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Symposium

Behavioral and Social Sciences

Embedding Evidence-Based Caregiver Support in Community-Based Programs: The ADS Plus Program

Thursday, November 9, 2023
8:00 AM – 9:30 AM ET
Location: Room 417

Adult Day Services (ADS) are a community-based option in long-term care, providing a safe, interactive, and managed environment for people with dementia (PWD). ADS also serve racially/ethnically diverse communities, provide respite for family caregivers and help people age-in-place. Nevertheless, research reveals inconsistent benefits of ADS for caregivers of clients and ADS do not typically offer evidence-based caregiver programs as part of routine care. This symposium reports on the results of a novel NIA funded multi-site Hybrid Type I trial with pragmatic elements which evaluated the effectiveness of embedding a caregiver support program, ADS Plus, in ADS and delivered by staff. ADS Plus, provides caregivers with dementia education, stress reduction techniques, validation/support, referrals and linkages, and strategies to address caregiver-identified challenges over 12-months. Reported are the quantitative and cost outcomes, implementation processes, and challenges and lessons learned. Dr. Gitlin will present the main quantitative study outcomes of this multi-site trial involving 34 sites nationally and 234 caregivers, which demonstrated benefits for caregivers and ADS. Next, Dr. Marx will examine implementation findings including session completion and content. Dr. Gaugler will present findings from the qualitative arm examining perceived benefits of ADS Plus by staff and participants. Ms. Prioli will then examine cost savings associated with ADS Plus whereas Dr. Parker will address barriers when partnering with home and community-based services including developing and maintaining partnerships, institutional review board hurdles and staff readiness. To conclude, our discussant, Dr. Kenneth Hepburn, will offer perspectives on moving evidence-based programs into community-based settings such as ADS.

This is a Behavioral Interventions for Older Adults Interest Group Sponsored Symposium.

Learning Objectives:

  • Understand the trial outcomes and implementation barriers and facilitators when embedding caregiver support in multiple Adult Day Services throughout the US.
  • Understand the cost and cost savings of embedding caregiver support in community-based services.
  • Identify ways to promote and enhance delivery of evidence-based caregiver support programs.

Presentations:

  • 8:00 AM – 9:30 AM ET
    Outcomes of the Adult Day Service Plus (ADS PLUS) Program: A Hybrid Type I Multisite Trial Design

    Individual Symposium Abstract First Author: Laura N. Gitlin, PhD, FGSA, FAAN – Drexel University

  • 8:00 AM – 9:30 AM ET
    Fidelity and Utilization of the Adult Day Services (ADS) Plus Program
  • 8:00 AM – 9:30 AM ET
    Dementia Intervention Staff and Caregiver Perspectives on the Delivery of ADS Plus

    Individual Symposium Abstract First Author: Joseph E. Gaugler, PhD, FGSA (he/him/his) – University of Minnesota

  • 8:00 AM – 9:30 AM ET
    Cost Analysis of the Adult Day Services Plus Trial

    Individual Symposium Abstract First Author: Laura T. Pizzi, PHARMD, MPH (she/her/hers) – ISPOR - The Professional Society for Health Economics and Outcomes Research

  • 8:00 AM – 9:30 AM ET
    Hidden Barriers to Engaging Home- and Community-Based Services in Dementia Care Research

    Individual Symposium Abstract First Author: Lauren Parker, PhD, MPH – Johns Hopkins University