Title page for ETD etd-9398-1847

Type of Document Dissertation
Author Weeks, Lori E.
Author's Email Address Lweeks@upei.ca
URN etd-9398-1847
Title Comparison of Adult Day Services in Atlantic Canada, Maine, and Vermont
Degree PhD
Department Family and Child Development
Advisory Committee
Advisor Name Title
Roberto, Karen A. Committee Chair
Blieszner, Rosemary Committee Member
Bohland, James R. Committee Member
Sporakowski, Michael J. Committee Member
Teaster, Pamela B. Committee Member
  • Vermont
  • Maine
  • adult day services
  • Atlantic Canada
Date of Defense 1998-09-11
Availability unrestricted
Comparisons of aging services in Canada and the United

States reveal similarities and differences in the structure

and function of the two systems. In both countries, adult

day services (ADS) is an integral component in the array of

services available to older adults. In this study, I

compared structural characteristics of programs,

participant characteristics, and examined the National

Adult Day Services Association classification model of ADS

in demographically similar areas of Canada and the United

States. Directors of 47 ADS programs in demographically

similar provinces and states in Atlantic Canada, Maine, and

Vermont responded to a mailed survey. Adult day services

programs in each province and state exhibited some unique

structural and participant characteristics. Statistically

significant differences emerged between ADS programs in the

two countries on the following structural variables: town

population, center affiliation, center location, levels of

government support, participant fees, organizational

structure, hours of operation, months of attendance, hours

attended per day, service frequency, and service provision.

Participant characteristics that significantly varied

between the two countries involved educational level and

functional characteristics. A minority of programs

exhibited a match between participant needs and services

provided. However, very few programs belonged to the most

mismatched category of providing core services to intensive

level participants. The findings of this study support the

importance of individual programs providing services

appropriate to meet the needs of participants rather than

adhering to a predetermined model of care.

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