Volume 11, Issue 1 (2023)                   Health Educ Health Promot 2023, 11(1): 21-27 | Back to browse issues page

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Cheraghi P, Sadri M, Moradi L, Cheraghi Z. Assessment of Health-related Needs in Older Adults: A Systematic Review. Health Educ Health Promot 2023; 11 (1) :21-27
URL: http://hehp.modares.ac.ir/article-5-64542-en.html
1- School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
4- Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
Abstract:   (776 Views)
Aims: Over the past years, more attention has been paid to the health-related needs of the elderly population as a vulnerable subgroup. This study aimed to design and implement a health-related need assessment of the elderly under a systematic review.
Information and Methods: In this study, the international databases, including Web of Sciences, Medline, Scopus, and ProQuest, were searched up to August 2021. The following keywords were used to design the search strategy: (aged OR aging OR "older adults" OR "older people" OR "older person" OR elderly) AND (need OR "needs assessment" OR "health-related needs" OR" health need assessment").
Findings: The total sample size was 10780 subjects. The mean age was 73.7±8.2 years. Six main areas of health-related needs were identified during this study as follows: 1) physical needs, 2) psychological needs, 3) social needs, 4) environmental needs, 5) health literacy needs, and 6) intelligent assistive technology.
Conclusion: It seems that achieving the goal of successful aging is possible in the framework of health needs assessment and identifying the needs of older adults in all its dimensions, which include physical health, social well-being, psychological well-being, financial security, and an older adults-friendly environment.
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Article Type: Systematic Review | Subject: Health Promotion Setting
Received: 2022/10/1 | Accepted: 2022/12/19 | Published: 2023/02/5
* Corresponding Author Address: Modeling of Noncommunicable Diseases Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. Postal Code: 65157835129 (cheraghiz@ymail.com)

1. Wild B, Lechner S, Herzog W, Maatouk I, Wesche D, Raum E, et al. Reliable integrative assessment of health care needs in elderly persons: the INTERMED for the Elderly (IM-E). J Psychosom Res. 2011;70(2):169-78. [Link] [DOI:10.1016/j.jpsychores.2010.09.003]
2. Shaw MP, Peart DJ, Fairhead OJW. Perceived stress in university students studying in a further education college. Res Post Compuls Educ. 2017;22(3):442-52. [Link] [DOI:10.1080/13596748.2017.1362534]
3. World Health Organization. International day of older persons [Internet]. Geneva: World Health Organization;2018 [cited 2021 Dec 23]. Available from: http://www.who.int/life-course/news/events/intl-day-of-older-persons-2018/en/. [Link]
4. Stein J, Luppa M, König H-H, Riedel-Heller SG. Assessing met and unmet needs in the oldest-old and psychometric properties of the German version of the Camberwell assessment of need for the elderly (CANE)-a pilot study. Int Psychogeriatr. 2014;26(2):285-95. [Link] [DOI:10.1017/S1041610213001993]
5. Rasel M, Ardalan A. The future of ageing and its health care costs: A warning for health system. Iran J Ageing. 2007;2(2):300-5. [Persian] [Link]
6. Ashokkumar T, Chacko T, Munuswamy S. Health care and social needs of the elderly: Assessed by the tool Camberwell Assessment of need for the elderly. Int J Trop Med. 2011;6(5):97-9. [Link]
