Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-19T11:44:43.831Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  19 November 2013

Janine Stein ,
Melanie Luppa ,
Hans-Helmut König  and
Steffi G. Riedel-Heller
Janine Stein*
Affiliation:
Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Leipzig, Germany
Melanie Luppa
Affiliation:
Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Leipzig, Germany
Hans-Helmut König
Affiliation:
Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Centre Hamburg-Eppendorf, University of Hamburg, Hamburg, Germany
Steffi G. Riedel-Heller
Affiliation:
Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Leipzig, Germany
*
Correspondence should be addressed to: Dr. Janine Stein, Institute of Social Medicine, Occupational Health and Public Health (ISAP), Faculty of Medicine, University of Leipzig, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany. Phone: +49-341-9724494; Fax: +49-341-9724569. Email: Janine.Stein@medizin.uni-leipzig.de.
Get access Rights & Permissions [Opens in a new window]

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

Camberwell Assessment of Need for the Elderly (CANE)needs assessmentprimary careelderly population
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 2 , February 2014 , pp. 285 - 295
Copyright
Copyright © International Psychogeriatric Association 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bauerle, S.et al. (2013). A needs-oriented discharge planning intervention for high utilisers of psychiatric services: quality of the implementation and opportunities for improvement. Psychiatrische Praxis, 40, 271–277.Google Scholar
Crome, P. and Phillipson, C. (2000). Assessment of need. Age Ageing, 29, 479–480.CrossRefGoogle ScholarPubMed
Dech, H. and Machleidt, W. (2004). Relevance and applicability of the CANE in the German healthcare system. In Orrell, M. and Hancock, G. (eds.), CANE: Camberwell Assessment of Need for the Elderly (pp. 29–34). London: Gaskell.Google Scholar
Fahy, M. A. and Livingston, G. A. (2001). The needs and mental health of older people in 24-hour care residential placements. Aging and Mental Health, 5, 253–257.Google Scholar
Fernandes, L.et al. (2009). Validation study of the Camberwell Assessment of Need for the Elderly (CANE) in Portugal. International Psychogeriatrics, 21, 94–102.Google Scholar
Field, E., Walker, M. and Orrell, M. (2004). The needs of older people living in sheltered housing. In Orrell, M. and Hancock, G. (eds.), CANE: Camberwell Assessment of Need for the Elderly. A Needs Assessment for Older Mental Health Service Users (pp. 35–44). London: Gaskell.Google Scholar
Fink, H.-A. (2011). Erprobung des Camberwell Assessment of Need for the Elderly (CANE) in Einem Deutschen Setting. Klinik für Psychiatrie und Psychotherapie der Medizinischen Fakultät Charite. Unveröffentlichte Dissertation, Universitätsmedizin Berlin.Google Scholar
Folstein, M. F., Folstein, S. E. and Mchugh, P. R. (1975). Mini-Mental State – practical method for grading cognitive state of patients for clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Gauggel, S. and Birkner, B. (1999). Validity and reliability of a German version of the Geriatric Depression Scale (GDS). Zeitschrift für Klinische Psychologie-Forschung und Praxis, 28, 18–27.Google Scholar
Hancock, G. A., Woods, B., Challis, D. and Orrell, M. (2006). The needs of older people with dementia in residential care. International Journal of Geriatric Psychiatry, 21, 43–49.CrossRefGoogle ScholarPubMed
Hoe, A., Orrell, M., Lambert, J. and Prettyman, R. (2004). The needs of long-term day hospital attenders. In Orrell, M. and Hancock, G. (eds.), CANE: Camberwell Assessment of Need for the Elderly. A Needs Assessment for Older Mental Health Service Users (pp. 57–66). London: Gaskell.Google Scholar
