Service Use, Participation, Experiences, and Outcomes Among Older Adult Immigrants in American Adult Day Service Centers

An Integrative Review of the Literature

Tina Sadarangani, Komal Patel Murali

Research output: Contribution to journalArticle

Abstract

Older adult immigrants are often socially isolated and vulnerable to poor health. Adult day service (ADS) centers could potentially facilitate social integration and address their long-term health care needs. The current review (a) identifies barriers to and facilitators of ADS use among immigrants, (b) explores how ADS programs impact older adult immigrants' health and well-being, and (c) isolates the most effective culturally based components of ADS programs. An integrative review was conducted using Whittemore and Knafl's methodology. Four databases were searched. Articles were critically appraised and data were organized within an ADS-specific framework. Functional impairment, race, gender, and degree of loneliness were all predictors of ADS use. ADS enhanced immigrants' quality of life and provided fulfillment. Transportation, bilingual nurses, peer support, and cultural activities were deemed essential by participants. ADS can provide support to older adult immigrants by adding cultural elements to existing services and using nurses as cultural liaisons. More research is needed to assess the impact of ADS on disease outcomes, including dementia, and on immigrants in multi-ethnic settings. [Res Gerontol Nurs. 2018; 11(6):317-328.].

Original languageEnglish (US)
Pages (from-to)317-328
Number of pages12
JournalResearch in gerontological nursing
Volume11
Issue number6
DOIs
StatePublished - Nov 1 2018

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Nurses
Loneliness
Health
Long-Term Care
Dementia
Quality of Life
Databases
Delivery of Health Care
Research

ASJC Scopus subject areas

  • Nursing(all)
  • Gerontology
  • Health Policy
  • Geriatrics and Gerontology

Cite this

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