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Action Group A3 on Prevention and early diagnosis of frailty and functional decline, both physically and cognitive, in older people
A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
Country
Organisation
Good practice
Topics
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IRCCS CA GRANDA FOUNDATION, MILANO ITALY The EIP-AHA Reference Site Campania - GP2 The EIP-AHA Reference Piemonte- GP1 The EIP-AHA Reference Site Piemonte - GP2 AUSER Association in collaboration with CARIGE Foundation and Ligurian Active Ageing Network LAAN
Italy
LIGHT DOMICILIARITY
43
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A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
Italy
Optimizing nutrition, physical and cognitive performance in elderly people after a major osteoporotic fracture Influence of muscle power and nutritional status on functional activities and wellbeing in the elderly The attitude, perceptions and acceptance of e-Health services and factors affecting their use among elderly Geriatric Clinic Division with Rehabilitation focus Integral Approach to the Transition between Frailty and Dependency in Older Adults: patterns of occurrence, identification tools and models of care (INTAFRADE) Coordinated Use of Municipal health resources by Primary care team. The CUMPcare programme. Multifactorial interventions aimed to modify frailty progression in elderly population Prognostic factors of frailty in different elderly community-dwelling cohorts Validation of a predictive tool for detecting frailty in primary health care Security in elderly patients with multimorbidity and polypharmacy SIDIAP database
Poland
HEALTHY AGEING RESEARCH CENTRE Department of Family Medicine Wroclaw Medical University Geriatric Clinic Division of The Hospital for Chronic Diseases St.Luca
Poland Romania
Spain
Bio-Med Aragon/ EpiChron Research Group on Chronic Diseases THE OLD PEOPLE HEALTH OBSERVATORY. Ayuntamiento de Villanueva de la Caada Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol) Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol) Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol) Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol) Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol)
Frailty in general 55 Frailty in general 57 Frailty in general 59 Frailty in general 62 Frailty in general 65 Frailty in general 67 Frailty in general 71
Spain
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A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
Frailty in general Spain SERMAS-HOSPITAL UNIVERSITARIO DE GETAFE Frailty detection in the outpatient clinic Assessment of the Determinants of Frailty in European Countries (ADFE) The Age-FIT trial (Ambulatory Geriatric Frailty Intervention trial) a randomised controlled trial Condition Coach (CoCo) Frailty in general The Netherlands Hanze University of Applied Sciences Groningen Aston Research Centre for Healthy Ageing & Solihull Integrated Frailty Board Aston Research Centre for Healthy Ageing (ARCHA); Aston University DHSSPS NI NHS Scotland NHS Scotland Delfzijl Healthy Ageing (DELFGOUD) Evaluation of care coordination in prefrailty and frailty in a multi-ethnic community population Evaluation of health and wellbeing outcomes of supported living approach in ExtraCare senior living settings Transforming Care for Frail Older People Improving Care for Older People in Acute Hospitals Reshaping Care and Change Fund for Older People Frailty in general 97 Frailty in general 99 101 Therapeutic educational program to prevent functional decline, falls and risk of malnutrition in frail older subjects Adapted Physical Activity programme Elderly Perceived Quality of Life Questionnaire Physical decline 109
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74 Frailty in general 76 Frailty in general 80 Frailty in general 82 86 Frailty in general 89 Frailty in general 91 Frailty in general 94
Spain/Poland/Finland Parc Sanitari Sant Joan de Du Department of Geriatric medicine, Vrinnevihospital of Norrkping Centre for Care Technology Research (CCTR) / Roessingh Research and Development (RRD)
UK
UK UK UK UK
Physical decline
France Italy Italy Toulouse University Hospital, Geriatric Department Region Liguria SI4LIFE scrl in collaboration with Fondazione Don Carlo Gnocchi Onlus Physical decline
A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
Italy Portugal
Dipartimento di Psicologia, Universit degli Studi di Torino (Department of Psychology, University of Torino) University of vora Biochemical Service, Faculty of Pharmacy, University of Porto Lisbon Higher School of Health Technologies Municipality of Loures University of Malaga Gdansk University of Physical Education and Sport University of Valencia Bio-Med Aragn/ Hospital Clnico Universitario, Universidad de Zaragoza Consejo Superior de Investigaciones Cientficas (CSIC) Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol) IK4
Frailty prevention with multifactorial interventions Evaluation of elderly persons functionality and care needs Chronic kidney disease patients under hemodialysis and erythropoietic stimulating agent therapies
Portugal
Active lifestyles and predictors of risk for incapacity on senior population RISINC2013 - Frailty Chronic Ailment Reduction after Menopause (CARMEN) Frailty Improvement in Complex Patients (FICoP) Detection of senescent tissues (TELAGDIS) ECAP (electronic medical records) programme with a collaborative module and active intelligence Frailty improvement Programme (FIP). Assistance for elderly people Prevention of inappropriate admissions in elderly patients attended in the Emergency Department.
