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Older adults views of day hospital attendance and social support within the day hospital

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DuncanG_2003redux.pdf (17.89Mb)
Date
2003
Author
Duncan, Graeme
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Abstract
 
 
Day hospitals have been a part of service delivery to older adults for almost fifty years. However, the experiences of attendees appear to have been under investigated. The aim of this study was to assess the views of older adults attending a psychogeriatric day hospital in Fife and to examine the social support within this day hospital and its links to psychological 'well-being'.
 
25 older adult day hospital attendees were interviewed with the use of a semistructured interview. Specifically the interview examined the participants understanding of their referral; their attendance at groups; the level of satisfaction with staff; future coping; and overall satisfaction with the day hospital. Standardised measures of depression, stress, locus of control and life events were taken.
 
Overall participants were satisfied and the social element of the day hospital was the most important reason to attend. However, satisfaction was not independent from measures of psychological 'well-being'. The measure of depression was able to predict approval with the level of social support within the day hospital. However, the measure of stress could not. Gender differences were noted in the amount of actual emotional support perceived within the day hospital.
 
There are several implications in this study for the cost effectiveness of day hospitals. For example, if social elements are the most important factor then other services could meet this need. Also, the prolonged attendance of some participants means that only a small number of patients will have access to this service. This study is cross sectional and it did not meet power. Therefore conclusions drawn need to be interpreted with caution.
 
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http://hdl.handle.net/1842/27954
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