Fidelity matters: implementing ADS Plus, an evidence-based program, in multiple adult day service sites.

ABSTRACT:

Background and objectives

In a cluster randomized trial, we found that augmenting adult day services (ADS) with a multicomponent caregiver support program, ADS Plus, reduced caregiver depressive symptoms and increased ADS use. Unclear is whether the program was implemented with fidelity across sites and the relationship of fidelity to site characteristics and caregiver outcomes.

Research design and methods

Sixteen ADS sites were randomly assigned to ADS Plus (n = 102 caregivers), which offered dementia education, referrals/linkages, validation/support, and strategies for self-care and caregiver-identified challenges. Sites were categorized with high, moderate, or low fidelity based on the number of caregivers enrolled (delivery), care challenges addressed, and prescri

SUBMITTER: Gitlin LN 

PROVIDER: S-EPMC12448453 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature