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Review ArticleSystematic Reviews

Family Physician–Case Manager Collaboration and Needs of Patients With Dementia and Their Caregivers: A Systematic Mixed Studies Review

Vladimir Khanassov and Isabelle Vedel
The Annals of Family Medicine March 2016, 14 (2) 166-177; DOI: https://doi.org/10.1370/afm.1898
Vladimir Khanassov
Department of Family Medicine, McGill University, Montreal, Canada
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  • For correspondence: vladimir.khanassov@mail.mcgill.ca
Isabelle Vedel
Department of Family Medicine, McGill University, Montreal, Canada
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Abstract

PURPOSE Dementia case management (CM) in primary care is a complex intervention aimed at identifying the various needs of patients with dementia and their caregivers, as well as the organization and coordination of care. A key element of CM is the collaboration of family physicians with case managers. We conducted a systematic mixed-studies review to identify the needs of the patient-caregiver dyad and the effects of CM.

METHODS We searched MEDLINE, PsycINFO, and EMBASE up to October 2014, regardless of the study design. Our main outcomes were needs of patients and their caregivers and the effects of CM on these needs. We used narrative syntheses to develop a taxonomy of needs and to describe the effects of CM on those needs. We used meta-analysis to calculate the prevalence of needs and the standardized mean differences to evaluate the effects of CM on the needs identified.

RESULTS Fifty-four studies were included. We identified needs of the patient-caregiver dyad and needs of the patient and caregiver individually. CM addressed the majority of the identified needs. Still, some very common needs (eg, early diagnosis) are overlooked while other needs (eg, education on the disease) are well addressed. Fully establishing the value of CM is difficult given the small number of studies of CM in primary care.

CONCLUSIONS There is good evidence that case managers, in collaboration with family physicians, have a pivotal role in addressing the needs of the patient-caregiver dyad.

  • case management
  • dementia
  • primary care
  • collaborative care
  • patient-centered care
  • systematic review

INTRODUCTION

The proportion of people with dementia is growing dramatically. According to the US Alzheimer’s Association, by 2030, 50% of Americans aged 65 years and older will be diagnosed with dementia.1 In Canada in 2011, 747,000 Canadians lived with cognitive impairment.2 Today, the combined costs are $33 billion per year,1 and they are projected to increase to $872 billion by 2038.3,4 Worldwide, dementia is the main contributor to disability-adjusted life years (11.2%), representing a greater burden than cerebral vascular accident (9.5%), heart disease (5.0%), or cancer (2.4%).5

People with dementia need help with challenging changes in behavior, memory, physical disability, and mood.6 The main source of help is family caregivers, who often suffer from the burdens of caregiving and from depression and health problems.7 It has been shown that early intervention makes the greatest difference in management of symptoms.1 The World Health Organization states that it would be challenging to intervene without effective involvement of primary care.8 Dementia case management (CM) interventions are becoming a central component of primary health care organizations in North America and Europe.9–12 According to the Case Management Society of America, case management is “a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources….”13 Case managers are health care professionals who provide follow-up, coordinate individual care, and liaise with other health care services. They work in collaboration with family physicians, specialists, or both.14–22

Over the last few years, several systematic reviews have found that the evidence of CM’s effects on service use and clinical outcomes is weak.23–28 None of them specifically focused on the needs of patients and caregivers, however.23–28 Patients with dementia and their caregivers who already receive professional care still report unmet needs.29 Moreover, they feel that their own opinion is not taken into account.30 In line with the patient-centered care paradigm,31,32 it is important to identify the needs felt by the patient and the caregiver33–35 and to determine the extent to which CM interventions respond to their needs.36

We conducted a systematic review to answer the following research question: Does the collaboration of family physicians with case managers respond to the needs of patients with dementia and their caregivers living in the community?

METHODS

We conducted a systematic mixed-studies review by including studies with diverse designs (quantitative, qualitative, and mixed methods).37 This type of review has been deemed appropriate for the study of complex interventions.38 It overcomes the issue of a partial picture that results from relying on a single type of research in isolation, assists in the critical analysis of interventions from the viewpoint of participants targeted,39 and enables a single review to answer a number of questions (eg, identifying needs and evaluating how well they have been met).40 It produces research more useful for decision makers and maximizes the use of review results (maximizes the conversion of knowledge to action) by enhancing their utility and impact.39

Inclusion Criteria

To be included in our review, studies had to meet the following criteria:

  • They had to deal with community-dwelling patients of any age with any type of dementia and/or their informal caregivers.

  • They had to concern collaboration between a family physician and a case manager that comprises a comprehensive needs and health assessment, planning of services and their coordination, monitoring, and regular proactive follow-up.13,41

  • They had to focus on primary medical care, defined as a range of community settings where family physicians intervene (patients’ homes and offices).42

  • They could be of any type or design.

  • Their outcomes could be the effects of CM on any type of need expressed by patients, expressed by caregivers, or measured.

Search Strategy and Study Selection

In accordance with PRISMA statement standards,43 a literature search was conducted by a specialized librarian; publications in English, French, or Russian listed in MEDLINE, PsycINFO, or EMBASE, published before October 2014, were searched (Supplemental Appendix 1, available at http://annfammed.org/content/14/2/166/suppl/DC1). Given the objectives of our review, 2 search strategies were applied in parallel: 1) studies of the needs of community-dwelling patients with dementia and their caregivers, and 2) studies of CM (Supplemental Figure, available at http://annfammed.org/content/14/2/166/suppl/DC1). Based on the eligibility criteria, relevant titles, abstracts, and full-text articles were selected independently by 1 author (V.K.) and a research assistant (Martin Beauchamp).

Quality Assessment

The quality of the studies was assessed independently by 1 author (V.K.) and one outside reviewer (Quan Nha Hong, MSc) using the validated Mixed Methods Appraisal Tool designed for the critical appraisal of studies with diverse designs.44–46 Studies were scored on their internal and external validity (eg, representativeness of the sample, randomization). Studies were included without regard to their quality. We performed a sensitivity analysis (with a potential score of 0 or 1) to assess the impact of lower-quality studies on the results.

