Examinando por Autor "Miranda-Castillo, Claudia"

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    Predictors of unmet needs in Chilean older people with dementia: A cross-sectional study
    (BMC, 2019-04-15) Tapia Muñoz, Thamara; Slachevsky, Andrea; León-Campos, María O.; Madrid, Michel; Caqueo-Urízar, Alejandra; Rohde, Gustav C.; Miranda-Castillo, Claudia
    Background: The needs of people with dementia (PWD) have not been assessed in any Latin American country. Several European countries have already related unmet needs with quality of life, caregiver's age, burden, stress, anxiety and depression. The aim of this study was to identify met and unmet needs in Chilean older adults with dementia and to determine if those needs were associated with PWD's, their informal caregivers' and social factors. Method: This was a cross-sectional study. One-hundred and sixty-six informal caregivers and their care recipients were interviewed. PWD was assessed about cognitive function and their caregivers answered instruments about PWD's needs, functional status and behavioral and psychological symptoms. Caregiver's burden, depression, anxiety and social support were also evaluated. A stepwise multiple linear regression analysis was performed to determine predictors of unmet needs in Chilean PWD. Results: The most frequent met needs were "Looking after home" (81.3%%), "Food" (78.9%) and "Selfcare" (75.3%). Most common unmet needs were "Daily living activities" (39.2%), "Company" (36.1%), and "Memory" (34.9%). Caregivers' lower age was correlated to a higher number of PWD's unmet needs (r s = -.216; p < 0.005). Higher PWD's dependence was associated with higher number of unmet needs (r s =.177; p < 0.05). The best predictors of unmet needs were caregivers' low level of social support, high burden, young age and high level of anxiety. Conclusion: It is necessary to address psychological and social needs of PWD. The fact that PWD's unmet needs were associated mostly with caregivers' factors, highlights the importance of considering both, the PWD and their informal caregivers as targets of institutional support. It is expected that recently launched national public policies decrease PWD's unmet needs by the provision of new services for them and their informal caregivers. © 2019 The Author(s).
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    Predictors of Unmet Needs in Chilean Older People with Dependency: A Cross-Sectional Study
    (MDPI, 2023-10) Carvacho, Raffaela; Carrasco, Marcela; Fernández, María Beatriz; Miranda-Castillo, Claudia
    Approximately one in five Chilean older adults has some degree of dependency. Limited evidence is available on self-perceived needs in Latin-American older people. The main aim of this study was to identify predictors of unmet needs of dependent older persons without cognitive impairment, considering personal and primary informal caregivers’ factors. This cross-sectional study was conducted with a sample of 77 dyads of older people with dependency and their caregivers. A survey was administered, evaluating sociodemographic characteristics, anxious and depressive symptomatology, health-related quality of life, and social support. Older people’s self-reported met and unmet needs and caregivers’ burden and self-efficacy were also assessed. To determine predictors of unmet needs, a multiple regression analysis was carried out. Most participants had mild to moderate levels of dependency. The most frequent unmet needs were “daytime activities” (33.8%), “company” (23.4%), “benefits” (23.4%), and “psychological distress” (24.7%). Older people’s higher level of dependency and anxious symptomatology were predictors of a higher number of unmet needs, with a model whose predictive value was 31%. The high prevalence of anxious symptomatology and its relationship with the presence of unmet needs highlight the importance of making older people’s psychological and social needs visible and addressing them promptly. © 2023 by the authors.