title: The influence of day care centres for people with dementia on family caregivers: an integrative review of the literature.
abstract: OBJECTIVE
  Day care centres (DCC) for people with dementia (PWD) have received increased attention recently, due to a shift in policy from the use of residential care towards home-based services. The aim of this study is to provide an extended understanding of the influence of DCCs on family caregivers (FCs).
  
  
  METHODS
  An integrative review including 19 studies was used: qualitative (n = 2), quantitative non-randomised (n = 8), quantitative descriptive studies (n = 7), and with mixed-method design (n = 2). The quality of the studies was evaluated by the mixed-methods appraisal tool (MMAT).
  
  
  RESULTS
  FC experienced the DCC both as a respite service, and to some extent as a support service, improving their competence in caring for the PWD. The quality of the DCC influenced its use, and the FC's motivation to care for the PWD. FC's gender, role, individual needs, PWD behavioural problems and need for assistance played an important role.
  
  
  CONCLUSIONS
  As a respite and support service, DCCs have the potential to give FCs a feeling of safety and relief, reduce the caregiver's burden, and increase their motivation towards their role as caregivers. These outcomes depend on the quality of treatment, and how the service meets the FC's needs for flexibility, support, information, and responsibility sharing.
authors: a Norwegian National Advisory Unit on Ageing and Health , Vestfold Hospital Trust , Tønsberg , Norway.
authors: Signe
authors: S
authors: Tretteteig
authors: b Faculty of Health Sciences and Social Care , Molde University College , Norway.
authors: Solfrid
authors: S
authors: Vatne
authors: a Norwegian National Advisory Unit on Ageing and Health , Vestfold Hospital Trust , Tønsberg , Norway.|b Faculty of Health Sciences and Social Care , Molde University College , Norway.
authors: Anne Marie Mork
authors: AM
authors: Rokstad
mesh_terms: D000223:Adaptation, Psychological; D000069537:Adult Day Care Centers; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male
keywords: day care centre; dementia; family caregivers; integrative review