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Journal of Aging and Health
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Determinants of Adult Day Center Attendance Among Older Adults With Functional Limitations

Jacinthe Savard

SOLIDAGE Reseach Group, Université de Montréal and McGill University, Montreal, Quebec, Canada, jacinthe.savard{at}uottawa.ca, University of Ottawa, Ottawa, Ontario, Canada

Nicole Leduc

SOLIDAGE Reseach Group, Université de Montréal and McGill University, Montreal, Quebec, Canada, Université de Montréal, Montreal, Quebec, Canada

Paule Lebel

SOLIDAGE Reseach Group, Université de Montréal and McGill University, Montreal, Quebec, Canada, Institut universitaire de gériatrie de Montréal, Montreal, Quebec, Canada

François Béland

SOLIDAGE Reseach Group, Université de Montréal and McGill University, Montreal, Quebec, Canada, Université de Montréal, Montreal, Quebec, Canada

Howard Bergman, MD

SOLIDAGE Reseach Group, Université de Montréal and McGill University, Montreal, Quebec, Canada, Université de Montréal, Montreal, Quebec, Canada, McGill University and Jewish General Hospital, Montreal, Quebec, Canada

Objective: To examine factors related to regularity of adult day center (ADC) attendance among seniors with functional limitations. Methods: Using data collected as part of a larger study, we identified the proportion of scheduled days attended among 101 ADC users in Montréal and identified determinants of this attendance. Results: More regular attendance was associated with previous profession of ADC participant or spouse in a sector other than health care, receiving formal help for activities of daily living or instrumental activities of daily living on days of expected ADC participation, participating for the whole day rather than half a day, lower participation in prevention and health-promotion activities, and lower caregiver burden among persons with cognitive impairments and higher caregiver burden among persons without cognitive impairments. Discussion: To enhance ADC intervention effects, levels of participation should be maximized. Study findings suggest ways to promote more regular attendance.

Key Words: adult day center • adult day services • frail seniors • community long-term care • utilization of services

Journal of Aging and Health, Vol. 21, No. 7, 985-1015 (2009)
DOI: 10.1177/0898264309344311
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