title: The impact of adult day programs on family caregivers of elderly relatives.
abstract: Adult day programs for elderly people have been implemented throughout North America but not widely evaluated for their impact on family caregivers. This study examined caregiver outcomes at 14 programs in Alberta, Canada. Caregivers were measured on burden, quality of life, perceived health, opinion on institutionalization at 4 time points (just prior to client admission, 2 weeks, 2 months, and 6 months after admission), and satisfaction with the program at 3 points after client admission. Caregiver status on burden, quality of life, and perceived health status remained stable over time. In addition, caregivers' opinion on institutionalization remained negative and satisfaction with the programs high. Caregivers reported that client socializing and improved health were what they liked best about the programs, followed by respite for themselves. Time conflicts-limits and transportation were identified as problems. The results suggest that adult day programs may help caregivers to continue in their caregiving role and to keep clients in the community longer.
authors.affiliation: Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada. sharon.warren@ualberta.ca
authors.forename: Sharon
authors.initials: S
authors.lastname: Warren
authors.forename: Janet Ross
authors.initials: JR
authors.lastname: Kerr
authors.forename: Donna
authors.initials: D
authors.lastname: Smith
authors.forename: Corinne
authors.initials: C
authors.lastname: Schalm
mesh_terms: D000328:Adult; D000368:Aged; D000416:Alberta; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003631:Day Care, Medical / Q000592:standards*; D005190:Family / Q000523:psychology*; D005260:Female; D006302:Health Services Research; D006304:Health Status; D006801:Humans; D007326:Institutionalization; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011788:Quality of Life; D012144:Respite Care / Q000592:standards*; D011795:Surveys and Questionnaires; D013997:Time Factors; D014187:Transportation of Patients