Physical decline 119 Physical decline 122 Physical decline 125 Physical decline 128 Physical decline 130 Physical decline 132 Physical decline 134
Spain Spain
Spain
Cognitive decline
136 Cognitive decline Cyprus University of Cyprus Long Lasting Memories 137
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Cognitive decline France SiaMedXpress Trinity College Dublin EngAGE Centre for Research on Ageing - Irish Network for Biomarkers in Neurodegeneration (INBIND) Trinity College Dublin EngAGE Centre for Research on Ageing (Coordinator), St Jamess Hospital (Sponsor) In Vitro Diagnostic Biomarkers in Alzheimers disease and Parkinsons disease A European multicentre trial of Nilvadipine in Alzheimers disease Smart Aging Serious Games Software Platform for pre-symptomatic and earlysymptomatic assessment of cognitive impairments Memory Training Prevention of Functional Decline Program (from INOVAFUNAGEING) Action for Frailty and Functional Decline Initiative: Healthy ageing with innovative functional foods/leads for degenerative and metabolic diseases (INOVAFUNAGEING) Health Ageing with Innovative Functional Foods/Needs for Degenerative and Metabolic Diseases Program of University Studies for Senior Citizens (Programa de Estudos Universitrios para Seniores PEUS) Cognitive stimulation and Brain fitness Psycological support programme for the elderly (PAPI) Cognitive decline 164 Cognitive decline 152 Cognitive decline 143 Cognitive decline 145 141
Ireland
Ireland
Consorzio di Bioingegneria e Informatica Medica (CBIM) Regione Liguria Faculdade de Cincias da Universidade de Lisboa
Portugal
Center for Neuroscience and Cell Biology, University of Coimbra Faculdade de Farmcia da Universidade de Lisboa
Cognitive decline 155 Cognitive decline 157 Cognitive decline 159 Cognitive decline 161
Portugal
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Spain
New biomarkers to identify frail, elderly individuals with mild cognitive impairment Prevention of complications in frail patients with dementia assessed with the new, original staging system based on the European EDCON/IDEAL scale. Non Invasive Neurofunctional Evaluation (NINE) facility Research on glyco & peptide-based drug leads: teaching and discovery applied to age-related diseases (GLYPAD). MENTHELDER
Spain Spain
Bio-Med Aragn/Hospital Clnico Universitario, Universidad de Zaragoza Agencia Estatal Consejo Superior de Investigaciones Cientficas (CSIC)
Cognitive decline 171 Cognitive decline 174 Cognitive decline 177 Cognitive decline 180 Cognitive decline 184 Cognitive decline 187 189 Nutrition
Universidade de Santiago de Compostela FUNDACIN MARQUS DE VALDECILLA - IFIMAV Consorci Institut DInvestigacions Biomdiques August Pi i Sunyer (IDIBAPS) Academic Medical Centre on behalf of European Dementia Prevention initiative
Nutrition
Belgium Belgium Center for Gastrology European Nutrition for Health Alliance Gastrological approach to malnutrition Implementation of Nutritional Screening and follow up in Belgium FP7 Project: LipiDiDiet - Therapeutic and Preventive Impact of Nutritional Lipids on Neuronal and Cognitive Performance in Aging, Alzheimers Disease and Vascular Dementia HEALTHY AGING through personal life style changes and community support Nutrition
190 193
Germany Israel
Saarland University, the LipiDiDiet Consortium MELABEV - COMMUNITY CLUB FOR ELDERCARE ASSOCIATION
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Israel Italy
The Gertner Institute for Epidemiology and Health Policy Research The EIP-AHA Reference Site Campania - GP1
Interactive Lifestyle Assessment, Counselling and Education software (IACE) Food Against Frailty (FAF) European Project NU-AGE New dietary strategies addressing the specific needs of elderly population for a healthy ageing in Europe Malnutrition prevention and early treatment and their impact on the frailty syndrome NutriBioFun- Bioactive Natural Food Ingredients for aging-people functional diet Nutrition Programme Prevention of Cardiovascular disease incidence and improvement of other agerelated conditions (functional decline, cancer, ocular diseases) with Mediterranean diet Frailty improvement Programme (FIP) Healthy ageing with innovative functional foods/leads for degenerative and metabolic diseases (Acronym INOVAFUNAGEING)
