Proportion of participants of adult day services centres had documented Advance directives (ADs).The percentage of participants with ADs was based on two questions with a skip. The first question: "Does this adult day services centre typically maintain documentation of participants' advance directives or have documentation that an advance directive exists in participant files?" If yes, "Of the current participants, how many have documentation of an advance directive in their file?" The number of participants with an AD was converted to a percentage by dividing it by the total number of participants in the respective ADSC.

Number of participants with an AD

Number of participants

National Study of Long-term Care Providers, which include collection of primary data on adult day services centres and residential care communities via national and state representative surveys

Online on www.cdc.gov/nchs/npals/index.htm, as well as journal articles,

www.cdc.gov/nchs/npals/studyresults.htm Lendon JP, Caffrey C, Lau DT. End-Of-Life Care Planning and Bereavement Practices Among Adult Day Services Centers, 2018. American Journal of Hospice and Palliative Medicine®. 2023;0(0). doi:10.1177/10499091231163269 Lendon, J.P., Caffrey, C., and Lau, D.T. (2020). Advance directives state requirements, center practices, and participant prevalence in adult day services centers: Findings from the 2016 National Study of Long-Term Care Providers, The Journals of Gerontology: Series B. doi.org/10.1093/geronb/gbaa089