Unmet Needs of Community-Dwelling Primary Care Patients with Dementia in Germany: Prevalence and Correlates

Journal of Alzheimer's Disease : JAD
Tilly EichlerWolfgang Hoffmann

Abstract

To provide an optimal care for persons with dementia (PWD), their individual unmet needs have to be identified and comprehensively addressed. Present analyses aim to describe the number and types of unmet needs of German primary care patients screened positive for dementia and factors associated with the number of unmet needs. DelpHi-MV (Dementia: life- and person-centered help in Mecklenburg-Western Pomerania) is a general practitioner-based, cluster-randomized controlled intervention trial. Analyses are based on the baseline data of 227 PWD (≥70 years, living at home) of the intervention group who had screened positive for dementia (DemTect<9) and received a standardized computer-assisted needs assessment. PWD had on average 8.77±5.04 unmet needs (Range = 0-31). More than 90% of the PWD had three or more unmet needs. Unmet needs were identified across all predefined 26 subcategories. The majority of unmet needs occurred in the domains "nursing treatment and care" (38%), "social counseling and legal support" (20%), and "pharmacological treatment and care" (15%). More impairment in the activities of daily living was the only factor that was significantly associated with a higher number of unmet needs, independent of age, gender...Continue Reading

Associated Clinical Trials

Feb 5, 2021·Wolfgang Hoffmann

References

Aug 26, 1998·Dementia and Geriatric Cognitive Disorders·I HindmarchH Erzigkeit
Jul 27, 2000·The British Journal of Psychiatry : the Journal of Mental Science·T ReynoldsM Orrell
Dec 14, 2004·Deutsche medizinische Wochenschrift·H SandholzerP Walker
Jan 10, 2006·Journal of the American Geriatrics Society·Joseph E GauglerRobert Newcomer
Feb 28, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Thomas C Quinn
Jul 16, 2009·International Psychogeriatrics·Henriëtte G van der RoestRose-Marie Dröes
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Nov 16, 2010·Health and Quality of Life Outcomes·Claudia Miranda-CastilloMartin Orrell
Jan 25, 2011·Computer Methods and Programs in Biomedicine·Jens MeyerWolfgang Hoffmann
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Jan 31, 2012·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Dominique SommeOlivier Saint-Jean
Aug 28, 2013·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·A Dreier, W Hoffmann

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Citations

Apr 1, 2016·Journal of Alzheimer's Disease : JAD·Tilly EichlerJochen René Thyrian
Apr 8, 2017·Zeitschrift für Gerontologie und Geriatrie·Jochen René Thyrian
Mar 19, 2019·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Tsuyoshi OkamuraShuich Awata
Jul 13, 2019·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Bernhard MichalowskyWolfgang Hoffmann
Jul 25, 2017·Dementia and Geriatric Cognitive Disorders·Janine SteinUNKNOWN AgeCoDe and AgeQualiDe Study Group
Jan 14, 2021·Aging & Mental Health·Helen ChesterUNKNOWN Members of the HoSt-D (Home Support in Dementia) Programme Management Group
Nov 13, 2020·Neuropsychiatric Disease and Treatment·Kai-Ming JhangHsin-Hung Wu

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Clinical Trials Mentioned

NCT01401582

Software Mentioned

CANE
MV
DelpHi
JHDCNA

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