People With Alzheimer's Disease Speak Out In First Ever Global Survey
Main Category: Alzheimer's / DementiaArticle Date: 21 Sep 2007 - 13:00 PDT
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Today, Alzheimer's Disease International (ADI) announced the results of a global survey investigating the unmet needs, challenges and communication gaps faced by patients with mild-to-moderate Alzheimer's disease (AD) and caregivers in six countries on three continents: the United States, Canada, France, Germany, Spain and Brazil.
This is a landmark survey as it is the first time a survey has included responses of people with Alzheimer's disease as well as caregivers. The results coincide with World Alzheimer's Day 2007, a day of global solidarity between individuals and organisations fighting against the threat of Alzheimer's disease and other forms of dementia.
"Our theme for the 2007 World Alzheimer's Day Campaign is 'People with Dementia Speak Out!'. 24 million people around the world and millions more families have to live with the daily challenges and persistent stigma of dementia. It is time for them to have their voice heard on a global stage. This survey is an important step in this journey," said Orien Reid, Chairman of ADI.
"I think it is long overdue that we hear from Alzheimer's patients", said Alexander Kurz, MD, Professor of Psychiatry and Head of the Centre for Cognitive Disorders at the Department of Psychiatry and Psychotherapy of Technische Universität München, Munich, Germany. "This landmark survey gives us good insight into how the patient and caregiver see and respond to this disease from their perspective."
Survey Results:
1. Quality of Life
The results showed that most of the Alzheimer's patients surveyed still have the ability to enjoy life, have a warm relationship with their carer and feel safe and supported at home. This is testament to the hard work and devotion of caregivers, nearly all of whom surveyed said providing the best quality of life to the person in their care was important to them.
Well over 80% of the AD patients felt that they continued to "keep a social life with their family and friends" and still feel "well-respected by family members."
While the majority of caregivers said "caring for someone with AD is burdensome," over 70% reported that caring for an AD patient also helps them "appreciate what's really important" in life. Three-fourths of the caregivers replied that being a caregiver is "one way I can repay some of the love and care I received in the past" and more than half said it is "rewarding."
2. Access to Information & Support Services
In all participating countries, the primary source of AD information is the patient's physician for both patients and caregivers. Overall, caregivers look to family and friends as a secondary source of information; for patients, magazines and newspaper articles rank second. After the physician, caregivers in the United States and Canada search the Internet as a secondary source for AD information.
Alzheimer associations are the tertiary source of information. According to the survey, Alzheimer association support services are utilized about a third more by caregivers and patients in the participating European countries as compared to those from North America. Generally Alzheimer associations are looked to for listings of local peer support groups and physicians, information on new treatments and information on social events for those living with Alzheimer's disease.
In general, patients and caregivers from participating European countries reported a much higher rate of utilization of support services (to include professional home care, away-from-home day programs, and organized peer support groups) than those from the U.S.
Mr Marc Wortmann, the Executive Director of Alzheimer's Disease International, which helped conduct the survey, said, "people with Alzheimer's disease and their caregivers do not fully take advantage of the all the support services available to them through their local Alzheimer association. The work of these organizations is often underestimated, but this survey shows they have an important role. We hope that we can continue to raise awareness not only of Alzheimer's, but also of the many resources available to those living with it."
3. Views on Alzheimer's Disease Treatment
For those patients on Alzheimer's medication, more than 70% are either "satisfied" or "somewhat satisfied" with the treatment and feel that the medicine is helping control symptoms. Caregivers, more so than patients, expressed their desire that AD medications "come in a form that was easier to take" and with a "dosing regimen that was easier to comply with." This may be a reflection of the fact that in many cases it is the caregiver who manages the medication and caregivers put more importance on "knowing that the medications are being taken properly" than patients.
About the Study
The study was commissioned by ADI and conducted by Harris Interactive between June 14th and August 20th, 2007 among patients and caregivers of patients with early-stage Alzheimer's disease in the US, Canada, France, Germany, Spain and Brazil.
100 to 102 patients were interviewed in each of France, Germany, Spain, Brazil and the US (There was insufficient patient participation in Canada to be included in the study). 100 to 114 caregivers were interviewed in each of the same countries and in Canada. Patients and caregivers were invited to complete the 10 minute survey over the phone. Study participants were recruited through Harris' network of physicians, through nursing homes, Harris General and/or Chronic Illness Panels, referrals from AD organizations via advertisements, and vendor-supplied lists of AD sufferers and household members.
This survey was supported by an unrestricted grant from Novartis
http://www.alz.co.uk/
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News Is In The Eye Of The Beholder!
posted by Richard Taylor Phd on 24 Sep 2007 at 10:51 amTwo cheers to the ADI and Novartis for finally telling the world what millions and millions and millions of us already knew, know, and will learn.
This is confirming evidence of the bias of National, Regional, and Local groups who claim to represent the needs and wants of people with one of the various diseases of dementia. The bias is two fold. We know what is best for you. And when we don't know your caregivers can tell us.
There should be a wave of ourtrage about this on going situation. How many people with dementia are trusted to sit on the board of directors of groups claiming to represent them? How many people with dementia are trust to be employees or even volunteers of these organizations? There are more than 500,000 people living with Alzheimer's in the United States who are in the early stage and are under the age of 65. Are they key players, in large numbers in the formation of programing for themselves? Are they on the front lines or in the back room, if indeed they have even been let in the building.
There is now an agonizingly slow, coupled with a very modest and controlled interest to listen to our opinions. Is it right to be told to "be patient", to appreciate how long it takes "to turn this ship around," to "focus on how far we have come, not how slow we were to get here.
Where is the palpable sense of urgency? Where is the need to try different rather than harder? Where is the attempt to balance programs to support caregivers with an EQUAL (or dare I say greater) effort to develop, fund and implement programs for people living with the disease.
How long until it will it be before it is no longer news worthy to ask us what we want and need? Is this survey's results worthy of one day's news? moving the issues up, but not to the top of priority lists, a wake up call to people who shouln't be sleeping in the first place concerning the needs of the people they claim to represent? or should the paradigm shift been assumed? Should staffing and budgets be revised this week?
Given how poorly we are are now being served, should we throw more money at bench research to find a cure? should be continue to repeat the prayer written 20 years ago "WE are on the verge of a breakthrough. We just need a little more time and lots more money? Please, God, and the NIH ,and Congress, and Champions, give us more money for research now. We'll take care of people who have the disease with what is left over from research efforts."
Two cheers for the survey. Now what?
Richard
Living with the diagnosis of Dementia, probably of the alzheimer's type.
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