Italy
UNIVERSITY OF BOLOGNA (UNIBO) Piedmont regional network of Clinical Nutrition units (PNCNU)
Italy
Portugal Portugal
Spain Spain
Spain
Nutrition 220
INNOVACTIVES - New Food Products enhancing the Cognitive and Physical Performance of Aging Adults
Nutrition 223
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Sweden
Prevention and treatment of malnutrition in the elderly Baseline nutritional status, metabolic phenotype and interventions to improve function Development of templates for malnutrition screening and guidance for their use for the prevention of frailty and functional decline due to malnutrition that are tailored to train health professionals on caring for frailty patients. Malnutrition Task Force HOOP study (Hydration and Outcome in Older People) admitted to hospital as medical emergencies
UK
UK UK
DHSSPS NI and NIPEC Malnutrition Task Force European Hydration Institute/Queens Medical Centre, Nottingham
UK
Nutrition
233
Portugal
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Escuela Andaluza de Salud Pblica Bio-Med Aragn / Tecnodiscap Well-Tech Research Group of University of Zaragoza Bio-Med Aragn / Tecnodiscap Well-Tech Research Group of University of Zaragoza Bio-Med Aragn / Tecnodiscap Well-Tech Research Group of University of Zaragoza Jordi Gol Primary Care University Research Institute (IDIAP Jordi Gol) SERMAS-HOSPITAL UNIVERSITARIO DE GETAFE Swedish Care International Centre for Care Technology Research (CCTR)/ Zuyd University of Applied Sciences
Longitudinal study of women and men caregiver's health and quality of life in two Spanish regions (CUIDAR-SE): Design and development of a questionnaire aimed to informal carers User Requirements and specifications of services Evaluation of the Impact of Technology on the Quality of Life of Users Development and Testing of Use of Specific Services and Assistive Technology with users Intervention to improve social support to informal caregivers (ICIAS) Community Care Unit (CCU)
Caregivers & dependency 250 Caregivers & dependency 253 Caregivers & dependency 255 Caregivers & dependency 257 Caregivers & dependency 259 Caregivers & dependency 263 Caregivers & dependency 265 Caregivers & dependency 267 270
Spain
Dementia Support Activity monitoring as part of care delivery to frail, independently living seniors
Physical exercise
Portugal Portugal Portugal Spain Faculty of Sports University of Porto Faculty of Sports University of Porto UNIFAI and Municipality of Guimares DEPARTMENT OF HEALTH FROM THE BASQUE GOVERNMENT Portuguese National Walking and Running Program (PNWRP) Exercise and Health for Older Adults Frailty Programme in the Community ( FPC) TIPI TAPA Physical exercise Physical exercise
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A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
The Netherlands UK
Royal Dutch Visio De Brink & Hanze University of Applied Sciences Groningen NHS Scotland
Measuring physical fitness in persons with severe/profound intellectual and multiple disabilities Active and Healthy Ageing
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A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
Introduction
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A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
Frailty in general
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A3 Action Group "Prevention on early diagnosis of frailty and functional decline, both physically and cognitive, in older people"
2. Description
