EXploring Patterns of Use and Effects of Adult Day Programs to Improve Trajectories of Continuing CarE

This study seeks to understand the impact of Canada's adult day program on attendees and non-attendees, especially those with dementia and other co-morbidities. A retrospective cohort study will be conducted, including older adults in the community who do or do not attend adult day programs in Alberta, British Columbia, and Manitoba, Canada. The objectives are to (1) compare patterns of day program use (including non-use) by Canadian province (Alberta, British Columbia, Manitoba), and time, (2) compare characteristics of older adults by day program use pattern (including non-use), province, and time, and (3) to examine whether those who are exposed to day programs, compared to a propensity-score matched comparison group of non-exposed older adults in the community, enter long-term care homes at later times (primary outcome), are less likely to have depressive symptoms, physical and cognitive change, and have lower use of primary, acute, and emergency care (secondary outcomes).

NCT Number	NCT06440447
Lead Sponsor	York University Collaborators: Carswell Family Foundation, Alzheimer Society of York Region
Conditions	Adult Day Programs, Continuing Care, Old Age; Dementia, Family/friend Caregivers
Enrollment	500,000 participants
Start Date	2025-03-01
Primary Completion	2026-06-30 (estimated)
Study Completion	2027-06-30 (estimated)
Updated on ClinicalTrials.gov	2025-01-24