Houtjes, W., van Meijel, B., Deeg, D. J. and Beekman, A. T. (2011). Unmet needs of outpatients with late-life depression; a comparison of patient, staff and carer perceptions. Journal of Affective Disorders, 134, 242–248.Google Scholar
Iliffe, S., Lenihan, P., Orrell, M., Walters, K., Drennan, V. and Tai, S. S. (2004). The development of a short instrument to identify common unmet needs in older people in general practice. British Journal of General Practice, 54, 914–918.Google Scholar
Kaiser, G., Unger, A., Marquart, B., Weiss, M., Freidl, M. and Wancata, J. (2010). The German language version of the Camberwell Assessment of Need for the Elderly (CANE) among dementia patients. Neuropsychiatrie, 24, 182–189.Google ScholarPubMed
Kendel, F.et al. (2011). Eine deutsche Adaptation des ENRICHD Social Support Inventory (ESSI) – Teststatistische Überprüfung an kardialen Patienten. Diagnostica, 57, 99–106.CrossRefGoogle Scholar
Landi, F.et al. (2004). Comorbidity and social factors predicted hospitalization in frail elderly patients. Journal of Clinical Epidemiology, 57, 832–836.Google Scholar
Linden, M., Gilberg, R., Horgas, A. L. and Steinhagen-Thiessen, E. (1996). Die Inanspruchnahme medizinischer und pflegerischer Hilfe im hohen Alter. Berlin, Germany: Akademie Verlag.Google Scholar
Miranda-Castillo, C., Woods, B. and Orrell, M. (2013). The needs of people with dementia living at home from user, caregiver and professional perspectives: a cross-sectional survey. BMC Health Services Research, 13, 43.Google Scholar
Moock, J. (2008). Preference-based measurement of health-related quality of life: the EQ-5D Questionnaire. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, 18, 245–249.Google Scholar
Orrell, M. and Hancock, G. (2004). The Camberwell Assessment of Need for the Elderly (CANE). London: Gaskell.Google Scholar
Phelan, M.et al. (1995). The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. British Journal of Psychiatry, 167, 589–595.Google Scholar
Reynolds, T.et al. (2000). Camberwell Assessment of Need for the Elderly (CANE). Development, validity and reliability. British Journal of Psychiatry, 176, 444–452.Google Scholar
Riedel-Heller, S. G., Busse, A. and Angermeyer, M. C. (2006). The state of mental health in old-age across the “old” European Union – a systematic review. Acta Psychiatrica Scandinavica, 113, 388–401.Google Scholar
Schneekloth, U. and Potthoff, P. (1993). Help and Need of Care of Community Dwelling Elderly: Results of the Representative Research Project. Potentials and Limitations of Independent Living (in German). Stuttgart, Germany: Kohlhammer.Google Scholar
Smith, F. and Orrell, M. (2007). Does the patient-centred approach help identify the needs of older people attending primary care? Age Ageing, 36, 628–631.Google Scholar
Statistisches Bundesamt (2009). Bevölkerung Deutschlands bis 2060. 12. koordinierte Bevölkerungsvorausberechnung. Wiesbaden, Germany: Statistisches Bundesamt.Google Scholar
Valtorta, N. and Hanratty, B. (2012). Loneliness, isolation and the health of older adults: do we need a new research agenda? Journal of the Royal Society of Medicine, 105, 518–522.Google Scholar
van der Ploeg, E. S., Bax, D., Boorsma, M., Nijpels, G. and van Hout, H. P. (2013). A cross-sectional study to compare care needs of individuals with and without dementia in residential homes in the Netherlands. BMC Geriatrics, 13, 51.Google Scholar
van der Roest, H. G., Meiland, F. J., van Hout, H. P., Jonker, C. and Droes, R. M. (2008). Validity and reliability of the Dutch version of the Camberwell Assessment of Need for the Elderly in community-dwelling people with dementia. International Psychogeriatrics, 20, 1273–1290.Google Scholar
Walters, K., Iliffe, S., Tai, S. S. and Orrell, M. (2000). Assessing needs from patient, carer and professional perspectives: the Camberwell Assessment of need for elderly people in primary care. Age Ageing, 29, 505–510.Google Scholar