{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:15:15Z","timestamp":1777392915703,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAD"],"published-print":{"date-parts":[[2024,6,25]]},"abstract":"<jats:p>Background: Determining unmet need patterns and associated factors in primary care can potentially specify assessment batteries and tailor interventions in dementia more efficiently. Objective: To identify latent unmet healthcare need patterns and associated sociodemographic and clinical factors. Methods: This Latent Class Analysis (LCA) includes n\u200a=\u200a417 community-dwelling people living with dementia. Subjects completed a comprehensive, computer-assisted face-to-face interview to identify unmet needs. One-hundred-fifteen predefined unmet medical, medication, nursing, psychosocial, and social care needs were available. LCA and multivariate logistic regressions were performed to identify unmet needs patterns and patient characteristics belonging to a specific pattern, respectively. Results: Four profiles were identified: [1] \u201cfew needs without any psychosocial need\u201d (n\u200a=\u200a44 (11%); mean: 7.4 needs), [2] \u201csome medical and nursing care needs only\u201d (n\u200a=\u200a135 (32%); 9.7 needs), [3] \u201csome needs in all areas\u201d (n\u200a=\u200a139 (33%); 14.3 needs), and [4] \u201cmany medical and nursing needs\u201d (n\u200a=\u200a99 (24%); 19.1 needs). Whereas the first class with the lowest number of needs comprised younger, less cognitively impaired patients without depressive symptoms, the fourth class had the highest number of unmet needs, containing patients with lower health status, less social support and higher comorbidity and depressive symptoms. Better access to social care services and higher social support reduced unmet needs, distinguishing the second from the third class (9.7 versus 14.3 needs). Conclusions: Access to the social care system, social support and depressive symptoms should be assessed, and the patient\u2019s health status and comorbidities monitored to more comprehensively identify unmet needs patterns and more efficiently guide tailored interventions.<\/jats:p>","DOI":"10.3233\/jad-240025","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T11:10:55Z","timestamp":1718363455000},"page":"345-356","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Needs Patterns and Pattern-Predicting Factors in Dementia: Results of the Comprehensive, Computerized Unmet Needs Assessment from the Randomized, Controlled Interventional Trial InDePendent"],"prefix":"10.1177","volume":"100","author":[{"given":"Bernhard","family":"Michalowsky","sequence":"first","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anika","family":"R\u00e4dke","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annelie","family":"Scharf","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franka","family":"M\u00fchlichen","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maresa","family":"Buchholz","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Platen","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Kleinke","sequence":"additional","affiliation":[{"name":"Section of Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Penndorf","sequence":"additional","affiliation":[{"name":"Section of Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie","family":"Pfitzner","sequence":"additional","affiliation":[{"name":"Section of Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeltje","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Section of Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"German Center for Neurodegenerative Diseases \u2013 DZNE, Rostock\/Greifswald, Greifswald, Germany"},{"name":"Section of Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, 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When informal care alone may not suffice","volume":"22","author":"Kerpershoek","year":"2018","journal-title":"Aging Ment Health"},{"key":"10.3233\/JAD-240025_ref39","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1186\/1477-7525-8-132","article-title":"Unmet needs, quality of life and support networks of people with dementia living at home","volume":"8","author":"Miranda-Castillo","year":"2010","journal-title":"Health Qual Life Outcomes"},{"key":"10.3233\/JAD-240025_ref40","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.3233\/JAD-180531","article-title":"Impact of untimely access to formal care on costs and quality of life in community dwelling people with dementia","volume":"66","author":"Janssen","year":"2018","journal-title":"J Alzheimers Dis"},{"key":"10.3233\/JAD-240025_ref41","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1080\/13607863.2016.1232369","article-title":"Determinants of quality of life in young onset dementia - results from a European multicenter assessment","volume":"21","author":"Millenaar","year":"2017","journal-title":"Aging Ment Health"},{"key":"10.3233\/JAD-240025_ref42","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1007\/s11136-011-0044-z","article-title":"Quality of life of community-residing persons with dementia based on self-rated and caregiver-rated measures","volume":"21","author":"Black","year":"2012","journal-title":"Qual Life Res"},{"key":"10.3233\/JAD-240025_ref43","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/s12877-019-1131-1","article-title":"Predictors of unmet needs in Chilean older people with dementia: A cross-sectional study","volume":"19","author":"Tapia Munoz","year":"2019","journal-title":"BMC Geriatr"},{"key":"10.3233\/JAD-240025_ref44","doi-asserted-by":"crossref","first-page":"527","DOI":"10.3233\/JAD-180244","article-title":"Identifying unmet needs of family dementia caregivers: Results of the baseline assessment of a cluster-randomized controlled intervention trial","volume":"67","author":"Zwingmann","year":"2019","journal-title":"J Alzheimers Dis"},{"key":"10.3233\/JAD-240025_ref45","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1186\/s12877-017-0612-3","article-title":"Meeting psychosocial needs for persons with dementia in home care services - a qualitative study of different perceptions and practices among health care providers","volume":"17","author":"Hansen","year":"2017","journal-title":"BMC Geriatr"},{"key":"10.3233\/JAD-240025_ref46","doi-asserted-by":"crossref","first-page":"1296","DOI":"10.1016\/j.jalz.2019.05.008","article-title":"Cost-effectiveness of a collaborative dementia care management-Results of a cluster-randomized controlled trial","volume":"15","author":"Michalowsky","year":"2019","journal-title":"Alzheimers Dement"},{"key":"10.3233\/JAD-240025_ref47","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1001\/jamapsychiatry.2017.2124","article-title":"Effectiveness and safety of dementia care management in primary care: A randomized clinical trial","volume":"74","author":"Thyrian","year":"2017","journal-title":"JAMA Psychiatry"}],"container-title":["Journal of Alzheimer's Disease"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/JAD-240025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:58:25Z","timestamp":1777370305000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/JAD-240025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,25]]},"references-count":46,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3233\/jad-240025","relation":{},"ISSN":["1387-2877","1875-8908"],"issn-type":[{"value":"1387-2877","type":"print"},{"value":"1875-8908","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,25]]}}}