Adult day health care evaluation study: Methodology and implementation

S. C. Hedrick, M. L. Rothman, M. Chapko, T. S. Inui, J. R. Kelly, J. Ehreth

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The Adult Day Health Care Evaluation Study was developed in response to a congressional mandate to study the medical efficacy and cost effectiveness of the Adult Day Health Care (ADHC) effort in the Department of Veterans Affairs (VA). Four sites providing ADHC in VA facilities are participating in an ongoing randomized controlled trial. Three years of developmental work prior to the study addressed methodological issues that were problematic in previous studies. This developmental work resulted in the methodological approaches described here: (1) a patient recruitment process that actively recruits and screens all potential candidates using empirically developed admission criteria based on predictors of nursing home placement in VA; (2) the selection and development of measures of medical efficacy that assess a wide range of patient and caregiver outcomes with sufficient sensitivity to detect small but clinically important changes; and (3) methods for detailed, accurate, and efficient measurement of utilization and costs of health care within and outside VA. These approaches may be helpful to other researchers and may advance the methodological sophistication of long-term care program evaluation.

Original languageEnglish (US)
Pages (from-to)935-960
Number of pages26
JournalHealth Services Research
Volume25
Issue number6
StatePublished - Jan 1 1991

Fingerprint

Veterans
health care
Delivery of Health Care
methodology
evaluation
Patient Acceptance of Health Care
methodological studies
Program Evaluation
Long-Term Care
costs
nursing home
Nursing Homes
Health Care Costs
Patient Selection
Caregivers
Cost-Benefit Analysis
caregiver
Randomized Controlled Trials
candidacy
utilization

ASJC Scopus subject areas

  • Health Policy

Cite this

Hedrick, S. C., Rothman, M. L., Chapko, M., Inui, T. S., Kelly, J. R., & Ehreth, J. (1991). Adult day health care evaluation study: Methodology and implementation. Health Services Research, 25(6), 935-960.

Adult day health care evaluation study : Methodology and implementation. / Hedrick, S. C.; Rothman, M. L.; Chapko, M.; Inui, T. S.; Kelly, J. R.; Ehreth, J.

In: Health Services Research, Vol. 25, No. 6, 01.01.1991, p. 935-960.

Research output: Contribution to journalArticle

Hedrick, SC, Rothman, ML, Chapko, M, Inui, TS, Kelly, JR & Ehreth, J 1991, 'Adult day health care evaluation study: Methodology and implementation', Health Services Research, vol. 25, no. 6, pp. 935-960.
Hedrick SC, Rothman ML, Chapko M, Inui TS, Kelly JR, Ehreth J. Adult day health care evaluation study: Methodology and implementation. Health Services Research. 1991 Jan 1;25(6):935-960.
Hedrick, S. C. ; Rothman, M. L. ; Chapko, M. ; Inui, T. S. ; Kelly, J. R. ; Ehreth, J. / Adult day health care evaluation study : Methodology and implementation. In: Health Services Research. 1991 ; Vol. 25, No. 6. pp. 935-960.
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