Joan K Monin1, Terrence D Jorgensen2, Janet L MacNeil Vroomen3. 1. Social and Behavioral Sciences Department, Yale School of Public Health, Yale School of Medicine, New Haven, CT. Electronic address: joan.monin@yale.edu. 2. Department of Methods and Statistics, Research Institute for Child Development and Education, the University of Amsterdam, Amsterdam, the Netherlands. 3. Section Geriatrics, Department of Internal Medicine, Amsterdam University Medical Center, Location Academic Medical Center, Amsterdam, the Netherlands.
Abstract
OBJECTIVE: This study examined in a large sample of dementia caregiving dyads the associations between both partners' reports of unmet needs in persons with dementia (PwDs) and both partners' health-related quality of life (HRQOL). METHODS: This was a cross-sectional self-report survey of 521 community-dwelling dyads in a pragmatic trial in the Netherlands. The Camberwell Needs Assessment was used to measure PwDs' unmet needs. Both partners' self-reported their HRQOL using the EuroQol-5. RESULTS: Controlling for covariates, PwDs' self-reported greater unmet needs were significantly associated with PwDs' and caregivers' lower self-reported HRQOL (actor effect; b = -0.044, β = -0.226, z = -3.588, p <0.001 and partner effect; b = -0.021, β = -0.131, z = -2.154, p = 0.031). Caregivers' proxy reports were greater than PwDs' self-reported unmet needs (Δ=0.66,χ2(1)=55.881,p<.0001). CONCLUSION: Clinicians should use caution in relying on caregiver proxy reports of PwDs' needs and HQOL alone regarding healthcare decision making.
OBJECTIVE: This study examined in a large sample of dementia caregiving dyads the associations between both partners' reports of unmet needs in persons with dementia (PwDs) and both partners' health-related quality of life (HRQOL). METHODS: This was a cross-sectional self-report survey of 521 community-dwelling dyads in a pragmatic trial in the Netherlands. The Camberwell Needs Assessment was used to measure PwDs' unmet needs. Both partners' self-reported their HRQOL using the EuroQol-5. RESULTS: Controlling for covariates, PwDs' self-reported greater unmet needs were significantly associated with PwDs' and caregivers' lower self-reported HRQOL (actor effect; b = -0.044, β = -0.226, z = -3.588, p <0.001 and partner effect; b = -0.021, β = -0.131, z = -2.154, p = 0.031). Caregivers' proxy reports were greater than PwDs' self-reported unmet needs (Δ=0.66,χ2(1)=55.881,p<.0001). CONCLUSION: Clinicians should use caution in relying on caregiver proxy reports of PwDs' needs and HQOL alone regarding healthcare decision making.
Authors: Henriëtte G van der Roest; Franka J M Meiland; Raffaella Maroccini; Hannie C Comijs; Cees Jonker; Rose-Marie Dröes Journal: Int Psychogeriatr Date: 2007-01-04 Impact factor: 3.878
Authors: Jeremy A Tanner; Betty S Black; Deirdre Johnston; Edward Hess; Jeannie-Marie Leoutsakos; Laura N Gitlin; Peter V Rabins; Constantine G Lyketsos; Quincy M Samus Journal: Am J Geriatr Psychiatry Date: 2014-08-13 Impact factor: 4.105
Authors: Christian Bakker; Marjolein E de Vugt; Deliane van Vliet; Frans Verhey; Yolande A Pijnenburg; Myrra J F J Vernooij-Dassen; Raymond T C M Koopmans Journal: Am J Geriatr Psychiatry Date: 2013-07-17 Impact factor: 4.105
Authors: Jennifer E Lutomski; Maria A E Baars; Bianca W M Schalk; Han Boter; Bianca M Buurman; Wendy P J den Elzen; Aaltje P D Jansen; Gertrudis I J M Kempen; Bas Steunenberg; Ewout W Steyerberg; Marcel G M Olde Rikkert; René J F Melis Journal: PLoS One Date: 2013-12-04 Impact factor: 3.240
Authors: Janet MacNeil Vroomen; Judith E Bosmans; Iris Eekhout; Karlijn J Joling; Lisa D van Mierlo; Franka J M Meiland; Hein P J van Hout; Sophia E de Rooij Journal: PLoS One Date: 2016-09-21 Impact factor: 3.240
Authors: Joost D Wammes; Nanon H M Labrie; George O Agogo; Joan K Monin; Esther W de Bekker-Grob; Janet L MacNeil Vroomen Journal: Alzheimers Dement (N Y) Date: 2021-08-06
Authors: Zhaohui Su; Barry L Bentley; Dean McDonnell; Junaid Ahmad; Jiguang He; Feng Shi; Kazuaki Takeuchi; Ali Cheshmehzangi; Claudimar Pereira da Veiga Journal: J Med Internet Res Date: 2022-04-27 Impact factor: 7.076
Authors: Lyndsey M Miller; Diane N Solomon; Carol J Whitlatch; Shirin O Hiatt; Chao-Yi Wu; Christina Reynolds; Wan-Tai Michael Au-Yeung; Jeffrey Kaye; Joel S Steele Journal: Innov Aging Date: 2022-02-07