Data Extraction and Synthesis

Two reviewers (V.K. and Beauchamp) independently extracted and coded data; discrepancies were resolved through consensus. We used a 3-step approach to synthesize the findings:

  1. We defined a need as a perceived state of deprivation communicated by patients or their caregivers.6 The prevalence was extracted if it was reported. Needs expressed in other domains measured by instruments were also searched (eg, domains of quality of life).6 We used a narrative synthesis approach to develop a taxonomy of the needs and meta-analysis to evaluate their prevalence.

  2. A narrative synthesis approach was applied to describe the key components of CM.

  3. A narrative synthesis was used to describe CM effects on the needs (mapping of CM components to the needs identified in Step 1) and a meta-analysis to estimate their effects.

Narrative synthesis was the main analytical approach we used, while meta-analyses were performed to explore the observed effects (Table 1).

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Table 1

Description of Synthesis

RESULTS

Fifty-four studies were included in the review: 46 on the needs of patients and their caregivers52–98 and 8 on CM (Supplemental Figure, available at http://annfammed.org/content/14/2/166/suppl/DC1). The characteristics of the included studies are presented in Table 2, and Supplemental Appendixes 2 and 3, available at http://annfammed.org/content/14/2/166/suppl/DC1.

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Table 2

Summary Characteristics of Included Studies

Identification of Needs

Three main categories of need were identified and are presented in Table 3: needs of the patient-caregiver dyad, needs of the patient, and needs of the caregiver. Many needs are common to patients and caregivers. The needs reported by the largest number of studies are needs of the dyad: for education or counseling on the disease (32 studies) and early diagnosis (13 studies).

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Table 3

Needs of Community Dwelling Patients With Dementia and Their Caregivers

Meta-analyses showed that 58% (95% CI, 43%–72%) of caregivers were in favor of early dementia diagnosis, 50% (95% CI, 35%–65%) were in need of education on the disease, and 23% (95% CI, 17%–31%) needed in-home support (Table 4). Needs for meaningful activities that patients could participate in and assistance with daily activities were reported by 36% (95% CI, 5%–85%) and 22% (95% CI, 5%–59%) of patients with dementia respectively.

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Table 4

Meta-Analysis of Needs of Patients and Their Caregivers

Description of Care Management

A key component of CM apparent in the studies we examined was close collaboration between case managers and family physicians (Supplemental Appendix 3, available at http://annfammed.org/content/14/2/166/suppl/DC1). The case managers involved were nurses specialized in care of the elderly.14–18,20 They were responsible for the coordination of treatment plans and for providing services. Through phone calls, web-based interactions, and case discussions, case managers communicated regularly with family physicians to inform them about patient and caregiver health conditions and needs.14–22 The role of family physicians was to develop care plans, provide medical treatment, and to modify care plans based on updates from case managers.

We mapped the components of CM to the needs identified from the perspectives of the patients and their caregivers (Table 5). To meet the needs of the patient-caregiver dyad, case managers performed the prediagnostic work-up to assist family physicians with diagnosis.21,22 They provided education on the disease, prognosis, treatment,16,17,19,21,22 and problematic home situations.18 They counseled on available resources/services,16,20 legal and financial issues, and advance directives.14–16 Finally, case managers coordinated medical and community services via electronic, written, and case conference discussion.14–17,19,20

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Table 5

Mapping of Components of Case Management to Needs and Their Effects on the Needs

To meet the needs of patients, case managers applied, in collaboration with family physicians, non-pharmacologic and pharmacologic protocols for management of daily activities,14–16 behavior distress,14–16,21,22 cognition,14–16 mood,14–16 and home safety.16,18,19

To meet the needs of caregivers, case managers provided support sessions and non-pharmacologic interventions for stress management14,15,17 and coping skills.14 They also developed care plans14–18,20–22 and coordinated home care services16–18 and social services.16,17,21,22

Evaluation of the Effects of Care Management

CM was able to address almost all identified needs (Table 5). The number of diagnoses made by family physicians working with case managers increased while the rate of diagnosis by specialists without case managers remained stable.21,22 CM led to better education on the disease15,16,20 and provision of sufficient information on dementia-specific community resources.15,20 No effect on the understanding of medical treatment and knowledge of dementia was shown in 1 study, however.16 CM proved to establish good coordination of health care services, continuity, and quality of care,14–17 except in 1 study.18

CM also better addressed the needs of patients. More patients received non-pharmacologic behavioral protocols.16 Acetylcholinesterase inhibitors were more frequently prescribed by family physicians working with case managers, while neuroleptics prescription decreased.21,22 More patients were enrolled in the Safe Return program.16

CM also showed effects on the needs of caregivers. Caregivers’ confidence with care increased.16 Their decision-making capacity improved,15,16 as did satisfaction with social support,16 and in-home help (eg, cleaning services).16,17 Moreover, caregivers were actively involved in care-plan development and regular discussion of the patient’s health problems.16,17

The effects on the needs for early diagnosis, financial and legal aspects of the disease, and meaningful activities were not studied. CM was not found to have any effect on patients’ daily activities, cognition and depression.

A meta-analysis of the effects of CM (Figure 1 and Supplemental Appendix 4, available at http://annfammed.org/content/14/2/166/suppl/DC1) showed a significant decrease in behavioral disturbance of patients as a result of psychosocial interventions along with acetylcholinesterase inhibitors (standardized mean difference [SMD] −0.27, 95% CI, −0.53 to −0.01, P = .04)14,17 and a significant increase of confidence in caregiving (SMD 0.19, 95% CI, 0.01–0.37, P = .04) due to the education in coping skills.16,17 The effect on depression of caregivers was uncertain (SMD −0.23, 95% CI, −0.46 to 0.01, P = .06),14,17,18 and there was no effect on caregivers’ burden (SMD 0.17, 95% CI, −0.18 to 0.52, P = .34).

