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Community day care with carer support versus usual nursing home-based day care: effects on needs, behavior, mood, and quality of life of people with dementia

Published online by Cambridge University Press:  07 December 2015

A. Marijke van Haeften-van Dijk ,
Franka J. M. Meiland ,
Bart J. J. Hattink ,
Ton J. E. M. Bakker  and
Rose-Marie Dröes
A. Marijke van Haeften-van Dijk
Affiliation:
Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
Franka J. M. Meiland
Affiliation:
Department of Psychiatry, Department of General Practice and Elderly care medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
Bart J. J. Hattink
Affiliation:
Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
Ton J. E. M. Bakker
Affiliation:
Expertise Centre of Healthcare Innovation, Institute of Healthcare, Rotterdam University of Applied Sciences and Expertise Centre of Frail Elderly, Stichting Wetenschap Balans, Rotterdam, the Netherlands
Rose-Marie Dröes*
Affiliation:
Department of Psychiatry, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands
*
Correspondence should be addressed to: Rose-Marie Dröes, P.O. Box 74077, 1070 BB Amsterdam, the Netherlands. Email: rm.droes@vumc.nl.
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Abstract

Background:

Several studies have shown that the combined community-based Meeting Centres Support Programme (MCSP) for people with mild to moderate dementia and their carers were more effective in reducing behavior and mood problems of people with dementia than traditional nursing home-based (NH) day care. We therefore investigated in this study whether community-based (CO) psychogeriatric day care for people with mild to severe dementia combined with carer support (in accordance with the MCSP), is more effective than regular NH day care.

Methods:

A pre-test–post-test control group design was used to compare the effect of CO and NH day care on care needs, behavior and mood problems, and quality of life of people with dementia. 138 dyads of people with mild to severe dementia and family carers participated in the study: 70 from (new and longer existing) CO day cares (experimental group), and 68 from NH day cares (control group). ANCOVAs were performed at post-tests, including baseline data as covariates.

Results:

After six months, no overall differences on outcome measures were found between CO and NH day cares. However, participants of recently started CO day cares showed fewer neuropsychiatric symptoms, whereas carers in the longer existing CO day cares reported fewer care needs compared to the control group (large effects). Persons with dementia cohabiting with their carer benefitted most from CO day care.

Conclusions:

This study shows that combined CO day care has promising added value compared to NH day care, especially for participants with dementia cohabiting with their carer.

Keywords

dementiaday carecommunity carecarer support
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 4 , April 2016 , pp. 631 - 645
Copyright
Copyright © International Psychogeriatric Association 2015 

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