Perceived unmet needs of informal caregivers of people with dementia in Singapore.

Abstract:

BACKGROUND:This study aimed to explore the experiences and challenges of informal caregivers in Singapore with the intent of identifying the multi-dimensional unmet needs from their perspective and generating caregivers' needs checklist based on the findings. METHODS:Informal caregivers were relatives of people with dementia and were responsible for organizing care and providing regular physical and/or financial support. Using a qualitative research design, informal caregivers' experiences were explored. A total of ten focus group discussions and 12 semi-structured interviews were conducted with adult caregivers. Caregivers' perceived unmet needs were identified using thematic analysis. Findings from the qualitative study were combined with inputs from professionals to create a checklist of caregivers' needs for dementia. RESULTS:The average age of the participants was 52.9 years; the majority of the participants were of Chinese ethnicity (50%), followed by Indian (23%), Malay (22%), and other (3%) ethnic groups. Informal caregivers perceived four categories of unmet needs: (i) emotional and social support, (ii) information, (iii) financial support, and (iv) accessible and appropriate facilities. Caregivers strongly expressed the need for emotional support to overcome the psychological and physical burden of care. Challenges with obtaining adequate information, access to services, and financial barriers were discussed. Based on these findings and expert panel discussions, a checklist of 26 items representing their unmet needs was designed. CONCLUSIONS:Informal caregivers face several challenges while caring for their relative with dementia and hence there is a clear demand to address their unmet needs for information, services, respite, and emotional and financial support.

journal_name

Int Psychogeriatr

authors

Vaingankar JA,Subramaniam M,Picco L,Eng GK,Shafie S,Sambasivam R,Zhang YJ,Sagayadevan V,Chong SA

doi

10.1017/S1041610213001051

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

1605-19

issue

10

eissn

1041-6102

issn

1741-203X

pii

S1041610213001051

journal_volume

25

pub_type

杂志文章
  • The Behavior Problems Checklist-Spanish: a preliminary study of a new scale for the assessment of depressive symptoms and disruptive behaviors in Hispanic patients with dementia.

    abstract::Few instruments are available with which to measure behavioral and psychological signs and symptoms in Hispanic patients with dementia. Therefore, the aim of the current study was to develop and evaluate a 17-item scale adapted from the Revised Memory and Behavior Problems Checklist. This measure, the Behavior Problem...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610201007438

    authors: Harwood DG,Barker WW,Ownby RL,Bravo M,Aguero H,Duara R

    更新日期:2001-03-01 00:00:00

  • Limitations in the current classification systems for dementia.

    abstract::A brief review of classification in psychiatry from Kraepelin to ICD-10 and DSM-IV reveals that the categorical paradigm inherent in these nosological systems has certain inadequacies when applied to dementia specifically and cognitive impairment in general. There are "outcasts" from these two systems that, with the r...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610205001924

    authors: Chiu E

    更新日期:2005-01-01 00:00:00

  • Early symptoms and signs of cognitive deficits might not always be detectable in persons who develop Alzheimer's disease.

    abstract:OBJECTIVE:Clinical syndromes such as amnestic mild cognitive impairment (MCI) are highly predictive of future development of Alzheimer's disease (AD), but it is not known how many of the individuals that develop the disease can be identified with these syndromes. This study aims to determine how many individuals with A...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610207006564

    authors: Palmer K,Bäckman L,Winblad B,Fratiglioni L

    更新日期:2008-04-01 00:00:00

  • Validation of the epidemiological dementia index in geriatric outpatients.

    abstract:UNLABELLED:The aim of the current study was to test the properties of a scale especially developed for use in epidemiological surveys in low sociocultural populations, and to determine whether this scale can be used in a clinical population. MATERIAL AND METHODS:Two hundred fifty subjects took part; 150 were controls ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610200006323

    authors: Fountoulakis KN,Tsolaki M,Paulopoulos H,Kazis A

    更新日期:2000-06-01 00:00:00

  • Is MCI really just early dementia? A systematic review of conversion studies.

    abstract:OBJECTIVES:Older people commonly present with memory loss although on assessment are not found to have a full dementia complex. Previous studies have suggested however that people with subjective and objective cognitive loss are at higher risk of dementia. We aimed to determine from the literature the rate of conversio...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610204000092

    authors: Bruscoli M,Lovestone S

    更新日期:2004-06-01 00:00:00

  • Evaluation of the Reitman Centre CARERS program for supporting dementia family caregivers: a pre-post intervention study.