Target: Older people in general population - population: the elderly medical patient Target population: approximately 20% of the population is older than 65 years Main topic: Frailty in general Description: the elderly medical patient has often needs that goes between primary and secondary sector, and has often more than one chronic diseases, and therefore contact with different doctors/ hospitals/departments, taking care of different medication. The aim is to reduce number of medications, make sure, the patient gets the right medication every time, and bring down adverse side effects, to make sure, the patients get the rehabilitation, they need, and to make sure, the patients comes to all the appointments they have. Deliverables: There are a lot of different local programmes related to th.8 main topics, and the nationwide electronic list of medicine was due this year, but is delayed. Outcomes: Fewer acute admissions to hospital, lesser need of help from primary care Has an impact on health status and quality of life for your local population Has an impact on the sustainability and efficiency of the health or social care system of your local population
Evidence of the impact: Resources available: the budget is 26.720.000 euros for the period 2012-2015
3. Innovation element
Uses new methodology Has a vision on integrated care Adds to the existing large body of evidence Brings together a big group of stakeholders
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4. Further information
For further information, contact Anne Jung, MD internal medicine:geriatrics: annejung@dadlnet.dk
5. Contact Details
Organisation name: The Danish Ministry of Health, the five Regions, the municipalities, The Danish Health board Contact person: Anne Jung, MD internal medicine: geriatrics (Danish Medical Association) Email: annejung@dadlnet.dk
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2. Description
Target population: Older people in general population - Ageing people in rural and remote areas Target population: The permanent population of the areas that are served by 10 rural primary care practices in the county of Heraklion on the island of Crete (24,611 inhabitants according to the 2001 national census) and more specifically the people aged 55 years and over (more than 6,000). Main topic: Frailty in general Description: Living disease-free as long as possible may be the only solution to ensure the sustainability of social security and pensions systems while improving the quality of life at the same time (European Foresight Platform 2011). Via screening we examine the healthy ageing or, more precisely, the reduction of the amount of unhealthy life years, independent of ones life expectancy. This project aims to develop a health and social services network that is sensitive to individual capacities and culturally adapt it to the health care needs of the community. To serve this goal, this project is based on the experiences gained from the Life Long Learning (LLL) program in which over 1,200 individuals have already been screened within the framework of a currently running EU program for early detection of Alzheimers and related dementias. This program is on implementation in rural Crete with the support of the Practice-Based Research Network on Rural Crete. A health needs assessment tool that can offer an instrumental overview of the individuals health care status and needs has been be designed. To that direction and based on the experiences gained from that particular and similar project, this network jointly with the Clinic of Social and Family at the School of Medicine, University of Crete (CSFM) will develop a tool (questionnaire) in screening near retirement people for cognitive and physical decline and risks for chronic illness and frailty. This tool will be implemented in the population served by the practices of the Cretan network, with the aim to provide an illustrative picture of the burden and assess to what extent its utilization can reduce the burden related to cognitive decline and frailty, improve their satisfaction and quality of life and at what cost. The expertise