Figure 1
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Figure 1

Forest plot of standardized mean differences of case management vs control by subgroups.

Quality of Evidence

Almost all studies (43 studies) of the needs of the dyad and all 8 studies of CM proved to be of high quality. The majority of RCTs clearly described the randomization, blinding, and drop-out rate. Most non-randomized and quantitative descriptive studies (surveys) reported adequate sampling strategies and measurements. Qualitative studies clearly described their inclusion and exclusion criteria, methods of analysis, and contexts. Exclusion of studies of lower quality did not change the overall results (Supplemental Appendix 5, available at http://annfammed.org/content/14/2/166/suppl/DC1).

DISCUSSION

This is the first systematic mixed-studies review conducted to evaluate whether CM meets the needs of patients with dementia and their caregivers. The main novelty of our review is that we first identified the needs from the perspectives of patients and their caregivers and only then evaluated whether CM targeted their needs and led to the desired outcomes. Our systematic review showed that CM addressed most needs of patients and caregivers. It also demonstrated that some very common needs (eg, early diagnosis) are still overlooked, while other needs (eg, education/information) are well targeted.

The most frequently reported need was early diagnosis of dementia. The impact of CM on this important need, however, has not been evaluated. While there is no consensus among health care professionals on the early diagnosis of dementia,100–103 our systematic review suggests that patients and their caregivers would like to receive an early diagnosis. Early diagnosis of dementia does not necessarily change the disease’s course,104 but it prompts health care professionals to identify the needs earlier and thus sustain the quality of life for both the patient and the caregiver.105 Moreover, it may positively affect appropriate medication prescription, decrease levels of caregiver burden and depression, and diminish the risk of early placement in a long-term care facility.106,107

The second most frequently reported need was education and counseling on the disease. This finding is in line with those of previous research, which has showed that most unmet needs were related to a lack of knowledge about the existing services, progression of dementia, and management of behavioral problems.29,79,108,109 Unlike early diagnosis, this need seems to be well targeted and appropriately addressed by CM.

Identification of the needs of patients and their caregivers is the basis for the development of interventions sensitive to these needs.6 CM focuses on integration of medical and community services to deliver patient-centered care according to the specific needs of individual patients.13 The key element of CM is the collaboration of case managers with family physicians. Regular communication between case managers and family physicians is essential to the patient-centered care targeting these vulnerable populations; it allows family physicians to make timely modifications of their care plans.

Formal training of case managers in care of the elderly is a valuable asset to the care.14–18,20 Case managers specialized in dementia care can assess needs promptly and follow up regularly. For instance, they are better able to evaluate the needs of patients with regards to daily activities and orient them to the appropriate services (eg, mobility improvement programs).14–16 They also assess the needs for information and support and guide the patient-caregiver dyad to the appropriate services (eg, the Alzheimer Society or the Alzheimer’s Association).15,16,20 Moreover, as the first point of contact for the dyad, they appear to be more easily reachable than family physicians.14–18,20–22 Our previous studies demonstrated that the effectiveness of CM depends on a small caseload, regular and proactive follow-up, and transparent communication among health care professionals.110,111

Limitations

As in any systematic review, we may have missed studies that we should have included. It is unlikely, however, that we missed large studies, as the literature search was comprehensive and included publications in 3 languages (English, French, and Russian). The meta-analysis of the effects of CM was conducted on a limited number of available studies, but it was exploratory; its conclusion should be considered with caution. The limited number of available studies on CM in which family physicians collaborate with case managers necessarily limited our review.

Future Research

Future studies are needed to evaluate the effects of CM on the needs that are overlooked—early diagnosis of dementia, legal issues, and financial issues. An avenue for some future studies could be the integration of social workers into primary care to assist with financial and legal issues of the dyad.16 Family physicians and researchers should perceive the needs of the dyad as unique features of patient-centered outcomes research related to primary care.

Acknowledgments

The authors would like to thank Alina Dyachenko, biostatistician, St Mary’s Research Center, McGill University, for her assistance with statistical analysis; Muriel Gueriton, specialized librarian, Solidage, McGill University - Université de Montréal Research Group on Frailty and Aging, for her assistance with literature search; Quan Nha Hong, McGill University, for assistance with the methodological quality assessment; research assistant Martin Beauchamp for assistance with study selection; Daniëlle Jansen, Birgitte Schoenmakers, and Richard Fortinsky for sharing the data.

Footnotes

  • Conflicts of interest: authors report none.

  • Previous presentation: The study was conducted by the first author as a scholarly project at the Family Medicine residency program of the McGill University; St. Mary’s hospital, Montreal, Canada. The preliminary results have been presented at the North American Primary Care Research Group (NAPCRG) conference, New York, New York, November 22 – 25, 2014, and received the Patient Choice Award http://www.annfammed.org/content/13/3/286.full.

  • Supplementary materials: Available at http://www.AnnFamMed.org/content/14/2/166/suppl/DC1/.

  • Received for publication June 6, 2015.
  • Revision received October 15, 2015.
  • Accepted for publication November 8, 2015.
  • © 2016 Annals of Family Medicine, Inc.

