Providers' Perspective on Barriers and Solutions to Adult Day Services Provision in Ohio.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2026-10-20 DOI:10.1177/07334648261497993

Kingsley C Udeh, Molly Noble, Heather Menne, Sara J McLaughlin

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引用次数: 0

Abstract

BackgroundAdult day services (ADS) are essential home- and community-based supports, yet providers continue to face significant post-COVID operational and engagement challenges. Limited state-level evidence constrains efforts to strengthen ADS capacity.ObjectiveTo identify barriers experienced by ADS providers in Ohio and provider-driven solutions to sustain and strengthen services in the post-COVID environment.MethodsA sequential mixed-methods design integrated pre-survey focus groups (n = 17), a statewide provider survey (n = 28), and post-survey focus groups (n = 11). Descriptive statistics and thematic analysis were used to synthesize findings.ResultsTwo themes emerged: (1) Participants, Family, and Community Engagement, characterized by limited public awareness, caregiver hesitation, and unstable referral pathways; and (2) Operational Challenges and Limited Resources, including financial strain, staffing shortages, transportation barriers, administrative burden, and facility limitations. Providers identified solutions such as statewide education, workforce development, shared transportation models, and regulatory streamlining.

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提供者对俄亥俄州成人日间服务提供的障碍和解决方案的看法。

成人日间服务（ADS）是必不可少的家庭和社区支持，但提供商在covid后仍然面临着重大的运营和参与挑战。有限的州一级证据限制了加强ADS能力的努力。目的确定俄亥俄州ADS提供商遇到的障碍，以及提供商驱动的解决方案，以维持和加强后covid环境下的服务。方法采用顺序混合方法设计，将调查前焦点小组（n = 17）、全州供应商调查（n = 28）和调查后焦点小组（n = 11）相结合。使用描述性统计和专题分析来综合研究结果。结果：(1)参与者、家庭和社区参与，以公众意识有限、照顾者犹豫和转诊途径不稳定为特征；(2)运营挑战和有限资源，包括财务压力、人员短缺、运输障碍、行政负担和设施限制。供应商确定了解决方案，如全州教育、劳动力发展、共享交通模式和监管精简。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.