Cited by 77Dementia and Cognitive Impairment ResearchNursing care and researchPalliative Care and End-of-Life Issues

Identifying Unmet Needs of Family Dementia Caregivers: Results of the Baseline Assessment of a Cluster-Randomized Controlled Intervention Trial

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Zwingmann, Ina, Michalowsky, Bernhard, Esser, Alexander, Kaczynski, Anika, Monsees, Jessica, Keller, Armin, Hertel, Johannes, Wucherer, Diana +6 more·2019·Journal of Alzheimer’s Disease

Abstract

Background: Caregivers providing informal care for people with dementia (PwD) often report unmet needs, burden, and health impairments. Optimal support for family dementia caregivers will likely benefit from better understanding and assessment of the prevalence and types of caregivers’ unmet needs and associated socio-demographic and clinical characteristics. Objective: The present study investigates 1) the number and types of caregivers’ unmet needs, 2) socio-demographic and clinical characteristics of both PwD and caregivers, and 3) caregivers’ burden and health-related outcomes that are related to caregivers’ unmet needs. Methods: The present analyses are based on cross-sectional data of n = 226 dyads of caregivers and their community-dwelling PwD participating in a comprehensive standardized, computer-based caregivers’ needs assessment within a general practitioner (GP)-based, cluster-randomized intervention trial. Results: A total of n = 505 unmet needs were identified for n = 171 caregivers from the intervention group at baseline. Only 24.3% caregivers reported no unmet need ( n = 55), whereas 75.7% caregivers had at least one unmet need ( n = 171). Caregivers had on average 2.19 unmet needs ( mean = 2.19, SD = 2.15). Specifically, 53.1% of caregivers had one up to three unmet needs ( n = 120), 18.6% ( n = 42) had three up to six unmet needs, and 4.0% ( n = 9) had more than six unmet needs. Discussion: Our results underline the importance of a comprehensive needs assessment for family dementia caregivers to develop and implement concepts that can provide family dementia caregivers with optimal support.

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  • The general unmet needs of caregivers might be a better predictor for care than caregiver burden.

    “However, our results makes an unique contribution to dementia research in Latin America by underlying that the general unmet needs of caregivers might be a better predictor for care and thus should be taken into account [12].”

    From Unmet Needs in Dementia Care: The Predictive Role of Caregiver Challenges (2025) · cites this paper as [12]

    The Discussion (page unavailable) says caregivers’ unmet needs should be assessed to guide targeted support, and the Results link unmet needs with several dimensions of caregiver burden. The paper does not establish that unmet needs predict care better than caregiver burden; its analyses examine their association rather than compare their predictive value. (LLM, conf=0.86)

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  • Unmet needs are not limited to people with dementia; caregivers also have their own set of needs that, if neglected, can exacerbate the caregiving burden.

    “Unmet needs are not limited to PWD; caregivers also have their own set of needs that, if neglected, can exacerbate the caregiving burden [11, 12].”

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  1. [1]Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M (2016) The role of primary care in the dementia healthcare system In World Alzheimer Report 2016. Improving healthcare for people living with dementia, Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M eds. Alzheimer’s Disease International, London, pp. 21– 46.

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Authors
Zwingmann, I., Michalowsky, B., Esser, A., Kaczynski, A., Monsees, J., Keller, A., Hertel, J., Wucherer, D., Thyrian, J. R., Eichler, T., Kilimann, I., Teipel, S., Dreier Wolfgramm, A., & Hoffmann, W.
Affiliations
  • German Center for Neurodegenerative Diseases (DE)
  • Universitätsmedizin Greifswald (DE)
  • University Medicine Greifswald
Corresponding author
Zwingmann, Ina
Venue
Journal of Alzheimer’s Disease
Published
2018-12-19
Volume
67
Issue
2
Pages
527-539
ISSN
  • 1387-2877 (ISSN-L)
  • 1875-8908
OpenAlex
W2906233324
Cited by
77
References
39
Citations by year
2026: 6 · 2025: 8 · 2024: 14 · 2023: 6 · 2022: 19 · 2021: 15 · 2020: 7 · 2019: 2
FWCI
4.72
Type
journal article
Language
en
Open access
Locations
  • Journal of Alzheimer s Disease (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DZNE Pub (submittedVersion, other-oa)
Funders
  • Kempe Foundation
  • Deutsches Zentrum für Neurodegenerative Erkrankungen
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Health Professions › Pharmacy › Nursing care and research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
dementia caregiving, family caregivers
MeSH terms
Aged, Cross-Sectional Studies, Dementia, Female, Health Services Needs and Demand, Health Status, Humans, Male, Middle Aged, Quality of Life, Socioeconomic Factors, Caregivers, Cost of Illness, Independent Living, General Practitioners

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