title: Adult Day Services Outcomes: Delphi Review of an Integrated Participant Assessment System.
abstract: Adult day services (ADS) aim to help elders age in place, but evidence of impact on participants lags behind caregiver research. To play a larger role in the continuum of care, ADS participant outcomes should regularly be documented with standard measures. We conducted a Delphi review of one integrated participant assessment system. Capturing physical, mental, and cognitive health indicators and activity engagement of typical ADS participants (i.e., frail elders eligible for nursing home placement), experts evaluated the system on instrument validity, relevance, and application. Practitioners and researchers completed multiple assessments of the system's instruments and alternatives. Finally, panelists addressed the potential benefits and challenges of system adoption by ADS providers. Panelists concurred that such a system would benefit individuals, families, and providers; concerns related to cost and staffing requirements and appropriateness for distinct client populations. A refined system can reveal best practices to enhance ADS service delivery and participant outcomes.
authors.affiliation: Ohio State University College of Social Work, Columbus, US.
authors.forename: Shannon
authors.initials: S
authors.lastname: Jarrott
authors.affiliation: Virginia Tech Department of Human Development, Blacksburg, USA.
authors.forename: Aaron M
authors.initials: AM
authors.lastname: Ogletree
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003631:Day Care, Medical / Q000191:economics / Q000379:methods*; D003697:Delphi Technique; D005260:Female; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D006301:Health Services Needs and Demand; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D019984:Quality Indicators, Health Care / Q000592:standards
keywords: adult day services; integrated assessment; outcomes; participants