Open AccessDAY CENTER FOR PEOPLE WITH DEMENTIA: A RETROSPECTIVE STUDY ON ADHERENCE
Author(s) -
Virgínia Lúcia Reis Maffioletti,
Maria Alice Tourinho Baptista,
Felipe Silva,
Valeska Marinho,
M.I. Cavalcanti,
Márcia Cristiscimento Dourado
Publication year - 2021
Publication title -
dementia and neuropsychologia
Language(s) - English
Resource type - Conference proceedings
SCImago Journal Rank - 0.54
H-Index - 21
ISSN - 1980-5764
DOI - 10.5327/1980-5764.rpda032
Subject(s) - attendance , spouse , medicine , retrospective cohort study , institutionalisation , dementia , disease , gerontology , pediatrics , psychiatry , sociology , anthropology , economics , economic growth
Background: Evidence shows that day centers (DC) are an effective technology to support people with dementia (PwD) and their family caregivers (FC). Objective: To assess the mediators of adherence to treatment for PwD attended in DC. Methods: Retrospective study with a sample of 143 PwD who attended a DC between May 1998 and March 2020. The sample was divided into 4 groups by period of attendance. A descriptive and comparative analysis of sociodemographic factors and disease severity (CDR) at admission was performed. Results: The mean usage rate was 43.36 months. Most PwD started treatment at CDR2, had more than 8 years of schooling and were cared for by their spouses or children. Most FC had more than 8 years of schooling. The main reasons for discharge were worsening and death, and only 2% were institutionalized. There was no difference between groups in diagnosis, gender and PwD and FC schooling. From group that attended the DC for more than 36 months, 60% were married, 60% were cared for by their spouses, 41% were cared for by their children, and most had more than 8 years of schooling. Conclusion: The early start of treatment, being cared for by the spouse or children were mediators of treatment adherence. Education appears as a mediator in the search for treatment. The longevity of treatment and the low institutionalization rate suggest that the DC is a support device for PwD and their FC.