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

Purpose of the Study: Adult day centers (ADCs) offer a heterogeneous group of services that provide for the daily living, care, nutritional, and social needs of older adults. We sought to conceptually map and identify key gaps and findings from literature focused on ADCs, including the types of programs that exist and their associated outcomes on improving health and strengthening health systems. Design and Methods: We conducted a scoping review by searching 5 databases for studies evaluating the outcomes of ADCs specifically for community-dwelling older adults. Included studies were conceptually mapped according to the methods used, type of outcome(s) assessed, study population, disease focus, service focus, and health system considerations. The mapping was used to derive descriptive analyses to profile the available literature in the area. Results: ADC use has positive health-related, social, psychological, and behavioral outcomes for care recipients and caregivers. There is a substantial amount of literature available on some ADC use outcomes, such as health-related, satisfaction-related and psychological and behavioral outcomes, while less research exists on issues of accessibility and cost-effectiveness. Implications: As the population ages, policymakers must carefully consider how ADCs can best serve each user and their caregivers with their unique circumstances. ADCs have the potential to help shape health system interventions, especially those targeting caregivers and people requiring long-term care support. Due to the variation among types of ADC programs, future research on ADCs should consider different characteristics of ADC programs to better contextualize their results.

Lessons Learned from an LGBTQ Senior Center: A Bronx Tale.

This article describes an interdisciplinary pilot study exploring the impact of LGBTQ senior centers on the lives of center members. Many LGBTQ adults face the future having experienced stigma and bias, restricted rights, and rejection from family of origin, and are now growing older without the support of a partner and adult children. As a result, older LGBTQ adults experience higher rates of depression, loneliness and isolation, and shortened life expectancy as compared to non-LGBTQ peers. Findings from focus group and key informant interviews highlight features of LGBTQ senior center experiences that can significantly improve members' quality of life. These include providing family, acceptance and a home, which can have an impact on outlook and outcomes. Moreover, findings suggest the need for re-thinking hetero-normative definitions of "community" in the context of LGBTQ aging. Beyond sharing findings from the study, suggesting a conceptual framework for deepening understanding about LGBTQ aging, and identifying lines of future inquiry, the article articulates implications for social work research, practice and education. Ultimately, the article argues that social work is well positioned to improve quality of life for this under-served population when it adopts a cultural humility stance in research, practice and education.

Talleres sobre problemas de salud prevalentes con personas integradas en grupos de trabajo en centros de mayores / Workshops on prevalent health issues with people involved in working groups in centres for the elderly

Objetivo: Evaluar cambios en conocimientos de personas mayores que participan en talleres sobre temas de salud. Diseño del estudio: Estudio “antes-después”. Emplazamiento: Comunitario. Participantes: Personas integradas en grupos de trabajo en dos centros de mayores. Intervención: Se programaron intervenciones educativas sobre gripe, osteoporosis y riesgo cardiovascular (RCV). Previo consentimiento informado, los participantes contestaron un cuestionario de conocimientos, datos sociodemográficos y estado general de salud. A continuación se exponía el tema por uno de los miembros del grupo investigador. Se terminaba con un cuestionario postest. Mediciones principales: Variables sociodemográficas, de conocimientos sobre los temas tratados y estado general de salud. Resultados: En el taller sobre gripe participaron 24 personas. Antes del taller 45,8 % conocían los síntomas, 25 % decía que conocía la prevención; después el 58,3 % (NS) y el 70,8 % (p=0,001), respectivamente. En el de osteoporosis participaron 37. Antes del taller, 59,5 % decía conocer algo sobre osteoporosis, y 89,2 % sabían que afecta a los huesos. Conocían la importancia de consumir lácteos 75,7 %. Tras el taller se planteaban cambios: alimentación (13,5 %), ejercicio (18,9 %), visitas a su médico (27 %), varios aspectos (13,5 %). En el de RCV participaron 19. Antes del taller, 57,9 % había oído sobre factores de RCV, aunque 84,2 % no sabía nombrarlos. Tras el taller se redujo en un 50 % las personas que no sabían dar el nombre de algún factor de RCV (p=0,021). Conclusiones: Los conocimientos de las personas participantes en los talleres mejoraban después de los mismos, para los diferentes temas tratados (AU)

Objective: To evaluate changes in knowledge of elderly people who take part in workshops on health issues. Study Design: Before and after study. Participants: People involved in working groups in two centres for the elderly. Procedure: Educational interventions about influenza, osteoporosis, and cardiovascular risk were programmed. Subject to prior informed consent, the participants answered a questionnaire about previous knowledge, sociodemographic data, and overall health. Then, one of the members of the research group explained a subject. To conclude, a post-test questionnaire was completed. Main measurements: Variables related to sociodemographic features, knowledge of the topics discussed, and overall health. Results: 24 people took part in the workshop on influenza. Before the workshop, 45,8% knew the symptoms, 25% said they knew about its prevention. After the workshop, 58,3% (NS) and 70,8% (p=0,001), respectively. Conclusions: People participating in the workshops improved their knowledge of the topics Discussed (AU)

Nuevas alternativas de la rehabilitación de las personas mayores: programas de rehabilitación psicofuncional en Centros de Día GERISER / No disponible

No disponible