Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell assessment of need for the elderly (CANE)--a pilot study

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Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell assessment of need for the elderly (CANE)--a pilot study. / Stein, Janine; Luppa, Melanie; König, Hans-Helmut; Riedel-Heller, Steffi G.

in: INT PSYCHOGERIATR, Jahrgang 26, Nr. 2, 01.02.2014, S. 285-95.

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@article{37b1f5a911a44892a27ab86e76baaeb1,
title = "Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell assessment of need for the elderly (CANE)--a pilot study",
abstract = "BACKGROUND: The current demographic and social developments in our society will lead to a significant increase in treatment and healthcare needs in the future, particularly in the elderly population. The Camberwell Assessment of Need for the Elderly (CANE) was developed in the United Kingdom to measure physical-, psychological-, and environment-related treatment as well as healthcare needs of older people in order to identify their unmet needs. So far, the German version of the CANE has not been established in health services research. Major reasons for this are a lack of publications of CANE's German version and the missing validation of the instrument.METHODS: The aims of the present study were to evaluate the currently available German version of the CANE in a sample of older primary care patients. Descriptive statistics and inference-statistical analyses were calculated.RESULTS: Patients reported unmet needs mostly in CANE's following sections: mobility/falls, physical health, continence, company, and intimate relationships. Agreement level between patients' and relatives' ratings in CANE was moderate to low. Evidence for the construct validity of CANE was found in terms of significant associations between CANE and other instruments or scores.CONCLUSIONS: The study results provide an important basis for studies aiming at the assessment of met and unmet needs in the elderly population. Using the German version of the CANE may substantially contribute to an effective and good-quality health and social care as well as an appropriate allocation of healthcare resources in the elderly population.",
keywords = "Activities of Daily Living, Aged, Aged, 80 and over, Aging, Female, Geriatric Assessment, Germany, Health Services Research, Health Services for the Aged, Humans, Independent Living, Male, Mental Competency, Needs Assessment, Pilot Projects, Primary Health Care, Psychometrics, Questionnaires, Reproducibility of Results, Translating",
author = "Janine Stein and Melanie Luppa and Hans-Helmut K{\"o}nig and Riedel-Heller, {Steffi G}",
year = "2014",
month = feb,
day = "1",
doi = "10.1017/S1041610213001993",
language = "English",
volume = "26",
pages = "285--95",
journal = "INT PSYCHOGERIATR",
issn = "1041-6102",
publisher = "Cambridge University Press",
number = "2",

}

RIS

TY - JOUR

T1 - Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell assessment of need for the elderly (CANE)--a pilot study

AU - Stein, Janine

AU - Luppa, Melanie

AU - König, Hans-Helmut

AU - Riedel-Heller, Steffi G

PY - 2014/2/1

Y1 - 2014/2/1

N2 - BACKGROUND: The current demographic and social developments in our society will lead to a significant increase in treatment and healthcare needs in the future, particularly in the elderly population. The Camberwell Assessment of Need for the Elderly (CANE) was developed in the United Kingdom to measure physical-, psychological-, and environment-related treatment as well as healthcare needs of older people in order to identify their unmet needs. So far, the German version of the CANE has not been established in health services research. Major reasons for this are a lack of publications of CANE's German version and the missing validation of the instrument.METHODS: The aims of the present study were to evaluate the currently available German version of the CANE in a sample of older primary care patients. Descriptive statistics and inference-statistical analyses were calculated.RESULTS: Patients reported unmet needs mostly in CANE's following sections: mobility/falls, physical health, continence, company, and intimate relationships. Agreement level between patients' and relatives' ratings in CANE was moderate to low. Evidence for the construct validity of CANE was found in terms of significant associations between CANE and other instruments or scores.CONCLUSIONS: The study results provide an important basis for studies aiming at the assessment of met and unmet needs in the elderly population. Using the German version of the CANE may substantially contribute to an effective and good-quality health and social care as well as an appropriate allocation of healthcare resources in the elderly population.

AB - BACKGROUND: The current demographic and social developments in our society will lead to a significant increase in treatment and healthcare needs in the future, particularly in the elderly population. The Camberwell Assessment of Need for the Elderly (CANE) was developed in the United Kingdom to measure physical-, psychological-, and environment-related treatment as well as healthcare needs of older people in order to identify their unmet needs. So far, the German version of the CANE has not been established in health services research. Major reasons for this are a lack of publications of CANE's German version and the missing validation of the instrument.METHODS: The aims of the present study were to evaluate the currently available German version of the CANE in a sample of older primary care patients. Descriptive statistics and inference-statistical analyses were calculated.RESULTS: Patients reported unmet needs mostly in CANE's following sections: mobility/falls, physical health, continence, company, and intimate relationships. Agreement level between patients' and relatives' ratings in CANE was moderate to low. Evidence for the construct validity of CANE was found in terms of significant associations between CANE and other instruments or scores.CONCLUSIONS: The study results provide an important basis for studies aiming at the assessment of met and unmet needs in the elderly population. Using the German version of the CANE may substantially contribute to an effective and good-quality health and social care as well as an appropriate allocation of healthcare resources in the elderly population.

KW - Activities of Daily Living

KW - Aged

KW - Aged, 80 and over

KW - Aging

KW - Female

KW - Geriatric Assessment

KW - Germany

KW - Health Services Research

KW - Health Services for the Aged

KW - Humans

KW - Independent Living

KW - Male

KW - Mental Competency

KW - Needs Assessment

KW - Pilot Projects

KW - Primary Health Care

KW - Psychometrics

KW - Questionnaires

KW - Reproducibility of Results

KW - Translating

U2 - 10.1017/S1041610213001993

DO - 10.1017/S1041610213001993

M3 - SCORING: Journal article

C2 - 24252296

VL - 26

SP - 285

EP - 295

JO - INT PSYCHOGERIATR

JF - INT PSYCHOGERIATR

SN - 1041-6102

IS - 2

ER -