Dementia day programmes in the community: A New Zealand case study update

Annie Weir

Abstract


Globally dementia day programmes play an increasingly important role in supporting the wellbeing of both older people living at home with dementia and their caregivers. Typically day programmes provide psychosocial and/or physical health functioning benefits to members, as well as respite for caregivers. To ensure day programmes deliver on these aspirations, service providers regularly review services offered to older people. This article provides an update on the outcomes of the original New Zealand small-scale pilot case study aimed at investigating the elements that make up an effective client-focused dementia day programme.  The study also focused on methods employed to measure the quality of outcomes of day programmes. 

The original research reported in 2015 utilising mixed methods revealed that effective day programmes comprised five core elements: 1) activities aimed at improving client functioning 2) caregiver benefits 3) workforce capability 4) cultural responsiveness 5) service processes. Reporting and auditing processes as well as surveys are reportedly used as methods to measure the quality of outcomes of day programmes.

In 2017 follow-up semi-structured interviews were undertaken with several key stakeholders from the service provider to determine the progress that had been made in relation to the five core elements and their relevance to future planning. Interviews also focused on how they were measuring the quality of their day programmes.   The findings highlight successes and challenges around implementing the five core elements that constitute effective day programmes and may inform debate internationally and lead to better outcomes for both those living with dementia and their caregivers.


Keywords


community-based day programmes; dementia; client-focused; outcome measures

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References


References

Webpage: [1] World Health Organization. Dementia [Internet]. 2017. Available from: http://www.who.int/mediacentre/factsheets/fs362/en/ [Accessed: 2017/10/18]

Webpage: [2] Alzheimers Disease International. World Alzheimer Report 2016 [Internet]. (2016). Available from: https://www.alz.co.uk/research/WorldAlzheimerReport2016.pdf [Accessed: 2017/10/21]

Journal article (published): [3] Reilly S, Miranda-Castillo C, Sandhu S, Hoe J, Challis D, & Orrell M. (2015). Case/care management approaches to home support for people with dementia. Cochrane Database of Systematic Reviews, Issue 2. Art. No.: CD008345.

Journal article (published): [4] Van Beveren, A J B and Hetherington, R W. (1998). ‘The one per cent solution: A basis for adult day program development? ‘Activities, Adaptation & Aging, 22(4), 41-52.

Journal article (published): [5] Soderhamn, U, Aasgaard, L, & Landmark, B. (2014). [ Attending an activity centre: positive experiences of a group of home-dwelling persons with early-stage dementia. Clnical Interventions in Aging. 9, 1923-1931.

Journal article (published): [6] Van Haeften-van Dijk, A M., Meiland, F J M., van Mierlo, L.D., & Droes, R M. (2015). Transforming nursing home-based day care for people with dementia into socially integrated community day care: Process analysis of the transition of six day care centres. International Journal of Nursing Studies. (S2), 1310-1322

Journal article (published): [7] Hikichi, H, Kondo, K, Tekeda, T, & Kawachi, I. (2017). Social interaction and cognitive decline: Results of a 7-year community intervention. Alzheimers and Dementia: Translational Research & Clinical Interventions. (N Y). 2016 Dec 21; 3 (1):23-32. doi: 10.1016/j.trci.2016.11.003. eCollection 2017 Jan.

Journal article (published): [8] Weir, A and Fouche, C. (2015) ‘Community-based dementia day programmes: Common elements and outcomes measures’ Dementia, 0 (0) 1-18, 2015: Sagepub.co.uk.

Online publication [9] Deloitte Corporate (2017) Dementia Economic Impact Report, Alzheimers NZ , 2016).

http://www.alzheimers.org.nz/news/dementia-economic-impact-report-2016

[Accessed 2017/10/25]

Report: [10] Ministry of Health. (2002). Health of Older People Strategy. Wellington, New Zealand: Ministry of Health.

Report: [11] Ministry of Health. (2013). New Zealand Framework for Dementia Care. Wellington, New Zealand: Ministry of Health.

Report: [12] Cognitive stimulation therapy: A New Zealand pilot | Resources | Te Pou https://www.tepou.co.nz/resources/cognitive-stimulation-therapy-a-new-zealand.../574

Publication date: 21 January 2015. [Accessed 2018/01/30]

Webpage: [13] Māori health models – Te Whare Tapa Whā Ministry of Health https://www.health.govt.nz/our...models/maori-health-models-te-whare-tapa-wha

Webpage: [14] Online Care and support workers pay equity settlement | Ministry of Health NZ www.health.govt.nz › NZ health system Apr 18, 2017

http://www.health.govt.nz/new-zealand-health-system/care-and-support-workers-pay-equity-settlement [Accessed 2017/10/25]

Book :[15] Friedman, M. (2005). Trying hard is not good enough: How to produce measureable improvements for customers and communities, Victoria, BC, Canada: Trafford.




DOI: http://dx.doi.org/10.18103/imr.v4i4.688

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