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Unmet Home Care Service Needs of Rural Older Adults With Alzheimer's Disease: A Perspective of Informal Caregivers
Authors:Hong Li  Gregory A Kyrouac  Dennis Q McManus  Robert E Cranston  Susan Hughes
Institution:1. School of Social Work , University of Illinois at Urbana-Champaign , Urbana , Illinois , USA hongli@uiuc.edu;3. Department of Neurology , Southern Illinois University School of Medicine , Springfield , Illinois , USA;4. Center for Alzheimer Disease and Related Disorders , Southern Illinois University School of Medicine , Springfield , Illinois , USA;5. Institute on Aging, OSF Saint Francis Medical Center , Peoria , Illinois , USA;6. Carle Clinic , Urbana , Illinois , USA;7. School of Public Health , University of Illinois , Chicago , Illinois , USA
Abstract:This study assessed unmet service needs of rural older adults with Alzheimer's disease (AD) and identified factors that were related to these needs. Data were collected from 109 informal caregivers of AD patients. Over half of the patients experienced unmet service needs in 1 or more areas of activities of daily functioning. Informal caregiver burden and patient's gender and functional status were significantly related to patients' unmet service needs. Patients' use of formal services was marginally related to their unmet service needs. To better address patients' service needs, a comprehensive needs assessment should be conducted with both patients and their caregivers.
Keywords:informal caregiving  home and community based services  rural communities  older adults with Alzheimer's Disease  unmet service needs
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