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Evaluation of the Best Friends Approach in Adult Day Care

Danner, Deborah D. PhD; McGuire, Caitlin E. BA

doi: 10.1097/ACQ.0b013e3181fb8bb9
Feature Topic: Dementia Care Environments: Research

The Best Friends approach has been used in a Kentucky adult day center for more than 25 years. This study is a pre-post training evaluation of the Best Friends approach as used at center A when compared with a social model adult day program at center B that does not use the Best Friends approach. At each center, the participant's quality of life was measured from 3 perspectives: center staff, family member/friend, and direct observation of participant behavior. Family satisfaction with care and staff satisfaction with work were also assessed. Findings suggest that differences in ratings for the 2 programs depended on the perspective of the rater and the specific participants served. Both of these centers appeared to sustain the quality of life for their participants.

Sanders-Brown Center on Aging, University of Kentucky Alzheimer's Disease Center (Dr Danner and Ms McGuire), and College of Medicine/ Behavioral Science, University of Kentucky (Dr Danner), Lexington.

Correspondence: Deborah D. Danner, PhD, University of Kentucky, Center on Aging, 800 S. Limestone, Lexington, KY 40508 (

Funding was received from the Commonwealth of Kentucky through a grant from the Administration on Aging.

© 2010 Lippincott Williams & Wilkins, Inc.