Assessment of Met and Unmet Care Needs in Older Adults without Mental Disorders Using the Camberwell Assessment of Need for the Elderly: A Systematic Review and Meta-analysis

Background: Physical, psychological, and social changes in the aging lead to new needs in thecare of the elderly. The Camberwell Assessment of Need for the Elderly (CANE) evaluates olderadults' care needs. This study aimed to assess the types of needs of the elderly using the CANEquestionnaire.Study design: A systematic review.Methods: This systematic review included all cross-sectional studies. International databases,including Web of Sciences, Medline, Scopus, and ProQuest were searched up to June ۲۰۲۱. Suchkeywords as aged OR ageing OR "older adults" OR "older people" OR "older person" OR elderly,AND need OR "needs assessment" OR "met needs" OR "unmet needs" were used to design thesearch strategy. A ۹۵% CI was calculated using the exact method, and the meta-analysis ofproportion (metaprob) module was used for data analysis.Results: In total, ۷۶۹ studies were retrieved in this review. At the following stages, ۷۶۰ articleswere excluded upon checking the duplicates; moreover, the titles and abstracts did not meet theeligibility criteria. Finally, nine studies remained. The mean±SD age of ۲۲۰۰ participants wasobtained at ۷۸.۴±۵.۹ years. The highest and lowest met needs were related to the physical (۴۵%)and social (۲۱%) dimensions, respectively. Furthermore, the highest unmet needs were observedin the physical and social dimensions (۰.۰۷%), and the lowest unmet needs were related to thepsychological and environmental dimensions (۰.۰۴%).Conclusions: The CANE is sensitive enough to identify unmet needs in different samples andsettings. Therefore, a new care model and appropriate interventions for the elderly can be designedbased on the CANE results.

کلیدواژه ها:

Aged ، Meta-Analysis ، Needs Assessment ، Systematic Review