References

  1. ↵
    Alzheimer’s Association. Alzheimer’s Disease Facts and Figures, 2014. Chicago, IL: Alzheimer’s Association; 2014. Volume 10, Issue 2.
  2. ↵
    Alzheimer Society of Canada. http://www.alzheimer.ca. Accessed Sep 7, 2015.
  3. ↵
    1. Dudgeon S
    . Rising Tide: The Impact of Dementia on Canadian Society. Toronto, Canada: Alzheimer Society of Canada, 2010.
  4. ↵
    1. Prince M,
    2. Wimo A
    . World Alzheimer Report 2015. The Global Impact of Dementia. An Analysis of Prevalence, Incidence, Cost and Trends. London, England: Alzheimer’s Disease International, 2015.
  5. ↵
    1. Mathers C,
    2. Leonardi M
    . Global Burden of Dementia in the Year 2000: summary of methods and data sources. Geneva, Switzerland: World Health Organization, 2000.
  6. ↵
    1. van der Roest HG,
    2. Meiland FJ,
    3. Maroccini R,
    4. Comijs HC,
    5. Jonker C,
    6. Dröes RM
    . Subjective needs of people with dementia: a review of the literature. Int Psychogeriatr. 2007;19(3):559–592.
    OpenUrlCrossRefPubMed
  7. ↵
    1. Dupuis S,
    2. Epp T,
    3. Smale B
    . Caregivers of Persons with Dementia: Roles, Experiences, Supports, and Coping. A Literature Review. Ontario, Canada: University of Waterloo, 2004.
  8. ↵
    World Health Organization, Alzheimer’s Disease International. Dementia: A Public Health Priority. Geneva, Switzerland: World Health Organization, 2012.
  9. ↵
    1. Bergman H
    . Report of the Committee of Experts for the Development of an Action Plan on Alzheimer’s Disease and Related Disorders. Montreal, Canada: Alzheimer Society of Montreal, 2009.
    1. Bamford C,
    2. Poole M,
    3. Brittain K,
    4. et al
    ; CAREDEM team. Understanding the challenges to implementing case management for people with dementia in primary care in England: a qualitative study using Normalization Process Theory. BMC Health Serv Res. 2014;14:549.
    OpenUrlCrossRefPubMed
    1. Iliffe S,
    2. Robinson L,
    3. Bamford C,
    4. et al
    ; CAREDEM research team. Introducing case management for people with dementia in primary care: a mixed-methods study. Br J Gen Pract. 2014;64(628): e735–e741.
    OpenUrlAbstract/FREE Full Text
  10. ↵
    1. Morales-Asencio JM,
    2. Gonzalo-Jiménez E,
    3. Martin-Santos FJ,
    4. et al
    . Effectiveness of a nurseled case management home care model in Primary Health Care. A quasi-experimental, controlled, multi-centre study. BMC Health Serv Res. 2008;8:193.
    OpenUrlCrossRefPubMed
  11. ↵
    Case Management Society of America. What is a case manager? http://www.cmsa.org/Home/CMSA/WhatisaCaseManager/tabid/224/Default.aspx. Accessed Feb 12, 2016.
  12. ↵
    1. Callahan CM,
    2. Boustani MA,
    3. Unverzagt FW,
    4. et al
    . Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial. JAMA. 2006;295(18):2148–2157.
    OpenUrlCrossRefPubMed
  13. ↵
    1. Fortinsky RH,
    2. Delaney C,
    3. Harel O,
    4. et al
    . Results and lessons learned from a nurse practitioner-guided dementia care intervention for primary care patients and their family caregivers. Res Gerontol Nurs. 2014;7(3):126–137.
    OpenUrlCrossRefPubMed
  14. ↵
    1. Vickrey BG,
    2. Mittman BS,
    3. Connor KI,
    4. et al
    . The effect of a disease management intervention on quality and outcomes of dementia care: a randomized, controlled trial. Ann Intern Med. 2006;145(10): 713–726.
    OpenUrlCrossRefPubMed
  15. ↵
    1. Jansen AP,
    2. van Hout HP,
    3. Nijpels G,
    4. et al
    . Effectiveness of case management among older adults with early symptoms of dementia and their primary informal caregivers: a randomized clinical trial. Int J Nurs Stud. 2011;48(8):933–943.
    OpenUrlCrossRefPubMed
  16. ↵
    1. Schoenmakers B,
    2. Buntinx F,
    3. Delepeleire J
    . Supporting family carers of community-dwelling elder with cognitive decline: a randomized controlled trial. Int J Family Med. 2010;2010:184152.
    OpenUrlPubMed
  17. ↵
    1. Laurant MG,
    2. Hermens RP,
    3. Braspenning JC,
    4. Sibbald B,
    5. Grol RP
    . Impact of nurse practitioners on workload of general practitioners: randomised controlled trial. BMJ. 2004;328(7445):927.
    OpenUrlAbstract/FREE Full Text
  18. ↵
    1. Stevenson G,
    2. Herschell JDK
    . An enhanced assessment and support team (EAST) for dementing elders – review of a Scottish regional initiative. J Ment Health. 2006;15(2):251–258.
    OpenUrlCrossRef
  19. ↵
    1. Jedenius E,
    2. Johnell K,
    3. Fastbom J,
    4. Strömqvist J,
    5. Winblad B,
    6. Andreasen N
    . Dementia management programme in a community setting and the use of psychotropic drugs in the elderly population. Scand J Prim Health Care. 2011;29(3):181–186.
    OpenUrlCrossRefPubMed
  20. ↵
    1. Jedenius E,
    2. Wimo A,
    3. Strömqvist J,
    4. Andreasen N
    . A Swedish programme for dementia diagnostics in primary healthcare. Scand J Prim Health Care. 2008;26(4):235–240.
    OpenUrlCrossRefPubMed
  21. ↵
    1. Reilly S,
    2. Miranda-Castillo C,
    3. Malouf R,