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of the CSFM in developing, translating and validating health assessment tools is the backbone of this effort. The CSFM operates a Primary Care Cretan PracticeBased Research Network (CPRN), which has been officially accredited by the Regional Health Care Authorities. The research activities of our institution, in the area of healthy aging, include the following published results: 1. Training primary care physicians and implementations screening programmes among elderly people to assess cognitive impairments (relevant publications: Argyriadou S. et al, Family Practice 2001; Papadakaki M. et al., Evaluation and the Health Professions 2012; Iatraki E. et al, Am J Geriatr Psychiatry 2001; Iatraki E. et al., Dementia and Geriatric Cognitive Disorders 2013 (in press) and a relevant EC research programme). 2. Develop, translate and validate tools/questionnaires measuring the burden/impact of a disease/health problem (Vivilaki V. et al., Women Health 2012; Sapouna V. et al., Annals of General Psychiatry 2013; Grammatikopoulos I. et al. Annals of General Psychiatry 2010) (Tools relevant to the post natal depression, burden to mental health caregivers and anxiety in elderly). 3. Assessing musculoskeletal disorders in primary care, developing assessment tools and designing interventions (relevant publications: Antonopoulou M. et al, Family Practice 2007; Antonopoulou M. et al, Eur J Gen Pract 2004 and a successfully implemented PhD study). 4. Assessing health assets among rural older populations on Crete including those of spirituality and religiosity and as well as sense of coherence (internal locus of control) (relevant publications: Lionis C. et al, BMC Res Notes 2010; Anyfantakis D. et al, Hormones 2013, Faresjo T. et al, Eur J Gen Pract 2009 and two PhD studies). Deliverables 1. Mapping of national old-age and ageing policies (Desk Research). 2. Development of the Tool (Questionnaire). 3. Focus Groups of Experts, concerning the Questionnaire. 4. Comparative Report on Elderly People in rural areas screening for cognitive decline. 5. Screening tools for primary care physicians office screening of near retirement persons for risks on chronic illness and frailty antecedent. 6. Summary policy implications regarding the healthy ageing. Outcomes: 1. Reduce the burden to family and patients due to cognitive and physical decline and frailty among rural inhabitants of Crete. 2. Policy development for rural initiative to prevent cognitive and physical decline and frailty. 3. Increase awareness and training of primary care physicians and nurses in rural areas for frailty prevention Has an impact on health status and quality of life for your local population
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Has an impact on the sustainability and efficiency of the health or social care system of your local population Has an impact on the expansion of market and growth Has an impact on the competitiveness of industry Enhances employment and job creation Has been adopted, tailored and validated in at least 2 other settings
Evidence of the impact : 1. Our efforts will impact on the effectiveness of screening tools to prevent cognitive and physical decline in rural populations through primary care physicians and nurses. Thus help resolve existing controversies as to who should be screened, when, where, by whom, and with what instruments. 2. We will be able to generate a cost benefit analysis of the screening program in rural areas allowing the development of effective health-social policies at the regional and the national levels of how to best address the prevention of physical and cognitive decline of rural inhabitants. 3. The broad rural precinct screening will allow us to develop important diagnostic variables on the sensitivity, specificity, positive predictive value, and negative predictive value of available screening instruments for the prevention of frailty. Resources available : Funding is provided by the University of Crete, NGO and other funded programmes such as LLL EU national program. On-going activities are financially supported by health government and other local social authorities.
3. Innovation element
Has a cost analysis approach Has a multidisciplinary approach Uses new methodology Has a vision on integrated care Adds to the existing large body of evidence Advocates for rural populations Brings together a big group of stakeholders Has relative advantages or brings benefits over existing practices This programme finds new ways in supporting older people their careers to the traditional ways of working.
