期刊
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
卷 26, 期 3, 页码 292-298出版社
WILEY
DOI: 10.1002/gps.2527
关键词
dementia; needs assessment; community outreach; caregivers; telephone screen; in-home dementia evaluation; home-based dementia care
资金
- NIA NIH HHS [T32 AG027668, P50 AG005146, P50 AG005146-27, P50 AG005146-28] Funding Source: Medline
- NIMH NIH HHS [K01 MH085142] Funding Source: Medline
Background: Innovative approaches to the widespread delivery of evidence-based dementia care are needed. The aims of this study were to determine whether a telephone screening method could efficiently identify individuals in the community in need of care for dementia and to develop a multidimensional needs assessment tool for identifying the type and frequency of unmet needs related to memory disorders in the home setting. Methods: This was a cross-sectional evaluation of 292 community-residing individuals aged 70 and older in Maryland. Participants were given a brief cognitive telephone screen. A subsample (n = 43) received a comprehensive in-home assessment for dementia and dementia-related needs. Cognitive, functional, behavioral, and clinical factors were assessed. The Johns Hopkins Dementia Care Needs Assessment (JHDCNA) was used to identify unmet needs related to dementia. Results: Telephone screening for the sample took 350 h, and 27% screened positive for dementia. Virtually all participants with dementia who received an in-home assessment had at least one unmet need, with the most frequent unmet needs being for a dementia workup, general medical care, environmental safety, assistance with ADL impairments, and access to meaningful activities. Caregivers, when present, also had a number of unmet needs, with the most common being caregiver education about dementia, knowledge of community resources, and caregiver mental health care. Conclusions: Effective and efficient means for identifying community-residing individuals with dementia are needed so that dementia care interventions can be provided to address unmet care needs of patients and their caregivers. Copyright (C) 2010 John Wiley & Sons, Ltd.
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