title: Effects of adult day care services on disability in older persons: Evaluation of a designed service package in Iran.
abstract: OBJECTIVE
  To assess the effects of a rehabilitation service package designed by the State Welfare Organization of Iran for adult day care centres on the disability of older clients.
  
  
  METHODS
  A case-control study, with 46 older participants in the case group and 46 participants, matched for level of disability, in a control group. The World Health Organization Disability Assessment Schedule 2 was used to collect data at 4 time-points: baseline and 2, 4, and 6 months later. Data were analysed using repeated-measures analysis of variation.
  
  
  RESULTS
  The rehabilitation service package had significant effects on the disability scores of older users of day care services. The disability scores significantly changed within the subjects (p = 0.010) and between the 2 groups (p < 0.001). Within-subjects effects in all 6 domains ("understanding and communication" (p = 0.002), "getting around" (p = 0.046), "self-care" (p < 0.001), "getting along with people" (p < 0.001), "life activity" (p < 0.001) and "participation" (p < 0.001)) and between-subjects effects, in all except the "self-care" domain, showed significant differences during the 6-month study period (p = 0.003, p < 0.001, p <0.001, p < 0.001, and p < 0.001, respectively).
  
  
  CONCLUSIONS
  The adult day care service package may have a positive role in decreasing measures of disability among older persons over a 6-month period.
authors: Aging Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors: Mohammadreza
authors: M
authors: Shahbazi
authors: Mahshid
authors: M
authors: Foroughan
authors: Mahdi
authors: M
authors: Rahgozar
authors: Reza Salman
authors: RS
authors: Roghani
mesh_terms: D000069537:Adult Day Care Centers / Q000379:methods / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D016896:Treatment Outcome