{"title":"Unmet Activities of Daily Living (ADL) Care Needs and Associated Risk Factors Among Older Adults with Dementia at the End of Life.","authors":"Hazal Swearinger, Gülçin Con Wright","doi":"10.1080/01634372.2025.2474584","DOIUrl":null,"url":null,"abstract":"<p><p>This paper examined the prevalence of and risk factors associated with unmet needs for activities of daily living (ADL) for older adults dying with dementia. We focused on a sample of 632 older adults in the National Health and Aging Trends Study. Employing Andersen's behavioral model of health, we investigated the association of predisposing, enabling, and need factors and found that older age, using hospice, receiving residential care, and severity of ADL disability were associated with fewer unmet care needs. This study emphasizes the timing of end-of-life care preferences and the quality of care services for older adults with dementia.</p>","PeriodicalId":47579,"journal":{"name":"Journal of Gerontological Social Work","volume":" ","pages":"1-18"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Gerontological Social Work","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/01634372.2025.2474584","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
This paper examined the prevalence of and risk factors associated with unmet needs for activities of daily living (ADL) for older adults dying with dementia. We focused on a sample of 632 older adults in the National Health and Aging Trends Study. Employing Andersen's behavioral model of health, we investigated the association of predisposing, enabling, and need factors and found that older age, using hospice, receiving residential care, and severity of ADL disability were associated with fewer unmet care needs. This study emphasizes the timing of end-of-life care preferences and the quality of care services for older adults with dementia.
期刊介绍:
With over 30 years of consistent, quality articles devoted to social work practice, theory, administration, and consultation in the field of aging, the Journal of Gerontological Social Work offers you the information you need to stay abreast of the changing and controversial issues of today"s growing aging population. A valuable resource for social work administrators, practitioners, consultants, and supervisors in long-term care facilities, acute treatment and psychiatric hospitals, mental health centers, family service agencies, community and senior citizen centers, and public health and welfare agencies, JGSW provides a respected and stable forum for cutting-edge insights by experts in the field.