    abstract:OBJECTIVES:While family caregivers (CGs) of persons with dementia are cost-effective for the health system, this form of caregiving leads to disproportionate vulnerability to physical, mental, and social adverse health consequences among CGs. The study goal was to determine the effect of the Reitman Centre CARERS progr...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610220004019

    authors: Sadavoy J,Sajedinejad S,Chiu M

    更新日期:2021-01-18 00:00:00

  • Risperidone for dementia-related disturbed behavior in nursing home residents: a clinical experience.

    abstract::Many nursing home residents are candidates for antipsychotic pharmacotherapy for dementia-related behavioral disturbances that include physical agitation and aggression, verbal outbursts, anxiety, and depression. These patients are often resistant to or intolerant of standard neuroleptics and are usually receiving mul...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610297004213

    authors: Goldberg RJ,Goldberg J

    更新日期:1997-03-01 00:00:00

  • Can older "at risk" adults benefit from psychoeducation targeting healthy brain aging?

    abstract:BACKGROUND:Multifactorial strategies that prevent or delay the onset or progress of cognitive decline and dementia are needed, and should include education regarding recognized risk factors. The current study sought to investigate whether older adults "at risk" of cognitive decline benefit from psychoeducation targetin...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610210001109

    authors: Norrie LM,Diamond K,Hickie IB,Rogers NL,Fearns S,Naismith SL

    更新日期:2011-04-01 00:00:00

  • Dementia and suicidal behavior: a review of the literature.

    abstract:BACKGROUND:While dementia is more common in older people and suicide rates in many countries are higher among the elderly, there is some doubt about the association between these two phenomena. METHODS:A search of the major relevant databases was carried out to examine the evidence for this possible association. RESU...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/S1041610209009065

    authors: Haw C,Harwood D,Hawton K

    更新日期:2009-06-01 00:00:00

  • Assessing subjective memory complaints: a comparison of spontaneous reports and structured questionnaire methods.

    abstract:BACKGROUND:Subjective memory complaints (SMCs) are a common occurrence for adults, which increase with age, and cause considerable distress. Traditionally SMCs have been assessed by either questionnaires, which ask whether a person has experienced given examples of SMCs, or open-ended questions which elicit spontaneous...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610214001161

    authors: Burmester B,Leathem J,Merrick P

    更新日期:2015-01-01 00:00:00

  • Midlife metabolic syndrome and neurocognitive function in a mixed Asian sample.

    abstract:BACKGROUND:An association between metabolic syndrome (MetS) and disturbances in neurocognitive function has been identified in Caucasians but the nature and extent of impaired cognition in Asian MetS patients, who may be at greater risk of degenerative cognitive decline, remains unspecified. METHODS:A cross-sectional ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S104161021400057X

    authors: Collinson SL,Tong SJ,Loh SS,Chionh SB,Merchant RA

    更新日期:2014-08-01 00:00:00

  • The relationship between population growth and elderly suicide rates: a cross-national study.

    abstract:BACKGROUND:Elderly suicide rates are associated with the elderly population size, the proportion of elderly in the general population and the elderly dependency ratio. METHODS:A cross-national study examining the "a priori" hypothesis that the relationship between elderly suicide rates and average annual population gr...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610208007953

    authors: Shah A

    更新日期:2009-04-01 00:00:00

  • Preserved brain metabolic activity at the age of 96 years.

    abstract::Loss of brain tissue becomes notable to cerebral magnetic resonance imaging (MRI) at age 30 years, and progresses more rapidly from mid 60s. The incidence of dementia increases exponentially with age, and is all too frequent in the oldest old (≥ 90 years of age), the fastest growing age group in many countries. Howeve...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610216000673

    authors: Apostolova I,Lange C,Spies L,Ritter K,Mäurer A,Seybold J,Fiebach JB,Steinhagen-Thiessen E,Buchert R

    更新日期:2016-09-01 00:00:00

  • Predictors for repeat self-harm and suicide among older people within 12 months of a self-harm presentation.

