Effects of adult day care services on disability in older persons: Evaluation of a designed service package in Iran
Mohammadreza Shahbazi, Mahshid Foroughan, Mahdi Rahgozar, Reza Salman Roghani
Aging Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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).
Conclusion: The adult day care service package may have a positive role in decreasing measures of disability among older persons over a 6-month period.
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