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. 2024 Jul;24(4):897-908.
doi: 10.1111/psyg.13145. Epub 2024 Jun 4.

Needs analysis of family caregivers of people living with dementia in Sleman Regency, Yogyakarta

Wikan Ardiningrum  1   2 , Martina Wiwie Setiawan Nasrun  1 , Profitasari Kusumaningrum  1 , Charles Evert Damping  3
Affiliations

Needs analysis of family caregivers of people living with dementia in Sleman Regency, Yogyakarta

Wikan Ardiningrum et al. Psychogeriatrics. 2024 Jul.

Abstract

Background: Without appropriate support, taking care of people living with dementia may become a burden for family caregivers. Identifying the needs for caregivers can help them minimise the burden of caring and meet quality care for people living with dementia.

Methods: In the first phase, a content validity test was conducted on the Carers' Needs Assessment of Dementia (CNA-D) in the Indonesian version. The second phase, a sequential explanatory mixed-methods design, was conducted on 65 family caregivers in two stages. The first stage was a cross-sectional study. A correlation test between caregiver problems and caregiver burden was conducted. The caregiver problems that were statistically significant were analyzed to reveal the unmet needs. A needs analysis was also conducted on problems experienced by more than half of the caregivers. In the second stage, we conducted a semi-structured individual interview, and thematic analysis was used to analyze the data.

Results: The result of the validity test of the CNA-D instrument, Indonesian version, obtained a high value for content validity. The main problem of caregivers is a lack of information about dementia; however, it does not have a significant correlation with caregiver burden. The caregiver problem with the highest correlation to caregiver burden is burnout due to caring. More than 50% of caregivers' needs in Sleman Regency were not met in this research. The most essential needs that were not met were counselling and psychotherapy (83.3%-92%). The personal understanding of dementia, spiritual values in caring, cultural values in caring, barriers to accessing healthcare services, and self-care strategies should be considered in fulfilling family caregiver needs.

Conclusion: Most of the needs of family caregivers of people living with dementia in Sleman Regency, Yogyakarta, have not been met. Therefore, it requires collaboration with multi-professionals and all stakeholders to fulfil these needs.

Keywords: caregivers' needs; family caregivers; people living with dementia.

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