    abstract:BACKGROUND:A past history of self-harm is a significant risk factor for suicide in older people. The aims of this study are to (i) characterize older people who present with self-harm to emergency departments (EDs); and (ii) determine the predictors for repeat self-harm and suicide. METHODS:Demographic and clinical da...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610217000308

    authors: Cheung G,Foster G,de Beer W,Gee S,Hawkes T,Rimkeit S,Tan YM,Merry S,Sundram F

    更新日期:2017-08-01 00:00:00

  • Does vascular MCI progress at a different rate than does amnestic MCI?

    abstract::This article reviews the evidence available from natural history studies and randomized clinical trials (RCT) concerning what is now coined as amnestic MCI and vascular MCI and will answer the question about the similarity and difference of their progression toward dementia. The issues to be resolved prior to the use ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610203009293

    authors: Gauthier S,Rockwood K

    更新日期:2003-01-01 00:00:00

  • Suicide and aging in Japan: an examination of treated elderly suicide attempters.

    abstract::Although individuals aged 65 and over accounted for 12% of the total population of Japan in 1990, suicides in this age group consisted of 29% of all suicides. The elderly population of Japan is expected to grow rapidly to 24% of the total population by the year 2020, and suicide prevention for the elderly is an urgent...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610295002006

    authors: Takahashi Y,Hirasawa H,Koyama K,Asakawa O,Kido M,Onose H,Udagawa M,Ishikawa Y,Uno M

    更新日期:1995-07-01 00:00:00

  • Prevalence and risk factors for attempted suicide in the elderly: a cross-sectional study in Shanghai, China.

    abstract:BACKGROUND:Previous studies have thoroughly investigated the prevalence and risk factors for completed suicide. In marked contrast is the lack of a better understanding of attempted suicide in the elderly. The aim of this study was to estimate the prevalence of attempted suicide in the elderly and examine the associate...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610216002283

    authors: Zhang W,Ding H,Su P,Xu Q,Du L,Xie C,Chen R,Yang Y,Jin C,Duan G,Li Y,Gong L,Tian W

    更新日期:2017-05-01 00:00:00

  • Preparedness for Alzheimer's disease and its determinants among laypersons in Israel.

    abstract:BACKGROUND:Despite the increasing prevalence of Alzheimer's disease (AD), very few studies have examined advanced preparation for the possibility of becoming sick with AD, and these few studies indicate a general lack of preparation. This study aimed to expand knowledge regarding preparedness for AD among younger and o...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610211001803

    authors: Werner P

    更新日期:2012-02-01 00:00:00

  • Healthcare utilization and monetary costs associated with agitation in UK care home residents with advanced dementia: a prospective cohort study.

    abstract:OBJECTIVE:Nearly half of care home residents with advanced dementia have clinically significant agitation. Little is known about costs associated with these symptoms toward the end of life. We calculated monetary costs associated with agitation from UK National Health Service, personal social services, and societal per...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610219002059

    authors: Buylova Gola A,Morris S,Candy B,Davis S,King M,Kupeli N,Leavey G,Moore K,Nazareth I,Omar R,Vickerstaff V,Jones L,Sampson EL

    更新日期:2020-03-01 00:00:00

  • Successful aging in Spanish older adults: the role of psychosocial resources.

    abstract::ABSTRACTBackground:Psychological and social resources such as extraversion, optimism, social support, or social networks contribute to adaptation and to successful aging. Building on assumptions derived from successful aging and from the developmental adaptation models, this study aims to analyze the joint impact of d...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610218000388

    authors: Dumitrache CG,Rubio L,Cordón-Pozo E

    更新日期:2019-02-01 00:00:00

  • Global rating, symptoms, behavior, and cognitive performance as indicators of efficacy in clinical studies with nimodipine in elderly patients with cognitive impairment syndromes.

    abstract::Nimodipine is a calcium antagonist which improves learning and memory in brain-lesioned or aged animals (LeVere & Sandin, 1989; Schuurman & Traber, 1989). It also accelerates the recovery of experimentally damaged sciatic nerves (van der Zee et al., 1987) and reduces age-associated gait abnormalities in aging rats (Sc...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Schmage N,Bergener M

    更新日期:1992-01-01 00:00:00

  • A study of the effectiveness of MP3 players to support family carers of people living with dementia at home.

