Table 6.

Thematic results of the field observations in the Day Health Center (15 independent sessions).

Theme	Codes	Exemplar Codes and Quotes
Physical environment	Background Noise Room Details	Background noise: Sources of background noise: Consistent: Radio Intermittent: Setting up tables for lunch time, carts rolling, silverware clinking Room Details: #staff = 3; #participants = 26
Participant engagement	Group Activity Solo Activity Table-talk Withdrawn	Group Activity: Activity is horseshoes—everyone gets [to throw] 4 horseshoes—First participant got 2 [ringers], everyone clapped—1 staff member dancing to music—everyone claps when person gets the horseshoe on the ring Solo Activity: Another table had 3 people all independently and quietly coloring Table-talk: Tables were all full of 2–4 people sitting at each. Of the 8 tables, conversations were going on at 2 of them between participants. Withdrawn: All 4 “comfy” chairs occupied by people taking naps.
Staff engagement	Nature Skill Communication Strategies	Nature: Staff member is very attentive to all participants. Skill: Staff member turned TV down for activity. Communication Strategies: Bingo caller was told to slow down by staff member [sitting] at table 5 [assisting participants]