The effects of adult day care (ADC) operational choices on the satisfaction of informal caregivers
were examined for 312 pairs of caregivers and care receivers from 10 case study sites that
participated in the Robert Wood Johnson Foundation's national demonstration of Dementia
Care and Respite Services. Cognitive, behavioral, and affective components of satisfaction were
examined. Satisfaction was represented by measures of perceived affordability, length of stay,
intensity of use, and caregiver well-being. Multivariate analyses indicated that controlling for
other factors, program operational choices about nursing approaches, respite services, and
activities programming had direct and interactive effects on satisfaction. The study concluded
that dementia status is not a strong predictor of satisfaction with ADC, and the operational
choices made by ADC programs can influence consumer outcomes, but no single choice accounts
for all aspects of consumer satisfaction.
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