Experiences of people with dementia and informal caregivers with post‐diagnostic support: Data from the international COGNISANCE study

Author:

Hevink Maud1ORCID,Wolfs Claire1,Ponds Rudolf12ORCID,Doucet Shelley3ORCID,McAiney Carrie4ORCID,Vedel Isabelle5ORCID,Maćkowiak Maria6ORCID,Rymaszewska Joanna6ORCID,Rait Greta7ORCID,Robinson Louise8ORCID,Poole Marie8ORCID,Gresham Meredith9ORCID,Jeon Yun‐Hee10ORCID,Phillipson Lyn11ORCID,Low Lee‐Fay12ORCID,Brodaty Henry9ORCID,de Vugt Marjolein1ORCID,Verhey Frans1ORCID

Affiliation:

1. Department of Psychiatry and Neuropsychology School for Mental Health and Neuroscience (MHeNS) Alzheimer Centre Limburg Maastricht University Maastricht The Netherlands

2. Department of Medical Psychology Amsterdam UMC Location VUmc Amsterdam The Netherlands

3. Department of Nursing and Health Sciences The Centre for Research in Integrated Care University of New Brunswick Saint John New Brunswick Canada

4. School of Public Health Sciences University of Waterloo and Schlegel‐UW Research Institute for Aging Waterloo Ontario Canada

5. Department of Family Medicine McGill University, and Lady Davis Institute for Medical Research, and Jewish General Hospital Montreal Quebec Canada

6. Department of Psychiatry Wroclaw Medical University Wroclaw Poland

7. Department of Primary Care and Population Health Institute of Epidemiology and Health Care University College London London UK

8. Population Health Sciences Institute Newcastle University Newcastle upon Tyne UK

9. Centre for Healthy Brain Ageing Discipline of Psychiatry and Mental Health University of New South Wales Sydney New South Wales Australia

10. Susan Wakil School of Nursing and Midwifery Faculty of Medicine and Health The University of Sydney Sydney New South Wales Australia

11. School of Health and Society Faculty of Arts Social Sciences and Humanities University of Wollongong Wollongong New South Wales Australia

12. Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia

Abstract

AbstractObjectivesThe study aims to describe people with dementia and informal caregivers' respective experiences of support after diagnosis and compares these experiences. Additionally, we determine how people with dementia and informal caregivers who are satisfied with support differ from those dissatisfied.MethodsA cross‐sectional survey study in Australia, Canada, the Netherlands, Poland, and United Kingdom was carried out to examine people with dementia and informal caregivers experience with support (satisfaction with information, access to care, health literacy, and confidence in ability to live well with dementia). The separate surveys contained closed questions. Analysis consisted of descriptive statistics and Chi‐square tests.ResultsNinety people with dementia and 300 informal caregivers participated, and 69% of people with dementia and 67% of informal caregivers said support after diagnosis helped them deal more efficiently with their concerns. Up to one‐third of people with dementia and informal caregivers were dissatisfied with information about management, prognosis, and strategies for living positively. Few people with dementia (22%) and informal caregivers (35%) received a care plan. People with dementia were more often satisfied with information, had more often confidence in their ability to live well with dementia, and were less often satisfied with access to care compared to informal caregivers. Informal caregivers who were satisfied with support were more satisfied with information and access to care compared to informal caregivers not satisfied with support.ConclusionsExperience of dementia support can be improved and people with dementia and informal caregiver differ in their experiences of support.

Funder

EU Joint Programme – Neurodegenerative Disease Research

Publisher

Wiley

Subject

Psychiatry and Mental health,Geriatrics and Gerontology

Reference40 articles.

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