7. Reynolds T, Thornicroft G, Abas M, Woods B, Hoe J, Leese M, et al. Camberwell Assessment of Need for the Elderly (CANE): Development, validity and reliability. Br J Psychiatry. 2000;176(5):444-52. [Link] [DOI:10.1192/bjp.176.5.444]
8. Miranda-Castillo C, Woods B, Galboda K, Oomman S, Olojugba C, Orrell M. Unmet needs, quality of life and support networks of people with dementia living at home. Health Qual Life Outcomes. 2010;8(1):132. [Link] [DOI:10.1186/1477-7525-8-132]
9. Smith F, Orrell M. Does the patient-centred approach help identify the needs of older people attending primary care? Age Ageing. 2007;36(6):628-31. [Link] [DOI:10.1093/ageing/afm131]
10. Yamada T, Chen C-C, Murata C, Hirai H, Ojima T, Kondo K, et al. Access disparity and health inequality of the elderly: unmet needs and delayed healthcare. Int J Environ Res Public Health. 2015;12(2):1745-72. [Link] [DOI:10.3390/ijerph120201745]
11. Fernandes L, Gonçalves-Pereira M, Leuschner A, Martins S, Sobral M, Azevedo LF, et al. Validation study of the Camberwell Assessment of Need for the Elderly (CANE) in Portugal. Int Psychogeriatr. 2009;21(1):94-102. [Link] [DOI:10.1017/S1041610208008041]
12. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Int J Surg. 2021;88:105906. [Link] [DOI:10.1016/j.ijsu.2021.105906]
13. Firooznia R, Dargahi H, Khaledian Z, Jafari -Koshki T. Strengths and weaknesses of maternal health program evaluation tools in Iranian primary health ‎care system. Payesh. 2018;17(5):521-30. [Persian] [Link]
14. Adznam S, Shahar S, Rahman SA, Yusof NAM, Arshad F, Yassin Z, et al. An action research on promotion of healthy ageing and risk reduction of chronic disease: A need assessment study among rural elderly Malays, care givers and health professionals. J Nutr Health Aging. 2009;13(10):925-30. [Link] [DOI:10.1007/s12603-009-0253-0]
15. Calsyn RJ, Roades LA, Calsyn DS. Acquiescence in needs assessment studies of the elderly. Gerontologist. 1992;32(2):246-52. [Link] [DOI:10.1093/geront/32.2.246]
16. Chuemchit M, Deeleartyuenyong N, Promluan P, Khiewkhum J, Taneepanichskul S. Health promotion behavior and needs assessment: What do Thai elderly want and need. Int J Soc Sci Hum. 2012;2(5):396-9. [Link] [DOI:10.7763/IJSSH.2012.V2.133]
17. Darboe K, Ahmed LS. Elderly African immigrants in Minnesota: A case study of needs assessment in eight cities. Educ Gerontol. 2007;33(10):855-66. [Link] [DOI:10.1080/03601270701569101]
18. Dowrick C. Self‐assessment by elderly people‐a means of identifying unmet need in primary care. Health Soc Care Commun. 1993;1(5):289-96. [Link] [DOI:10.1111/j.1365-2524.1993.tb00230.x]
19. Liu LF, Yao HP. Examining the need assessment process by identifying the need profiles of elderly care recipients in the Ten-Year Long-Term Care Project (TLTCP) of Taiwan. J Am Med Dir Assoc. 2014;15(12):946-54. [Link] [DOI:10.1016/j.jamda.2014.07.007]
20. Sarabi RE. Assessment of educational needs of elderly people in Sirjan about healthy lifestyle, 2018-2019. J Gerontol. 2020;5(1):68-78. [Persian] [Link]
21. Tien DN, Zhang GL. Quality of life among the elderly in suburban Hanoi, Vietnam: Needs assessment and socio-economic factors affecting the elderly care. In: Jiang W, Ga X, editors. Proceedings of the 2017 International Conference on Innovations in Economic Management and Social Science. AEBMR-Advances in Economics Business and Management Research. 2017. p. 745-51. [Link] [DOI:10.2991/iemss-17.2017.146]
22. Gholizadeh S, Estaji Z, Akrami R, Ghanbari Moghaddam A. Health related needs of the elderly in Sabzevar city of Iran , 2019. J Gerontol. 2020;4(4):68-75. [Persian] [Link] [DOI:10.29252/joge.4.3.68]
