Recruiting

Observational Study

Sponsor:

York University

Code:

NCT06496945

Conditions

Adult Day Programs

Continuing Care

Old Age; Dementia

Family/Friend Caregivers

Eligibility Criteria

Sex: All

Age: 65+

Healthy Volunteers: Not accepted

Interventions

Adult day program use

Other community care (non-attendees)

Study Details

Brief summary:

This study seeks to understand the effects of adult day programs on older adults, especially those with dementia, and their caregivers. A prospective cohort study will be conducted in the Canadian provinces of Alberta, British Columbia, Manitoba, and Ontario. Participants will be (1) older adults with dementia who attend a day program, and their caregivers, and (2) older adults with dementia in the community who do not attend a day program, and their caregivers. The objectives are to (1) evaluate the effects of day programs on attendee and caregiver outcomes, and (2) compare day program use patterns, attendee and caregiver social identities, day program characteristics, and day program outcomes between the 4 provinces, and (3) to explore what attendee and caregiver social identities and day program characteristics are associated with study outcomes, and with day program attendance/non-attendance.

Conditions

Adult Day Programs

Continuing Care

Old Age; Dementia

Family/Friend Caregivers

Study ID

NCT06496945

Start date

Nov 1, 2024

Status verified date

Jan, 2025

Completion date

Jun 30, 2027

Anticipated

Primary completion date

Apr 30, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 65+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Older adults (65+ years) with a diagnosis of dementia, who live in the community, and either attend an adult day program (cohort 1), or receive continuing care in the community with an initial RAI-HC assessment completed (cohort 2)
  • Primary caregiver (i.e., most involved with and informed about the care) of an eligible older adult

Exclusion Criteria:

  • Older adults with or without dementia who do not receive any community-based continuing care service
  • Day program attendees or community care recipients who do not have a diagnosis of dementia or who are younger than 65 years
  • Secondary caregivers

Study Design

Enrollment

3000 participants

Anticipated

Interventions and Outcome Measures

Arms

Day program attendees & caregivers

Older adults (65+ years), living with a diagnosis of dementia in the community, and attending an adult day program in the Calgary Health Zone (Alberta), Interior Health Region (British Columbia), Winnipeg Regional Health Authority (Manitoba), or York Region (Ontario). Each older adult's primary caregiver (i.e., the person most involved with and informed about the care of the older adult) will also be recruited.

Non-attendees & caregivers

Older adults (65+ years), living with a diagnosis of dementia in the community in the Calgary Health Zone (Alberta), Interior Health Region (British Columbia), Winnipeg Regional Health Authority (Manitoba), or York Region (Ontario), with an initial Resident Assessment Instrument - Home Care (RAI-HC) completed, but who are not attending a day program. Each older adult's primary caregiver (i.e., the person most involved with and informed about the care of the older adult) will also be recruited.

Interventions

Adult day program use

Day program use patterns will be determined, using Latent Class Analysis. Three continuous variables will be categorized as low, low-moderate, high-moderate, high, using sample distribution quartiles: (1) Time between first RAI-HC assessment and first attendance of a day program, (2) average number of hours of day program attendance (i.e., total number of hours spent in a day program divided by the number of times attended), and (3) total number of days a person attended a day program.

Other community care (non-attendees)

Any publicly funded continuing care services in the community, other than adult day programming (e.g., home care, in-home respite). Community care participants will be propensity score matched with day program participants, using RAI-HC variables on day program eligibility (to ensure similarity of non-attendees to day program attendees). Matching variables will include: physical functioning, cognition, behavioural symptoms, bladder/bowel continence, availability of a caregiver, and caregiver distress. The investigators will also include variables on health and social characteristics (e.g., age, sex, type/duration of publicly funded community care received before the matching index date, deprivation indices).

Primary outcome measure

  • Older adult quality of life (self-report) [ Time Frame: Baseline (Jan-Mar 2025), and after 1 and 2 years ]
  • Older adult quality of life (proxy-report) [ Time Frame: Baseline (Jan-Mar 2025), and after 1 and 2 years ]
  • Caregiver quality of life [ Time Frame: Baseline (Jan-Mar 2025), and after 1 and 2 years ]

Central Contacts and Locations

Central contacts

Matthias Hoben, Dr rer medic

+1 437-335-1338mhoben@yorku.ca

Locations

York Region

Recruiting

Multiple, Ontario, Canada

Contacts

Matthias Hoben

+1 (437) 335-1338mhoben@yorku.ca

More Information

Sponsor

York University

Last update posted

Jan 24, 2025

Last verified

Jan, 2025

Keywords

  • Adult day programs
  • Older adults
  • Program evaluation
  • Cohort studies
  • Health administrative data

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by York University on 2025-01-24.