Exploring perspectives of young onset dementia caregivers with high versus low unmet needs

被引:22
作者
Millenaar, Joany K. [1 ]
Bakker, Christian [2 ,3 ]
van Vliet, Deliane [3 ]
Koopmans, Raymond T. C. M. [3 ,4 ]
Kurz, Alexander [5 ]
Verhey, Frans R. J. [1 ]
de Vugt, Marjolein E. [1 ]
机构
[1] Maastricht Univ, Sch Mental Hlth & Neurosci, Med Ctr, Alzheimer Ctr Limburg, Maastricht, Netherlands
[2] Mariahoeve Ctr Specialized Care Young Onset Demen, The Hague, Netherlands
[3] Radboud Univ Nijmegen, Radboudumc Alzheimer Ctr Nijmegen, Ctr Family Med Geriatr Care & Publ Hlth, Dept Primary & Community Care, Nijmegen, Netherlands
[4] Joachim Anna Ctr Specialized Geriatr Care, Nijmegen, Netherlands
[5] Tech Univ Munich, Dept Psychiat & Psychotherapy, Klinikum Rechts Isar, Munich, Germany
基金
英国经济与社会研究理事会; 瑞典研究理事会;
关键词
young onset dementia; caregivers; service use; care needs; CARE NEEDS; ADULT-CHILD; EXPERIENCE; PEOPLE;
D O I
10.1002/gps.4749
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
BackgroundThis study is part of the Research to Assess Policies and Strategies for Dementia in the Young project. Information about specific needs in young onset dementia (YOD) will provide the basis for the development of an e-health intervention to assist caregivers in coping with YOD in several European countries. ObjectiveThe aim was to investigate the issues caregivers of people with YOD face. MethodsA qualitative content analysis method was used to analyse interviews with YOD caregivers. Quantitative data of the Needs in Young Onset Dementia study were used to select caregivers based on a ranking of unmet needs, to capture differences and similarities between caregivers that experienced high levels of unmet needs versus those with low levels of unmet needs. Needs were assessed with the Camberwell Assessment of Needs in the Elderly. ResultsFindings revealed the following themes: (i) acceptance; (ii) perception of the relationship; (iii) role adaptation; (iv) Availability of appropriate services; (v) social support; and (vi) awareness in the person with dementia and acceptance of help. Several factors seemed more apparent in the caregivers who experienced few unmet needs opposed to the caregivers who experienced more unmet needs. ConclusionThe current study provides an in-depth perspective on the caregiver's experiences and emphasizes specific themes that could be addressed in future interventions. This might contribute to a caring situation in which the caregiver experiences less unmet needs. Copyright (c) 2017 John Wiley & Sons, Ltd.
引用
收藏
页码:340 / 347
页数:8
相关论文
共 19 条
[1]   The relationship between unmet care needs in young-onset dementia and the course of neuropsychiatric symptoms: a two-year follow-up study [J].
Bakker, Christian ;
de Vugt, Marjolein E. ;
van Vliet, Deliane ;
Verhey, Frans R. J. ;
Pijnenburg, Yolande A. ;
Vernooij-Dassen, Myrra J. F. J. ;
Koopmans, Raymond T. C. M. .
INTERNATIONAL PSYCHOGERIATRICS, 2014, 26 (12) :1991-2000
[2]   Improving the quality of care for mild to moderate dementia: an evaluation of the Croydon Memory Service Model [J].
Banerjee, Sube ;
Willis, Rosalind ;
Matthews, David ;
Contell, Faith ;
Chan, Jeni ;
Murray, Joanna .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2007, 22 (08) :782-788
[3]   Qualitative study on needs and wishes of early-stage dementia caregivers: the paradox between needing and accepting help [J].
Boots, Lizzy M. M. ;
Wolfs, Claire A. G. ;
Verhey, Frans R. J. ;
Kempen, Gertrudis I. J. M. ;
de Vugt, Marjolein E. .
INTERNATIONAL PSYCHOGERIATRICS, 2015, 27 (06) :927-936
[4]   Quality of Life of Patients with Alzheimer's Disease: Differential Perceptions between Spouse and Adult Child Caregivers [J].
Conde-Sala, J. L. ;
Garre-Olmo, J. ;
Turro-Garriga, O. ;
Vilalta-Franch, J. ;
Lopez-Pousa, S. .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2010, 29 (02) :97-108
[5]  
Dam AEH, INT PSYCHOG IN PRESS
[6]   The Unique Experience of Spouses in Early-Onset Dementia [J].
Ducharme, Francine ;
Kergoat, Marie-Jeanne ;
Antoine, Pascal ;
Pasquier, Florence ;
Coulombe, Renee .
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS, 2013, 28 (06) :634-641
[7]   The qualitative content analysis process [J].
Elo, Satu ;
Kyngaes, Helvi .
JOURNAL OF ADVANCED NURSING, 2008, 62 (01) :107-115
[8]   Unmet care needs and key outcomes in dementia [J].
Gaugler, JE ;
Kane, RL ;
Kane, RA ;
Newcomer, R .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2005, 53 (12) :2098-2105
[9]   How many interviews are enough? An experiment with data saturation and variability [J].
Guest, Greg ;
Bunce, Arwen ;
Johnson, Laura .
FIELD METHODS, 2006, 18 (01) :59-82
[10]   RHAPSODY - Internet-based support for caregivers of people with young onset dementia: program design and methods of a pilot study [J].
Kurz, Alexander ;
Bakker, Christian ;
Boehm, Markus ;
Diehl-Schmid, Janine ;
Dubois, Bruno ;
Ferreira, Catarina ;
Gage, Heather ;
Graff, Caroline ;
Hergueta, Thierry ;
Jansen, Sabine ;
Jones, Bridget ;
Komar, Alexander ;
de Mendonca, Alexandre ;
Metcalfe, Anna ;
Milecka, Katrina ;
Millenaar, Joany ;
Wallin, Anneli Orrung ;
Oyebode, Jan ;
Schneider-Schelte, Helga ;
Saxl, Susanna ;
de Vugt, Marjolein .
INTERNATIONAL PSYCHOGERIATRICS, 2016, 28 (12) :2091-2099