Hostname: page-component-7dd5485656-s6l46 Total loading time: 0 Render date: 2025-10-30T16:32:31.385Z Has data issue: false hasContentIssue false
  • English
  • Français

Validity and reliability of the Dutch version of the Camberwell Assessment of Need for the Elderly in community-dwelling people with dementia

Published online by Cambridge University Press:  13 June 2008

Henriëtte G. van der Roest ,
Franka J. M. Meiland ,
Hein P. J. van Hout ,
Cees Jonker  and
Rose-Marie Dröes
Henriëtte G. van der Roest*
Affiliation:
Department of Psychiatry/Alzheimer Center, EMGO Institute, VU University Medical Center/Stichting Buitenamstel Geestgronden, Amsterdam, The Netherlands
Franka J. M. Meiland
Affiliation:
Department of Psychiatry/Alzheimer Center, EMGO Institute, VU University Medical Center/Stichting Buitenamstel Geestgronden, Amsterdam, The Netherlands
Hein P. J. van Hout
Affiliation:
Department of General Practice, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands
Cees Jonker
Affiliation:
Department of Psychiatry/Alzheimer Center, EMGO Institute, VU University Medical Center/Stichting Buitenamstel Geestgronden, Amsterdam, The Netherlands
Rose-Marie Dröes
Affiliation:
Department of Psychiatry/Alzheimer Center, EMGO Institute, VU University Medical Center/Stichting Buitenamstel Geestgronden, Amsterdam, The Netherlands
*
Correspondence should be addressed to: H.G. van der Roest, VU University Medical Center/Stichting Buitenamstel Geestgronden, Academic Department of Psychiatry, Valeriusplein 9, 1075 BG Amsterdam, The Netherlands. Phone: +31 (0)20-7885 665, Fax: + 31 (0)20-7885 549. Email: hg.vanderroest@vumc.nl.
Get access

Abstract

Background: Tailor-made care in dementia requires an individual needs assessment. The Camberwell Assessment of Need for the Elderly (CANE) was developed to assess needs of older people with mental disorders. In this study the validity and reliability of the Dutch version of the CANE were studied among community-dwelling persons with dementia and their informal carers.

Method: Interviews were carried out with 236 people with mild to severe dementia and 322 informal carers; 69 informal carers were interviewed twice. Construct and criterion validity and test-retest reliability of the CANE were studied using data for informal carers. Construct validity was also studied for CANE ratings of people with dementia.

Results: The construct validity of the CANE was good among people with dementia and informal carers. Criterion validity could be studied for 76.9% of the CANE items, and all significant correlations were convergent. Test-retest reliability of the CANE varied from poor to very good and was best on domains where needs were explicit and problems well defined.

Conclusions: Use of the Dutch version of the CANE among community-dwelling people with dementia and their carers is supported by the study results, with the study showing acceptable construct and criterion validity and test-retest reliability of the CANE.

Keywords

construct validitycriterion validitytest-retest reliabilityneeds assessmentcommunitydementiaCANE