    4. et al
    . Case management approaches to home support for people with dementia. Cochrane Database Syst Rev. 2015;1:CD008345.
    OpenUrlPubMed
    1. Koch T,
    2. Iliffe S
    . Dementia diagnosis and management: a narrative review of changing practice. Br J Gen Pract. 2011;61(589):e513–e525.
    OpenUrlAbstract/FREE Full Text
    1. Koch T,
    2. Iliffe S,
    3. Manthorpe J,
    4. et al
    ; CARE-DEM. The potential of case management for people with dementia: a commentary. Int J Geriatr Psychiatry. 2012;27(12):1305–1314.
    OpenUrlCrossRefPubMed
    1. Pimouguet C,
    2. Lavaud T,
    3. Dartigues JF,
    4. Helmer C
    . Dementia case management effectiveness on health care costs and resource utilization: a systematic review of randomized controlled trials. J Nutr Health Aging. 2010;14(8):669–676.
    OpenUrlCrossRefPubMed
    1. Somme D,
    2. Trouve H,
    3. Dramé M,
    4. Gagnon D,
    5. Couturier Y,
    6. Saint-Jean O
    . Analysis of case management programs for patients with dementia: a systematic review. Alzheimers Dement. 2012;8(5):426–436.
    OpenUrlCrossRefPubMed
  22. ↵
    1. Tam-Tham H,
    2. Cepoiu-Martin M,
    3. Ronksley PE,
    4. Maxwell CJ,
    5. Hemmelgarn BR
    . Dementia case management and risk of long-term care placement: a systematic review and meta-analysis. Int J Geriatr Psychiatry. 2013;28(9):889–902.
    OpenUrlCrossRefPubMed
  23. ↵
    1. Peeters JM,
    2. Van Beek AP,
    3. Meerveld JH,
    4. Spreeuwenberg PM,
    5. Francke AL
    . Informal caregivers of persons with dementia, their use of and needs for specific professional support: a survey of the National Dementia Programme. BMC Nurs. 2010;9:9.
    OpenUrlCrossRefPubMed
  24. ↵
    1. Raivio M,
    2. Eloniemi-Sulkava U,
    3. Laakkonen ML,
    4. et al
    . How do officially organized services meet the needs of elderly caregivers and their spouses with Alzheimer’s disease? Am J Alzheimers Dis Other Demen. 2007;22(5):360–368.
    OpenUrlAbstract/FREE Full Text
  25. ↵
    Association of American Medical Colleges. The Medical Home: AAMC Position Statement. Washington, DC: Association of American Medical Colleges, 2008.
  26. ↵
    The College of Family Physicians of Canada. Patient-Centered Primary Care in Canada: Bring it on Home. Ontario, Canada: The College of Family Physicians of Canada, 2009.
  27. ↵
    1. Gaugler JE,
    2. Kane RL,
    3. Kane RA,
    4. Newcomer R
    . Unmet care needs and key outcomes in dementia. J Am Geriatr Soc. 2005;53(12): 2098–2105.
    OpenUrlCrossRefPubMed
    1. Aggarwal N,
    2. Vass AA,
    3. Minardi HA,
    4. Ward R,
    5. Garfield C,
    6. Cybyk B
    . People with dementia and their relatives: personal experiences of Alzheimer’s and of the provision of care. J Psychiatr Ment Health Nurs. 2003;10(2):187–197.
    OpenUrlCrossRefPubMed
  28. ↵
    1. Vernooij-Dassen M,
    2. Lamers C,
    3. Bor J,
    4. Felling A,
    5. Grol R
    . Prognostic factors of effectiveness of a support program for caregivers of dementia patients. Int J Aging Hum Dev. 2000;51(4):259–274.
    OpenUrlAbstract/FREE Full Text
  29. ↵
    1. Fixsen D,
    2. Blase K,
    3. Friedman R,
    4. Wallace F
    . Implementation Research: A Synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, 2005.
  30. ↵
    1. Popay J
    . Moving Beyond Effectiveness in Evidence Synthesis: Methodological Issues in the Synthesis of Diverse Sources of Evidence. London, England: National Institute for Health and Clinical Excellence, 2006.
  31. ↵
    1. Kopke S,
    2. McCleery J
    . Systematic reviews of case management: Too complex to manage? Cochrane Database Syst Rev. 2015;1: Ed000096.
    OpenUrlPubMed
  32. ↵
    1. Harden A
    . Mixed-Methods Systematic Reviews: Integrating Quantitative and Qualitative Findings. Austin, TX: National Center for the Dissemination of Disability Research (NCDDR), 2010.
  33. ↵
    1. Pluye P,
    2. Hong QN
    . Combining the Power of Stories and the Power of Numbers: Mixed Methods Research and Mixed Studies Reviews. Annu Rev Public Health. 2014;35:29–45.
    OpenUrlCrossRefPubMed
  34. ↵
    1. Weiss ME
    . Case management as a tool for clinical integration. Adv Pract Nurs Q. 1998;4(1):9–15.
    OpenUrlPubMed
  35. ↵
    Canadian Institutes of Health Research. http://www.cihrirsc.gc.ca. Accessed Sep 7, 2015.
  36. ↵
    1. Moher D,
    2. Liberati A,
    3. Tetzlaff J,
    4. Altman DG
    ; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8(5):336–341.
    OpenUrlCrossRefPubMed
  37. ↵
    1. Pluye P,
    2. Gagnon MP,
    3. Griffiths F,
    4. Johnson-Lafleur J
    . A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in Mixed Studies Reviews. Int J Nurs Stud. 2009;46(4):529–546.
    OpenUrlCrossRefPubMed
    1. Pace R,
    2. Pluye P,
    3. Bartlett G,
    4. et al
    . Testing the reliability and efficiency of the pilot Mixed Methods Appraisal Tool (MMAT) for systematic mixed studies review. Int J Nurs Stud. 2012;49(1):47–53.
    OpenUrlCrossRefPubMed
  38. ↵
    1. Souto RQ,
    2. Khanassov V,
