Assessment of Met and Unmet Care Needs in Older Adults without Mental Disorders Using the Camberwell Assessment of Need for the Elderly: A Systematic Review and Meta-analysis

Abstract

Background: Physical, psychological, and social changes in the aging lead to new needs in the care of the elderly. The Camberwell Assessment of Need for the Elderly (CANE) evaluates older adults' care needs. This study aimed to assess the types of needs of the elderly using the CANE questionnaire. Study design: A systematic review. Methods: This systematic review included all cross-sectional studies. International databases, including Web of Sciences, Medline, Scopus, and ProQuest were searched up to June 2021. Such keywords as aged OR ageing OR "older adults" OR "older people" OR "older person" OR elderly, AND need OR "needs assessment" OR "met needs" OR "unmet needs" were used to design the search strategy. A 95% CI was calculated using the exact method, and the meta-analysis of proportion (metaprob) module was used for data analysis. Results: In total, 769 studies were retrieved in this review. At the following stages, 760 articles were excluded upon checking the duplicates; moreover, the titles and abstracts did not meet the eligibility criteria. Finally, nine studies remained. The mean±SD age of 2200 participants was obtained at 78.4±5.9 years. The highest and lowest met needs were related to the physical (45%) and social (21%) dimensions, respectively. Furthermore, the highest unmet needs were observed in the physical and social dimensions (0.07%), and the lowest unmet needs were related to the psychological and environmental dimensions (0.04%). Conclusions: The CANE is sensitive enough to identify unmet needs in different samples and settings. Therefore, a new care model and appropriate interventions for the elderly can be designed based on the CANE results.

Care needs assessment of older adults with dementia in a semi‐rural district in Vietnam: A community‐based cross‐sectional study

“…CANE is a versatile tool that can be adapted to different cultural contexts and has been used in various countries to assess the needs of the elderly population. It helps in identifying unmet needs and planning appropriate interventions and support for both elderly individuals and their caregivers 20 . The instrument comprises 24 items spanning four domains: environmental, physical, psychological, and social needs, with two additional items assessing PWLD needs.…”

“…It helps in identifying unmet needs and planning appropriate interventions and support for both elderly individuals and their caregivers. 20 The instrument comprises 24 items spanning four domains: environmental, physical, psychological, and social needs, with two additional items assessing PWLD needs. In this study, caregivers completed the questionnaire to express their perspectives on their care recipients' needs, ensuring a comprehensive assessment without overburdening patients or caregivers.…”

Nenaplnené potreby starších ľudí: prehľad hodnotiacich nástrojov

“…Vytvorený prehľad zahŕňa nástroje, ktorých schopnosť zachytiť možné nedostatky a teda nenaplnené potreby bola skúmaná v rôznom prostredí (komunitné zariadenia, nemocnice, starostlivosť v domácom prostredí, denné stacionáre, väznica) a na rôznom výskumnom súbore pacientov, teda aj u pacientov s diagnostikovanými rôznymi ochoreniami, či iným zdravotným postihnutím. Identifikované nástroje hrajú kľúčovú úlohu pri identifikácii potrieb jednotlivých pacientov a prispievajú k zlepšeniu kvality poskytovanej starostlivosti (Cheraghi et al, 2021). Nástroj InterRAI AC sa zameriava na efektívne posúdenie funkčných a psychosociálnych problémov, geriatrických syndrómov a identifikáciu pacientov vyžadujúcich komplexné vyšetrenie (Boscart et al, 2021).…”

Active aging needs from the perspectives of older adults and geriatric experts: a qualitative study

“…The specific needs of older adults must be met to promote active aging, including physical, psychological, social, environmental, care and health-related needs (27,28). Ashokkumar et al (29) indicated that older adults had unmet needs such as adaptation to the living environment, hearing and vision problems, income, daily activities, physical diseases, close association, and self-care, while their therapeutic and medicinal needs were met by the caregivers (29).…”

“…These studies focused on quantitative methods (cross-sectional) and were carried out in Iran, Brazil, Germany, Thailand, Poland, the Netherlands, and England in 2000-2020. The Camberwell Assessment of Need for the Elderly (CANE) was used to assess met and unmet care needs (27). Qualitative studies can specify people's views and experiences more precisely than quantitative research because they enable participants to express themselves while providing data (12).…”