A Logic Model for Evaluation and Planning in an Adult Day Care for Disabled Japanese Old People
A Logic Model for Evaluation and Planning in an Adult Day Care for Disabled Japanese Old People
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DOI：
10.3390/ijerph17062061
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发表时间：
2020-03-02
影响因子：
--
通讯作者：
Nagata, Satoko
中科院分区：
文献类型：
--
作者：
Naruse, Takashi;Kitano, Ayaka;Nagata, Satoko
成人日托提供各种服务，以满足客户的需要。基于小型德尔菲法与46个ADC的工作人员和八个ADC管理员的讨论，本研究开发并最终确定了一个全面的逻辑模型来表示ADC的元素。对于逻辑模型的三个基本结构--输入/活动、输出和结果--该模型包含7个核心类别和23个子类别。发展局的投入/活动包括两个核心类别：“住宿地点”和“工作人员的干预”。这些投入/活动产生了两种产出：“客户体验”和“家庭体验”。通过反复访问ADC建立了“积累经验”，作为ADC产出和成果之间的联系，即“客户的变化”和“家庭的变化”。ADC中心为他们的客户和他们的照顾者提供各种体验，从满足基本护理需求到精神护理和自我实现。改进与模式有关的各种投入/干预措施可产生更好的经验和成果。该模型可以指导ADC管理员，决策者和研究人员评估基于社区的异构ADC服务计划，从而确保有效利用资源为客户提供最佳护理。
Adult day care (ADC) provides various services for meeting clients' needs. Based on the mini-Delphi method with 46 ADC staff and the discussions with eight ADC administrators, this study developed and finalized a comprehensive logic model to represent the elements of ADC. For the three basic structures of a logic model-inputs/activities, outputs, and outcomes-the model contained seven core categories and 23 sub-categories. The ADC inputs/activities consisted of two core categories: "Place to stay" and "Intervention from staff". These inputs/activities caused two kinds of outputs: "Clients' experiences" and "Families' experiences". "Accumulating experiences" with repeated ADC visits was established as the link between the ADC outputs and outcomes, which were "Clients' change" and "Families' change". ADC centers provide various experiences for their clients and their caregivers, ranging from the fulfillment of needs for fundamental care to psychiatric care and self-actualization. Improving various model-related inputs/interventions can produce better experiences and outcomes. The model can guide ADC administrators, policymakers, and researchers in the evaluation of a heterogeneous ADC service program that is community-based, thereby ensuring optimal care for clients with an efficient use of resources.