4. Further information
The Clinic of Social and Family Medicine (CSFM), University of Crete Faculty of Medicine () has already established a pioneering, and unique for Greece, PHC educational and teaching centre, currently providing undergraduate to medical students, but also specialised training to clinical and non-clinical researchers seeking to expand their research abilities on various PHC fields. The CSFM has raised the
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profile of PHC at national and international levels through its strong leadership and active involvement in numerous initiatives and various interventions, as well as state- and EU-funded research projects, as documented by over 200 Medline indexed publications. It remains the only academic institution with such activity in the field of primary care in Greece. CSFM is currently engaged in conducting research in a number of fields of direct relevance to the provision of clinical care in rural settings. A number of research projects dealing with the assessment and management of common diseases in such settings have been approved by the University Hospital Bioethical Committee. In addition, another capacity of the CSFM is focused on the translation and validation of certain tools/ questionnaires into the Greek context and their implementation into research and clinical practice. Many postgraduate research students are currently registered at the Faculty of Medicine, under the support and guidance of the CSFM. Furthermore, CSFM coordinates a Primary Health Care Unit at the city of Heraklion and operates a Primary Care Cretan PracticeBased Research Network (CPRN), which has been officially accredited by the Regional of Health Care Authorities and contributes to the design and implementation of several primary care based research projects. This network aims to increase the research capacity and research culture in integrated primary care provision in Crete, but also, the whole of Greece. CSFM runs a program of rural practice placements for medical students on their final year of studies (http://pfyepeaek.med.uoc.gr). CSFM runs a new Masters program on General Practice/Family Medicine and PHC (the website of which is http://www.mastergeneralpractice.gr). Modules lasting 24 months and as no other postgraduate training opportunity exists in Greece for general practitioners, this program aims to assist in creating a pool of academically-trained general practitioners and independent future researchers that will transfer and implement evidence-based knowledge into their practices in an effective manner.
5. Contact details
Organisation name: Practice Based Research Network on Rural Crete Contact person: Prof. Christos Lionis Email: lionis@galinos.med.uoc.gr
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2. Description
Target population: Older people in general population - older people without any history of chronic disease, living in the community, in Mediterranean islands Target population: 600.000 persons Main topic: Frailty in General Description: The aim of the MEDIS study is to evaluate the relationships between socio-demographic,
clinical, lifestyle (physical activities and dietary habits) and psychological characteristics and the presence of various cardiovascular disease risk factors, among elderly individuals without history of chronic disease, living in Mediterranean Islands. Subsequently, to identify people at high risk for cardiovascular disease and to promote good health practices.
Deliverables Training programmes to share information on physical exercise and nutrition counselling aim at care-givers and old people A large data-base with info about elders people health status and behaviours in Mediterranean Europe Training programmes for care-givers and old people are planned to run
Outcomes: Prevention of cardiovascular disease and related cardiometabolic disorders in older people
living in the Mediterranean islands region. A previous evaluation of the study in May 2013 demonstrated that the study presented the health status of the older people of the referent population, for the first time, and may help in preventing over 400 events out of 10000 people.
Has an impact on health status and quality of life for your local population Has an impact on the sustainability and efficiency of the health or social care system of your local population Has been adopted, tailored and validated in at least 2 other settings More than 10% of the local target population receives the innovative practice
Evidence of the impact : The response rate was about 80%. Resources available : Funding for the phase I of the MEDIS study was provided by the Harokopio
University and the Hellenic Heart Foundation. On-going activities are financially supported by health government and local social authorities.
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3. Innovation element
Has a gender perspective approach Has a multidisciplinary approach Uses new methodology Has a vision on integrated care Adds to the existing large body of evidence
4. Further information
A full range of supporting documentation and materials which may be of interest to other partners can be found in the website: http://www.medis-study.eu/
5. Contact Details
Organisation name: Harokopio University in Athens, Dept of Nutrition and Dietetics Harokopio University in Athens is committed to MISTRAL Multimodal Interventions Supported by information and communications Technologies building Resilience for frAiLty prevention Contact person: Demosthenes Panagiotakos Email: d.b.panagiotakos@usa.net
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2. Description
Target population (group): older people in general population (8,175 community dwelling population representative adults aged 50 and older) Target population (figure): 8,175 adults aged 50 and older Main topic: Frailty in general Description: TILDA is a rich dataset of 8,175 community dwelling older adults living in Ireland. The dataset captures the five primary components of the frailty phenotype: slowness, weakness, weight loss, exhaustion and physical activity. There are currently 2 complete waves of data. Beyond the five core components of frailty, the datasets also include additional objective (i.e., locomotive (timed up and go), grip strength (dynamometer), cognition (Mini Mental State Exam) and subjective components of frailty (i.e., exhaustion, physical activity, depression). Currently wave 3 is in planning, and additional objective measures will be included (i.e., physical activity (pedometer), sarcopenia (ultra-sound)) as well as continuing to capture the components from waves 1 and 2. Investigating the ability of the measure to predict mortality, disability and falls will validate our frailty measure. Advanced psychometric methods will be used to develop and test the validity of our measure of frailty. The primary aim of this work is to explore combining the unique elements of 3 different tools to create a combination measure and explore the dimensionality of frailty as a construct. Deliverables: A validated measure for screening of frailty. This measure will be validated for use in large population studies and expand on the original work of Kenneth Rock and Linda Fried and the frailty phenotype. Outcomes and evidence of the impact : Frailty is often conceptualized as a single dimension, and this was the first model tested. However, preliminary analysis suggests that a twodimensional model was more appropriate; one factor represented physical components of frailty and the second represented emotional components. Elements from each traditional frailty scale contributed to the model.