23. Sousa R, Scazufca M, Rossi Menezes P, Luiz Crepaldi A, James Prince M. Feasibility and reliability of the elderly version of the Camberwell Assessment of Needs (CANE): results from the São Paulo Ageing & Health Study. Bras J Psychiatry. 2009;31(1):34-8. [Link] [DOI:10.1590/S1516-44462009000100009]
24. Stein J, Pabst A, Weyerer S, Werle J, Maier w, Heilmann K, et al. The assessment of met and unmet care needs in the oldest old with and without depression using the Camberwell Assessment of Need for the Elderly (CANE): Results of the Age MooDe study. J Affect Disord. 2016;193:309-17. [Link] [DOI:10.1016/j.jad.2015.12.044]
25. Tiativiriyaku P, Xenos P. Assessment of need for elderly in community in Hang Dong district, Chang Mai province, Thailand using camberwell assessment of need for the elderly questionnaire (CANE). J Health Res. 2017;31(2):43-54. [Link]
26. Tobis S, Wieczorowska-Tobis K, Talarska D, Pawlaczyk M, Suwalska A. Needs of older adults living in long-term care institutions: an observational study using Camberwell assessment of need for the elderly. Clin Interv Aging. 2018;13:2389-95. [Link] [DOI:10.2147/CIA.S145937]
27. Wieczorowska-Tobis K, Talarska D, Kropinska S, Jaracz K, Tobis S, Suwalska A, et al. The Camberwell Assessment of Need for the Elderly questionnaire as a tool for the assessment of needs in elderly individuals living in long-term care institutions. Arch Gerontol Geriatr. 2016;62:163-8. [Link] [DOI:10.1016/j.archger.2015.10.005]
28. Walters K, Liffe S, See Tai S, Orrell M. Assessing needs from patient, career and professional perspective: Camberwell assessment of needs for the elderly in primary care. Age Ageing. 2000;29(6):505-10. [Link] [DOI:10.1093/ageing/29.6.505]
29. Hojjati H, Hojjati H, Sharfnia SH, Salmasi E, Hosseinzadeh E, Farhadi S. Comparison of loneliness, belonging and life satisfaction in the elderlies living at home with the nursing home residents. J Health Care. 2012;14(3):9-15. [Persian] [Link]
30. Hein A, Steen EE, Thiel A, Hulsken-Giesler M, Wist T, Helmer A, et al. Working with a domestic assessment system to estimate the need of support and care of elderly and disabled persons: results from field studies. Inform Health Soc Care. 2014;39(3-4):210-31. [Link] [DOI:10.3109/17538157.2014.931857]
31. van der Ploeg ES, Bax D, Boorsma M, Nijpels G, van Hout HPJ. A cross-sectional study to compare care needs of individuals with and without dementia in residential homes in the Netherlands. BMC Geriatr. 2013;13:51. [Link] [DOI:10.1186/1471-2318-13-51]
32. Janipour B, Arasteh S, Taheri MR, Hossein SF. Environmental needs assessment of the elderly in Karaj urban parks. J Architect Environ Res. 2019;1(2):49-60. [Persian] [Link] [DOI:10.1016/j.vlsi.2017.09.010]
33. Albina EM, Hernandez AA. Assessment of the elderly on perceived needs, benefits and barriers: Inputs for the design of intelligent assistive technology. 2018 16th International Conference on ICT and Knowledge Engineering. Bangkok, Thailand: 2018. p. 82-91. [Link] [DOI:10.1109/ICTKE.2018.8612447]
34. Javadian SR. Gerontological social work. Q J Soc Work. 2015;4(2):27-32. [Persian] [Link]
35. Maghsoudi A. The study of prevalence of chronic diseases and its association with quality of life in the elderly of Ewaz (South of Fars province), 2014. Navid No. 2016;18(61):35-42. [Persian] [Link]
36. Naemani F, Fayaz-Bakhsh A, Sohrabi Z, Zali ME. Service required for elderly receiving home care: a situational analysis. Payesh. 2019;18(6):513-25. [Persian] [Link]
37. Cheraghi P, Delbari A, Cheraghi Z, Karimi-Shahanjarini A, Zanjari A. 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. J Res Health Sci. 2021;21(4):e00530. [Link] [DOI:10.34172/jrhs.2021.64]