    3. Hong QN,
    4. Bush PL,
    5. Vedel I,
    6. Pluye P
    . Systematic mixed studies reviews: updating results on the reliability and efficiency of the Mixed Methods Appraisal Tool. Int J Nurs Stud. 2015;52(1):500–501.
    OpenUrlCrossRefPubMed
    1. Mays N,
    2. Pope C,
    3. Popay J
    . Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy. 2005;10 Suppl 1:6–20.
    OpenUrlAbstract/FREE Full Text
    1. Snilstveit B,
    2. Oliver S,
    3. Vojtkova M
    . Narrative approaches to systematic review and synthesis of evidence for international development policy and practice. J Dev Effect. 2012;4(3):409–29.
    OpenUrlCrossRef
  39. The R project for statistical computing. http://www.r-project.org/. Accessed Feb 23, 2016.
    1. Egger M,
    2. Smith G,
    3. Altman D
    . Systematic Reviews in Health Care: Meta-Analysis in Context. 2nd ed. London: BMJ Publishing Group; 2008.
    1. Cohen J
    . A power primer. Psychol Bull. 1992;112(1):155–9.
    OpenUrlCrossRefPubMed
  40. ↵
    1. Górska S,
    2. Forsyth K,
    3. Irvine L,
    4. et al
    . Service-related needs of older people with dementia: perspectives of service users and their unpaid carers. Int Psychogeriatr. 2013;25(7):1107–1114.
    OpenUrlCrossRefPubMed
    1. Flynn R,
    2. Mulcahy H
    . Early-onset dementia: the impact on family caregivers. Br J Community Nurs. 2013;18(12):598–606.
    OpenUrlCrossRefPubMed
    1. Bakker C,
    2. de Vugt ME,
    3. Vernooij-Dassen M,
    4. van Vliet D,
    5. Verhey FR,
    6. Koopmans RT
    . Needs in early onset dementia: A qualitative case from the NeedYD study. Am J Alzheimers Dis Other Demen. 2010; 25(8):634–640.
    OpenUrlAbstract/FREE Full Text
    1. Mushi D,
    2. Rongai A,
    3. Paddick SM,
    4. Dotchin C,
    5. Mtuya C,
    6. Walker R
    . Social representation and practices related to dementia in Hai District of Tanzania. BMC Public Health. 2014;14:260.
    OpenUrlCrossRefPubMed
    1. Nichols KR,
    2. Fam D,
    3. Cook C,
    4. et al
    . When dementia is in the house: needs assessment survey for young caregivers. Can J Neurol Sci. 2013;40(1):21–28.
    OpenUrlCrossRefPubMed
    1. Qadir F,
    2. Gulzar W,
    3. Haqqani S,
    4. Khalid A
    . A pilot study examining the awareness, attitude, and burden of informal caregivers of patients with dementia. Care Manag J. 2013;14(4):230–240.
    OpenUrlCrossRefPubMed
    1. Tasc S,
    2. Tekinsoy Kartn P,
    3. Ceyhan O,
    4. Sungur G,
    5. Göris S
    . Living with an Alzheimer patient in Turkey. J Neurosci Nurs. 2012;44(4):228–234.
    OpenUrlCrossRefPubMed
    1. Vaingankar JA,
    2. Subramaniam M,
    3. Picco L,
    4. et al
    . Perceived unmet needs of informal caregivers of people with dementia in Singapore. Int Psychogeriatr. 2013;25(10):1605–1619.
    OpenUrlCrossRefPubMed
    1. Bowes A,
    2. Wilkinson H
    . ‘We didn’t know it would get that bad’: South Asian experiences of dementia and the service response. Health Soc Care Community. 2003;11(5):387–396.
    OpenUrlCrossRefPubMed
    1. Zhan L
    . Caring for family members with Alzheimer’s disease: perspectives from Chinese American caregivers. J Gerontol Nurs. 2004; 30(8):19–29.
    OpenUrlCrossRefPubMed
    1. Kuhn D
    . Caring for relatives with early stage Alzheimer’s disease: An exploratory study. Am J Alzheimers Dis Other Demen. 1998;13(4): 189–196.
    OpenUrlAbstract/FREE Full Text
    1. Shaji KS,
    2. Smitha K,
    3. Lal KP,
    4. Prince MJ
    . Caregivers of people with Alzheimer’s disease: a qualitative study from the Indian 10/66 Dementia Research Network. Int J Geriatr Psychiatry. 2003;18(1):1–6.
    OpenUrlCrossRefPubMed
    1. Samsi K,
    2. Abley C,
    3. Campbell S,
    4. et al
    . Negotiating a labyrinth: experiences of assessment and diagnostic journey in cognitive impairment and dementia. Int J Geriatr Psychiatry. 2014;29(1):58–67.
    OpenUrlCrossRefPubMed
    1. Singh P,
    2. Hussain R,
    3. Khan A,
    4. Irwin L,
    5. Foskey R
    . Dementia care: intersecting informal family care and formal care systems. J Aging Res. 2014;2014:486521.
    OpenUrlPubMed
    1. Smith A
    . Caregiver Needs. Clin Gerontol. 2001;24(1–2):3–26.
    OpenUrlCrossRef
    1. Smith K,
    2. Flicker L,
    3. Shadforth G,
    4. et al
    . ‘Gotta be sit down and worked out together’: views of Aboriginal caregivers and service providers on ways to improve dementia care for Aboriginal Australians. Rural Remote Health. 2011;11(2):1650.
    OpenUrlPubMed
    1. Chan WC,
    2. Ng C,
    3. Mok CC,
    4. Wong FL,
    5. Pang SL,
    6. Chiu HF
    . Lived experience of caregivers of persons with dementia in Hong Kong: a qualitative study. East Asian Arch Psychiatry. 2010;20(4):163–168.
    OpenUrlPubMed
    1. Innes A,
    2. Blackstock K,
    3. Mason A,
    4. Smith A,
    5. Cox S
    . Dementia care provision in rural Scotland: service users’ and carers’ experiences. Health Soc Care Community. 2005;13(4):354–365.
    OpenUrlCrossRefPubMed
    1. Holst G,
    2. Hallberg IR
