Experiences of Disabled Older Adults in Tokyo’s Adult Day Care Centers during COVID-19—A Case Study

Takashi Naruse, Masakazu Hatsushi and Junichi Kato
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Takashi Naruse: Division of Care Innovation, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
Masakazu Hatsushi: Hakononakanohako, General Incorporated Association, Tokyo 140-0001, Japan
Junichi Kato: Long-Term Care Health Facility, Peace Plaza, Seishinkai Medical Corporation, Tokyo 183-0021, Japan

IJERPH, 2022, vol. 19, issue 9, 1-13

Abstract: The COVID-19 pandemic resulted in social isolation among elderly people with disabilities. Adult daycare (ADC) is an important community care option for socialization among people with disabilities. However, their experiences with ADC remain underexplored. Thus, this study investigated the experiences of community-dwelling disabled elderly with ADC from the perspective of socialization. Four older women from Tokyo with disabilities, availing of one ADC service, were interviewed across two sessions between November 2020 and January 2021. The transcribed interviews and field notes were analyzed qualitatively. This yielded eight categories: two pertaining to context (“restricted social interaction outside of ADC”, “feeling simultaneously grateful and ashamed of oneself as a recipient of care services”), and six pertaining to experience with ADC (“take a catastrophic defensive posture in situations where one’s perception of value is shaken”, “express oneself positively to justify one’s daily life”, “have trouble knowing what to do”, “put oneself in a shaded exchange relationship”, “examine the value of elderly people in need of care in society”, and “savor regular contact with others”). Ensuring the use of ADC as a safe place for interaction while considering pandemic-related needs is important to develop policy and practical responses to restricted socialization during COVID-19.

Keywords: adult day care; aged care; long term care; client experience; COVID-19 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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