Information

Type
Research Article
Information
International Psychogeriatrics , Volume 20 , Issue 6 , December 2008 , pp. 1273 - 1290
Copyright
Copyright © International Psychogeriatric Association 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Altman, D. G. (1991). Practical Statistics for Medical Research. London: Chapman & Hall/CRC.Google Scholar
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Washington DC: American Psychiatric Association.Google Scholar
Ashaye, O. A., Livingston, G. and Orrell, M. W. (2003). Does standardized needs assessment improve the outcome of psychiatric day hospital care for older people? A randomized controlled trial. Aging and Mental Health, 7, 195–199.CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. Hilsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A. and Gornbein, J. (1994). The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308–2314.CrossRefGoogle ScholarPubMed
Deyo, R. A., Diehr, P. and Patrick, D. L. (1991). Reproducibility and responsiveness of health status measures. Statistics and strategies for evaluation. Controlled Clinical Trials, 12, 142S–158S.CrossRefGoogle ScholarPubMed
Dröes, R. M., van Hout, H. P. J. and van der Ploeg, E. S. (2004). Camberwell Assessment of Need for the Elderly (CANE), revised version (IV). http://www.ouderenpsychiatrie.nl/sjablonen/1/infotype/news/newsitem/view.asp?objectID=1190.Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Hancock, G. A. (2004). CANE – Camberwell Assessment of Need in the Elderly. http://www.ucl.ac.uk/~rejugah/index.html.Google Scholar
Hancock, G. A., Reynolds, T., Woods, B., Thornicroft, G. and Orrell, M. (2003). The needs of older people with mental health problems according to the user, the carer, and the staff. International Journal of Geriatric Psychiatry, 18, 803–811.CrossRefGoogle Scholar
Hancock, G. A., Woods, B., Challis, D. and Orrell, M. (2006). The needs of older people with dementia in residential care. International Journal of Geriatric Psychiatry, 21, 43–49.CrossRefGoogle ScholarPubMed
Hoffmann, K., Priebe, S., Isermann, M. and Kaiser, W. (1997). Lebensqualität, Bedürfnisse und Behandlungsbewertung langzeithospitalisierter Patienten. Teil II der Berliner Enthospitalisierungsstudie [Quality of life, needs and assessment of treatment in long-term hospitalized patients. Part II of the Berlin deinstitutionalization study]. Psychiatrische Praxis, 24, 221–226.Google Scholar
Jansson, L., Wennstrom, E. and Wiesel, F. A. (2005). The Need of Support and Service Questionnaire (NSSQ): a brief scale to assess needs in clients with long-term mental disabilities. Nordic Journal of Psychiatry, 59, 465–472.CrossRefGoogle ScholarPubMed
Kat, M. G., de Jonghe, J. F., Aalten, P., Kalisvaart, C. J., Dröes, R. M. and Verhey, F. R. (2002). Neuropsychiatric symptoms of dementia: psychometric aspects of the Dutch Neuropsychiatric Inventory (NPI). Tijdschrift voor Gerontologie en Geriatrie, 33, 150–155.Google ScholarPubMed
Martin, M. D. et al. (2002). An evaluation of needs in elderly continuing-care settings. International Psychogeriatrics, 14, 379–388.CrossRefGoogle ScholarPubMed
Mateos, R., Ybarzábal, M., García, M. J., Amboage, M. T. and Fraguela, I. (2004). The Spanish CANE: validation study and utility in epidemiological surveys. In Orrell, M. and Hancock, G. A. (eds.), CANE: Camberwell Assessment of Need for the Elderly (pp. 21–28). London: Gaskell.Google Scholar
McWalter, G., Toner, H., McWalter, A., Eastwood, J., Marshall, M. and Turvey, T. (1998). A community needs assessment: the care needs assessment pack for dementia (CarenapD): its development, reliability and validity. International Journal of Geriatric Psychiatry, 13, 16–22.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
Orrell, M., Hancock, G., Hoe, J., Woods, B., Livingston, G. and Challis, D. (2007). A cluster randomised controlled trial to reduce the unmet needs of people with dementia living in residential care. International Journal of Geriatric Psychiatry, 22, 1127–1134.CrossRefGoogle ScholarPubMed
Phelan, M. et al. (1995). The Camberwell Assessment of Need: the validity and reliability of an instrument to assess the needs of people with severe mental illness. British Journal of Psychiatry, 167, 589–595.CrossRefGoogle ScholarPubMed
Pot, A. M., van Dyck, R. and Deeg, D. J. (1995). Perceived stress caused by informal caregiving: construction of a scale. Tijdschrift voor Gerontologie en Geriatrie, 26, 214–219.Google ScholarPubMed
Reisberg, B., Ferris, S., de Leon, M. J. and Crook, T. (1982). The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139.Google ScholarPubMed
Reynolds, T. et al. (2000). Camberwell Assessment of Need for the Elderly (CANE): development, validity and reliability. British Journal of Psychiatry, 176, 444–452.CrossRefGoogle ScholarPubMed
SPSS (2004). SPSS 13.0 for Windows. SPSS Inc.Google Scholar
Streiner, D. L. and Norman, G. R. (1995). Health Measurement Scales: A Practical Guide to their Development and Use. New York: Oxford University Press.Google Scholar
Teunisse, S. and Derix, M. M. (1991). Measurement of activities of daily living in patients with dementia living at home: development of a questionnaire. Tijdschrift voor Gerontologie en Geriatrie, 22, 53–59.Google ScholarPubMed
van der Roest, H. G. et al. (2007)a. Subjective needs of people with dementia: a review of the literature. International Psychogeriatrics, 19, 559–592.CrossRefGoogle ScholarPubMed
van der Roest, H. G. et al. (2007)b. Subjective and objective needs of people with dementia living in the community. Paper presented at the 17th Conference of Alzheimer Europe, Estoril, Portugal.Google Scholar
Vernooij-Dassen, M. J., Felling, A. J., Brummelkamp, E., Dauzenberg, M. G., van den Bos, G. A. and Grol, R. (1999). Assessment of caregiver's competence in dealing with the burden of caregiving for a dementia patient: a Short Sense of Competence Questionnaire (SSCQ) suitable for clinical practice. Journal of the American Geriatrics Society, 47, 256–257.CrossRefGoogle Scholar