    . Exploring the meaning of everyday life, for those suffering from dementia. Am J Alzheimers Dis Other Demen. 2003;18(6):359–365.
    OpenUrlAbstract/FREE Full Text
    1. Gilmour JA,
    2. Huntington AD
    . Finding the balance: living with memory loss. Int J Nurs Pract. 2005;11(3):118–124.
    OpenUrlCrossRefPubMed
    1. Marzanski M
    . Would you like to know what is wrong with you? On telling the truth to patients with dementia. J Med Ethics. 2000;26(2):108–113.
    OpenUrlAbstract/FREE Full Text
    1. Wuest J,
    2. Ericson PK,
    3. Stern PN,
    4. Irwin GW Jr.
    Connected and disconnected support: the impact on the caregiving process in Alzheimer’s disease. Health Care Women Int. 2001;22(1–2):115–130.
    OpenUrlCrossRefPubMed
    1. Johnston D,
    2. Samus QM,
    3. Morrison A,
    4. et al
    . Identification of community-residing individuals with dementia and their unmet needs for care. Int J Geriatr Psychiatry. 2011;26(3):292–298.
    OpenUrlCrossRefPubMed
    1. Commissaris CJ,
    2. Jolles J,
    3. Verhey FR Jr.,
    4. Kok GJ
    . Problems of caregiving spouses of patients with dementia. Patient Educ Couns. 1995;25(2):143–149.
    OpenUrlCrossRefPubMed
    1. Li H,
    2. Kyrouac GA,
    3. McManus DQ,
    4. Cranston RE,
    5. Hughes S
    . Unmet home care service needs of rural older adults with Alzheimer’s disease: a perspective of informal caregivers. J Gerontol Soc Work. 2012;55(5):409–425.
    OpenUrlCrossRefPubMed
    1. Miranda-Castillo C,
    2. Woods B,
    3. Galboda K,
    4. Oomman S,
    5. Olojugba C,
    6. Orrell M
    . Unmet needs, quality of life and support networks of people with dementia living at home. Health Qual Life Outcomes. 2010;8:132.
    OpenUrlCrossRefPubMed
    1. Miranda-Castillo C,
    2. Woods B,
    3. Orrell M
    . People with dementia living alone: what are their needs and what kind of support are they receiving? Int Psychogeriatr. 2010;22(4):607–617.
    OpenUrlCrossRefPubMed
  41. ↵
    1. van der Roest HG,
    2. Meiland FJ,
    3. Comijs HC,
    4. et al
    . What do community-dwelling people with dementia need? A survey of those who are known to care and welfare services. Int Psychogeriatr. 2009;21(5):949–965.
    OpenUrlCrossRefPubMed
    1. Rosa E,
    2. Lussignoli G,
    3. Sabbatini F,
    4. et al
    . Needs of caregivers of the patients with dementia. Arch Gerontol Geriatr. 2010;51(1):54–58.
    OpenUrlCrossRefPubMed
    1. Leggett AN,
    2. Zarit S,
    3. Taylor A,
    4. Galvin JE
    . Stress and burden among caregivers of patients with Lewy body dementia. Gerontologist. 2011;51(1):76–85.
    OpenUrlAbstract/FREE Full Text
    1. Hirakawa Y,
    2. Kuzuya M,
    3. Enoki H,
    4. Uemura K
    . Information needs and sources of family caregivers of home elderly patients. Arch Gerontol Geriatr. 2011;52(2):202–205.
    OpenUrlCrossRefPubMed
    1. Philp I,
    2. McKee KJ,
    3. Meldrum P,
    4. et al
    . Community care for demented and non-demented elderly people: a comparison study of financial burden, service use, and unmet needs in family supporters. BMJ. 1995;310(6993):1503–1506.
    OpenUrlAbstract/FREE Full Text
    1. Meaney AM,
    2. Croke M,
    3. Kirby M
    . Needs assessment in dementia. Int J Geriatr Psychiatry. 2005;20(4):322–329.
    OpenUrlCrossRefPubMed
    1. Black BS,
    2. Johnston D,
    3. Rabins PV,
    4. Morrison A,
    5. Lyketsos C,
    6. Samus QM
    . Unmet needs of community-residing persons with dementia and their informal caregivers: findings from the maximizing independence at home study. J Am Geriatr Soc. 2013;61(12):2087–2095.
    OpenUrlCrossRefPubMed
    1. Wolfs CA,
    2. de Vugt ME,
    3. Verkaaik M,
    4. Verkade PJ,
    5. Verhey FR
    . Empowered or overpowered? Service use, needs, wants and demands in elderly patients with cognitive impairments. Int J Geriatr Psychiatry. 2010;25(10):1006–1012
    OpenUrlCrossRefPubMed
    1. Nurock S,
    2. Wojciechowska M
    . What real outcomes matter to caregivers? Int Psychogeriatr. 2007;19(3):355–362.
    OpenUrlCrossRefPubMed
    1. Armari E,
    2. Jarmolowicz A,
    3. Panegyres PK
    . The needs of patients with early onset dementia. Am J Alzheimers Dis Other Demen. 2013; 28(1):42–46.
    OpenUrlAbstract/FREE Full Text
    1. Chow TW,
    2. Pio FJ,
    3. Rockwood K
    . An international needs assessment of caregivers for frontotemporal dementia. Can J Neurol Sci. 2011;38(5):753–757.
    OpenUrlCrossRefPubMed
    1. Chung JC
    . Care needs assessment of older Chinese individuals with dementia of Hong Kong. Aging Ment Health. 2006;10(6):631–637.
    OpenUrlCrossRefPubMed
    1. Li H
    . Unmet service needs: a comparison between dementia and non-dementia caregivers. Home Health Care Serv Q. 2012;31(1):41–59.
    OpenUrlCrossRefPubMed
    1. Rosness TA,
    2. Haugen PK,
    3. Gausdal M,
    4. Gjøra L,
    5. Engedal K
    . Carers of patients with early-onset dementia, their burden and needs: a pilot study using a new questionnaire—care-EOD. Int J Geriatr Psychiatry. 2012;27(10):1095–1096.