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This alternative combination frailty model has sufficient construct and predictive validity. When age, sex and mortality were included, the risk for 2-year mortality increased for those with both greater physical (OR = 1.03, p <0.001) and emotional (OR =1.02, p =0.001) frailty. Further work will explore a third dimension, that of cognition and investigate other longitudinal outcomes. Has an impact on health status and quality of life for your local population. Has been adopted, tailored and validated in at least 2 other settings.
Resources available: This work was supported by an Irish Health Research Board grant
(HRA_PHS/2011/26).
3. Innovation element
Has a multidisciplinary approach Uses new methodology Adds to the existing large body of evidence Has relative advantages or brings benefits over existing practices
4. Further information
King-Kallimanis, B.L., Using structural equation modelling to detect measurement invariance in a measure of frailty. (Under review). King-Kallimanis, B.L., Kenny, R.A., Savva, G. Testing an Alternative Model of Frailty in the Irish Longitudinal Study of Ageing. To be presented at The Irish Gerontological Society Annual and Scientific Meeting, 2013.
5. Contact details
Organisation name: Trinity College Dublin EngAGE Centre for Research on Ageing Contact person: Ann Hever & Rose Anne Kenny Email: hevera@tcd.ie
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2. Description
Target population : Dependent Patient - Oncological elderly patients and family members (the average age of our patients is 75 years) Target population: 1.447.799 (According to FAVO Report 2013 the 4% of Italian population has a cancer diagnosis) Main topic: Frailty in general Description: The ANT Psychological Service was born in 1985 to assist cancer patients and their relatives suffering from psychological distress. The caregivers psychosocial problems are assessed through a socio-psychological questionnaire that caregiver fills at the start of the home assistance. The activation of psychological and social services might occur by the physician or by direct request of the family in order to prevent high risk of frailty due to coping with cancer. The psychologist takes care of family members with psycho-educational interventions, psychotherapies and psychological advice depending on their needs. The ANT psychologist can visit caregivers both at home and at some dedicated surgeries of ANT Institute. If the patient cannot stay at home, ANT is always in contact with most of long-stay wards and structures where they are admitted. In some cases physician and psychologist continue to follow patients also when they are in these structures. Furthermore the relatives of the patients temporary admitted in hospital continue to be supported by the ANT psychologists. In 2012, the percentage of beneficiaries followed by our Psychology Service was 10% of the total number of ANT patients. The ANT psychologists conducted 3.394 psychological consults with the family members in order to support them in self-management of their dears health and to promote for both of them a good daily life. Moreover, we have helped caregivers during bereavement: last year we assisted 413 relatives for grieving process. In all, the psychologists conducted 1.703 psychological consults with the family members after the death of the patient. A selected group of volunteers supports patients and care-givers to reduce social isolation of the family through the proposal of different activities to patients such as reading, walking, watching movies; at the same time they incite care-giver into taking time for themselves. In 2012, for example in Bologna these volunteers were activated more than 600 times. ANT psychological and social service provides several support interventions in order to:
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