    abstract:BACKGROUND:Music can be therapeutic to people with dementia; however, little is known about its effect on the family carers. This project aimed to (1) assess the effects of MP3 player use by a person with dementia on caregivers' mental health and wellbeing, including their self-care and health-promoting behavior and (2...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610214001999

    authors: Lewis V,Bauer M,Winbolt M,Chenco C,Hanley F

    更新日期:2015-03-01 00:00:00

  • Developing a dimensional model for successful cognitive and emotional aging.

    abstract:BACKGROUND:There is currently a lack of consensus on the definition of successful aging (SA) and existing implementations have omitted constructs associated with SA. We used empirical methods to develop a dimensional model of SA that incorporates a wider range of associated variables, and we examined the relationship a...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610211002055

    authors: Vahia IV,Thompson WK,Depp CA,Allison M,Jeste DV

    更新日期:2012-04-01 00:00:00

  • History and physical examination of elderly patients with dementia.

    abstract::The role of the physician is critical in the evaluation of cognitively impaired patients for two reasons: (a) The longitudinal relationship between the patient and physician provides a unique opportunity to observe changes over time, generating confidence that may encourage the patient and family to report any concern...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s1041610297004729

    authors: Finkel SI,Woodson C

    更新日期:1997-01-01 00:00:00

  • Effects of active psychosocial stimulation on social interactions of people with dementia living in a nursing home: a comparative study.

    abstract::Dementia can interfere with the maintenance of social interactions. The ability to participate in social interactions is one of the elements that enables good social health (Hubert et al., 2011), and having dementia does not automatically eliminates the person's opportunity to have good social health (Vernooij-Dassen ...

    journal_title:International psychogeriatrics

    pub_type: 信件

    doi:10.1017/S1041610217002046

    authors: Mabire JB,Gay MC,Vrignaud P,Garitte C,Jeon YH,Vernooij-Dassen M

    更新日期:2018-06-01 00:00:00

  • Prevalence and correlates of psychotropic drug use in community-dwelling people with young-onset dementia: the NeedYD-study.

    abstract:BACKGROUND:Young-onset dementia (YOD) is defined as dementia that develops before the age of 65 years. The prevalence and type of neuropsychiatric symptoms (NPS) in YOD differ from patients with late onset dementia. NPS in dementia patients are often treated with psychotropic drugs. The aim of this study was to investi...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610213002330

    authors: Koopmans RT,Reinders R,van Vliet D,Verhey FR,de Vugt ME,Bor H,Bakker C

    更新日期:2014-12-01 00:00:00

  • Epidemiology of delirium: an overview of research issues and findings.

    abstract::This paper provides a review of research issues and findings on the epidemiology of delirium. Despite the fact that research on this important geriatric syndrome has been conducted for many decades, several methodological issues make it difficult to compare findings across studies. In this paper we first discuss broad...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/s1041610291000625

    authors: Levkoff S,Cleary P,Liptzin B,Evans DA

    更新日期:1991-01-01 00:00:00

  • Hippocampal atrophy correlates with the severity of cognitive decline.

    abstract:BACKGROUND:The aim of this study is to compare the results of magnetic resonance (MR) imaging, particularly the decline in hippocampal volume, of patients with Alzheimer's disease (AD) and mild cognitive impairment (MCI) with healthy age-matched controls, to examine the reliability of hippocampal volumetry in the early...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/S1041610206004303

    authors: Yavuz BB,Ariogul S,Cankurtaran M,Oguz KK,Halil M,Dagli N,Cankurtaran ES

    更新日期:2007-08-01 00:00:00

  • Relationships between social and health factors and depression in old age in a multivariate analysis.

    abstract::This community-based epidemiological survey concerns relationships between social and health factors and depression in a Finnish population aged 60 years or over. A multivariate analysis based on log-linear models is used in this study. The log-linear model showed five interactions for the depressed men and eight for ...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章

    doi:10.1017/s104161029300136x

    authors: Pahkala K,Kivelä SL,Laippala P

    更新日期:1993-04-01 00:00:00

  • Spirituality and religion in older adults with dementia: a systematic review.

    abstract:BACKGROUND:Religious and spiritual issues are clearly important to the older adult population and may play a positive role in maintaining health and recovering from illness. This study systematically reviewed the literature examining the effects of religion and spirituality on health outcomes such as cognitive function...

    journal_title:International psychogeriatrics

    pub_type: 杂志文章,评审

    doi:10.1017/S1041610214001665

    authors: Agli O,Bailly N,Ferrand C

    更新日期:2015-05-01 00:00:00