    OpenUrlCrossRefPubMed
    1. Wackerbarth SB,
    2. Johnson MM
    . Essential information and support needs of family caregivers. Patient Educ Couns. 2002;47(2):95–100.
    OpenUrlCrossRefPubMed
    1. Georges J,
    2. Jansen S,
    3. Jackson J,
    4. Meyrieux A,
    5. Sadowska A,
    6. Selmes M
    . Alzheimer’s disease in real life—the dementia carer’s survey. Int J Geriatr Psychiatry. 2008;23(5):546–551.
    OpenUrlCrossRefPubMed
    1. Hinton L,
    2. Chambers D,
    3. Velasquez A,
    4. Gonzalez H,
    5. Haan M
    . Dementia Neuropsychiatric Symptom Severity, Help-Seeking Patterns, and Family Caregiver Unmet Needs in the Sacramento Area Latino Study on Aging (SALSA). Clin Gerontol. 2006;29(4):1–15.
    OpenUrl
    1. Lai C,
    2. Chung JC
    . Caregivers’ informational needs on dementia and dementia care. Asian J Gerontol Geriatr. 2007;2:78–87.
    OpenUrl
    1. Judge KS,
    2. Bass DM,
    3. Snow AL,
    4. et al
    . Partners in dementia care: a care coordination intervention for individuals with dementia and their family caregivers. Gerontologist. 2011;51(2):261–272.
    OpenUrlAbstract/FREE Full Text
  42. ↵
    1. Stirling C,
    2. Andrews S,
    3. Croft T,
    4. Vickers J,
    5. Turner P,
    6. Robinson A
    . Measuring dementia carers’ unmet need for services—an exploratory mixed method study. BMC Health Serv Res. 2010;10:122.
    OpenUrlCrossRefPubMed
    1. Bowes A,
    2. Wilkinson H
    . ‘We didn’t know it would get that bad’: South Asian experiences of dementia and the service response. Health Soc Care Community. 2003;11(5):387–96.
    OpenUrlCrossRefPubMed
  43. ↵
    1. Dhedhi SA,
    2. Swinglehurst D,
    3. Russell J
    . ‘Timely’ diagnosis of dementia: what does it mean? A narrative analysis of GPs’ accounts. BMJ Open. 2014;4(3):e004439.
    OpenUrlAbstract/FREE Full Text
    1. Fan T,
    2. Rossi C
    . Screening for Cognitive Impairment in Older Adults. Am Fam Physician. 2015;92(2):125–126.
    OpenUrlPubMed
    1. Moyer VA
    ; U.S. Preventive Services Task Force. Screening for cognitive impairment in older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(11):791–797.
    OpenUrlCrossRefPubMed
  44. ↵
    1. Moore A,
    2. Patterson C,
    3. Lee L,
    4. Vedel I,
    5. Bergman H
    ; Canadian Consensus Conference on the Diagnosis and Treatment of Dementia. Fourth Canadian Consensus Conference on the Diagnosis and Treatment of Dementia: recommendations for family physicians. Can Fam Physician. 2014;60(5):433–438.
    OpenUrlAbstract/FREE Full Text
  45. ↵
    1. Larson EB,
    2. Shadlen MF,
    3. Wang L,
    4. et al
    . Survival after initial diagnosis of Alzheimer disease. Ann Intern Med. 2004;140(7):501–509.
    OpenUrlCrossRefPubMed
  46. ↵
    1. Covinsky KE,
    2. Yaffe K
    . Dementia, prognosis, and the needs of patients and caregivers. Ann Intern Med. 2004;140(7):573–574.
    OpenUrlCrossRefPubMed
  47. ↵
    Health Council of Canada. Seniors in Need, Caregivers in Distress: What Are the Home Care Priorities for Seniors in Canada? Ontario, Canada: Health Council of Canada, 2012.
  48. ↵
    1. Bossen AL,
    2. Specht JK,
    3. McKenzie SE
    . Needs of people with early-stage Alzheimer’s disease: reviewing the evidence. J Gerontol Nurs. 2009;35(3):8–15.
    OpenUrlCrossRefPubMed
  49. ↵
    1. Brodaty H,
    2. Green A,
    3. Koschera A
    . Meta-analysis of psychosocial interventions for caregivers of people with dementia. J Am Geriatr Soc. 2003;51(5):657–664.
    OpenUrlCrossRefPubMed
  50. ↵
    1. Brodaty H,
    2. Thomson C,
    3. Thompson C,
    4. Fine M
    . Why caregivers of people with dementia and memory loss don’t use services. Int J Geriatr Psychiatry. 2005;20(6):537–546.
    OpenUrlCrossRefPubMed
  51. ↵
    1. Khanassov V,
    2. Vedel I,
    3. Pluye P
    . Barriers to implementation of case management for patients with dementia: a systematic mixed studies review. Ann Fam Med. 2014;12(5):456–465.
    OpenUrlAbstract/FREE Full Text
  52. ↵
    1. Khanassov V,
    2. Vedel I,
    3. Pluye P
    . Case management for dementia in primary health care: a systematic mixed studies review based on the diffusion of innovation model. Clin Interv Aging. 2014;9:915–928.
    OpenUrlPubMed
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The Annals of Family Medicine: 14 (2)
The Annals of Family Medicine: 14 (2)
Vol. 14, Issue 2
March/April 2016
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Family Physician–Case Manager Collaboration and Needs of Patients With Dementia and Their Caregivers: A Systematic Mixed Studies Review
Vladimir Khanassov, Isabelle Vedel
The Annals of Family Medicine Mar 2016, 14 (2) 166-177; DOI: 10.1370/afm.1898

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Family Physician–Case Manager Collaboration and Needs of Patients With Dementia and Their Caregivers: A Systematic Mixed Studies Review
Vladimir Khanassov, Isabelle Vedel
The Annals of Family Medicine Mar 2016, 14 (2) 166-177; DOI: 10.1370/afm.1898
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