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Measurement Development for Japanese Clients' Experiences during Adult Day Care Service Use (The J-AdaCa Tool)
Takashi Naruse1, Anthony G Tuckett2, Hiroshige Matsumoto1
1Department of Community Health Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Healthcare (Basel, Switzerland)
|September 29, 2020
Summary
This study developed a tool to measure adult day care (ADC) experiences in Japan. Key factors identified include social participation, health, lifestyle, and family support, crucial for improving care.
Area of Science:
- Gerontology
- Healthcare Services Research
- Social Work
Background:
- Adult day care (ADC) is a prevalent service within Japan's long-term care system.
- Limited data exists on the specific nature and quality of ADC service provision.
- Understanding client experiences is vital for enhancing care quality and outcomes.
Purpose of the Study:
- To develop and validate a measurement tool assessing the richness of client experiences in Japanese adult day care settings.
- To identify key dimensions of client satisfaction and engagement within ADC services.
Main Methods:
- A mixed-methods approach combining semi-structured interviews with three ADC clients and a questionnaire survey of 360 ADC clients across 11 agencies.
- Development of a 17-item questionnaire focusing on client and family experiences.
- Application of Principle Component Analysis (PCA) to identify underlying factors of ADC experience.
Main Results:
- PCA identified four significant factors contributing to the client experience: 'Social participation', 'Hygiene and health', 'Exercise and eating habits', and 'Family support'.
- These factors represent distinct yet interconnected aspects of the ADC service quality.
- The findings highlight the multidimensional nature of positive ADC experiences.
Conclusions:
- The developed measurement tool effectively captures the richness of client experiences in adult day care.
- Focusing on client needs in social participation, health, lifestyle, and family support can enhance ADC service quality.
- Improved provision of these elements is likely associated with better overall care outcomes for long-term care recipients.
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