PMID- 35564750 OWN - NLM STAT- MEDLINE DCOM- 20220518 LR - 20220527 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 19 IP - 9 DP - 2022 Apr 28 TI - Experiences of Disabled Older Adults in Tokyo's Adult Day Care Centers during COVID-19-A Case Study. LID - 10.3390/ijerph19095356 [doi] LID - 5356 AB - 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. FAU - Naruse, Takashi AU - Naruse T AUID- ORCID: 0000-0003-1471-6838 AD - Division of Care Innovation, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan. FAU - Hatsushi, Masakazu AU - Hatsushi M AD - Hakononakanohako, General Incorporated Association, Tokyo 140-0001, Japan. FAU - Kato, Junichi AU - Kato J AD - Long-Term Care Health Facility, Peace Plaza, Seishinkai Medical Corporation, Tokyo 183-0021, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220428 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Adult Day Care Centers MH - Aged MH - *COVID-19/epidemiology MH - *Disabled Persons MH - Female MH - Humans MH - Pandemics MH - Tokyo PMC - PMC9104431 OTO - NOTNLM OT - COVID-19 OT - adult day care OT - aged care OT - client experience OT - long term care COIS- The authors declare no conflict of interest. EDAT- 2022/05/15 06:00 MHDA- 2022/05/18 06:00 PMCR- 2022/04/28 CRDT- 2022/05/14 01:14 PHST- 2022/03/15 00:00 [received] PHST- 2022/04/11 00:00 [revised] PHST- 2022/04/24 00:00 [accepted] PHST- 2022/05/14 01:14 [entrez] PHST- 2022/05/15 06:00 [pubmed] PHST- 2022/05/18 06:00 [medline] PHST- 2022/04/28 00:00 [pmc-release] AID - ijerph19095356 [pii] AID - ijerph-19-05356 [pii] AID - 10.3390/ijerph19095356 [doi] PST - epublish SO - Int J Environ Res Public Health. 2022 Apr 28;19(9):5356. doi: 10.3390/ijerph19095356.