title: Is socially integrated community day care for people with dementia associated with higher user satisfaction and a higher job satisfaction of staff compared to nursing home-based day care?
abstract: To investigate whether community-based (CO) day care with carer support according to the proven effective Meeting Centres Support Programme model is associated with higher satisfaction of people with dementia (PwD) and their informal caregivers (CG) and with a higher job satisfaction among care staff compared to traditional nursing home-based (NH) day care.
  
  
  
  Data were collected in 11 NH day care centres and 11 CO day care centres. User satisfaction of PwD and CG was evaluated in the 11 NH day care centres (nPwD= 41, nCG= 39) and 11 CO day care centres (nPwD= 28, nCG= 36) with a survey after six months of participation. Job satisfaction was measured only in the six NH day care centres that recently transformed to CO day care, with two standard questionnaires before (nSTAFF= 35), and six months after the transition (nSTAFF= 35).
  
  
  
  PwD were more positive about the communication and listening skills of staff and the atmosphere and activities at the CO day care centre. Also, CG valued the communication with, and expertise of, staff in CO day care higher, and were more satisfied with the received emotional, social and practical support. After the transition, satisfaction of staff with the work pace increased, but satisfaction with learning opportunities decreased.
  
  
  
  PwD and CG were more satisfied about the communication with the staff and the received support in CO day care than in NH day care. Overall job satisfaction was not higher, except satisfaction about work pace.
authors.affiliation: a Department of Psychiatry , VU University Medical Centre, EMGO Institute for Health and Care Research , Amsterdam , The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Marijke van Haeften-van Dijk
authors.affiliation: a Department of Psychiatry , VU University Medical Centre, EMGO Institute for Health and Care Research , Amsterdam , The Netherlands.
authors.forename: Bart J J
authors.initials: BJJ
authors.lastname: Hattink
authors.affiliation: a Department of Psychiatry , VU University Medical Centre, EMGO Institute for Health and Care Research , Amsterdam , The Netherlands.
authors.forename: Franka J M
authors.initials: FJM
authors.lastname: Meiland
authors.affiliation: b Expertise Centre of Healthcare Innovation , Institute of Healthcare, Rotterdam University of Applied Sciences and Expertise Centre of Frail Elderly, Stichting Wetenschap Balans , Rotterdam , The Netherlands.
authors.forename: Ton J E M
authors.initials: TJEM
authors.lastname: Bakker
authors.affiliation: a Department of Psychiatry , VU University Medical Centre, EMGO Institute for Health and Care Research , Amsterdam , The Netherlands.
authors.forename: Rose-Marie
authors.initials: RM
authors.lastname: Dröes
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D003631:Day Care, Medical / Q000458:organization & administration*; D003704:Dementia / Q000628:therapy*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: User satisfaction; day care centres; dementia; informal carers; job satisfaction