继续工作来帮助护理人员。本研究旨在从医疗保健专业人员、医疗保健政策制定者、老年人和护理人员的角度探讨在沙特阿拉伯 (SA) 建立 ADC 的挑战。此外，本研究的目的是确定 ADC 在 SA 的障碍、促进因素和适用性。本研究采用半结构式个人访谈进行定性研究。采用归纳和演绎主题分析来确定与 ADC 在 SA 的适用性的障碍和促进因素有关的常见主题。五名研究人员使用归纳分析独立检查了转录本。演绎分析将主题映射到 Campinha-Bacote 的文化能力模型上。数据来自 46 名参与者，包括护理人员、老年人、医疗保健专业人员和医疗保健政策制定者。研究结果表明，在 SA 建立 ADC 的主要促进因素是预期对老年人及其护理人员的心理和身体健康产生积极影响。相反，成本和交通，以及文化因素可能是障碍。本研究从沙特社会角度确定了 ADC 对老年人和护理人员的感知益处。主题分析表明，ADC 在 SA 的适用性是可行的，只需进行一些修改以适应沙特的背景。需要进一步努力来宣传 ADC 为老年人提供的概念和服务，并鼓励非营利组织和政府支持这些中心。