38. Leesri T, Srisuphan W, Senaratana W, Vannarit T. CIPP model evaluation of a collaborative diabetic management in community setting. Glob J Medical Clin Case Rep. 2016;3(1):29-34. [Link] [DOI:10.17352/2455-5282.000030]
39. Nagalingam J. Understanding successful aging: a study of older Indian adults in Singapore. Care Manag J. 2007;8(1):18-25. [Link] [DOI:10.1891/152109807780494131]
40. Fry CL, Dickerson-Putman J, Draper P, Ikels C, Keith J, Glascock AP, et al. Culture and the meaning of a good old age. Cultur Aging Context. 1997;3:99-123. [Link]
41. Craciun C. Successful aging-utopia or the result of lifelong learning? Meaning and representations of ageing in romanian elderly. Ageing Int. 2012;37(4):373-85. [Link] [DOI:10.1007/s12126-011-9131-2]
42. Chang K-S, Tsai W-H, Tsai C-H, Yeh H-I, Chiu P-H, Chang Y-W, et al. Effects of health education programs for the elders in community care centers-Evaluated by health promotion behaviors. Int J Gerontol. 2017;11(2):109-13. [Link] [DOI:10.1016/j.ijge.2017.03.009]
43. de Vries NM, van Ravensberg CD, Hobbelen JSM, Rikkert MGMO, Staal JB, Nijhuis-van der Sanden MWG. Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: a meta-analysis. Ageing Res Rev. 2012;11(1):136-49. [Link] [DOI:10.1016/j.arr.2011.11.002]
44. Toto PE, Raina KD, Holm MB, Schlenk EA, Rubinstein EN, Rogers JC. Outcomes of a multicomponent physical activity program for sedentary, community-dwelling older adults. J Aging Phys Act. 2012;20(3):363-78. [Link] [DOI:10.1123/japa.20.3.363]
45. Berkman ND, Davis TC, McCormack L. Health literacy: what is it? J Health Commun. 2010;15(S2):9-19. [Link] [DOI:10.1080/10810730.2010.499985]
46. Ferguson B. Health literacy and health disparities: The role they play in maternal and child health. Nurs Womens Health. 2008;12(4):286-98. [Link] [DOI:10.1111/j.1751-486X.2008.00343.x]
47. Salimi F, Garmaroudi G, Hosseini SM, Batebi AJJoe, health c. Effect of self-care educational program to improving quality of life among elderly referred to health centers in Zanjan. J Educ Community Health. 2015;2(2):28-37. [Persian] [Link]
48. Zanjari N, Bahrami G, Koochi MN, Arani ZA. Factors affecting the elderly's quality of life in the middle east: A systematic review. J Educ Community Health. 2021;8(2):143-58. [Persian] [Link] [DOI:10.52547/jech.8.2.143]
49. Alipour N, Dastoorpour M, Araban M. Effect of educational intervention on fear of falling in the elderly people: A randomized cluster trial. J Educ Community Health. 2020;7(3):145-51. [Persian] [Link] [DOI:10.29252/jech.7.3.145]
50. Coughlin JF. Understanding the Janus face of technology and ageing: Implications for older consumers, business innovation and society. Int J Emerg Technol Soc. 2010;8(2):62-7. [Link]
51. Demiris G, Rantz MJ, Aud MA, Marek KD, Tyrer HW, Skubic M, et al. Older adults' attitudes towards and perceptions of 'smart home'technologies: a pilot study. Med Inform Internet Med. 2004;29(2):87-94. [Link] [DOI:10.1080/14639230410001684387]
52. Magnusson L, Hanson E, Borg MJT, Disability. A literature review study of information and communication technology as a support for frail older people living at home and their family carers. Technol Disabil. 2004;16(4):223-35. [Link] [DOI:10.3233/TAD-2004-16404]
53. Yoshany N, Khameshi SSS, Rezaei M, Baghin N, Kakolaki ZK. Relationship between quality of life and using smart phones in the elderly. J Educ Community Health. 2019;6(4):247-55. [Persian] [Link] [DOI:10.29252/jech.6.4.247]

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