Do support and training programs for older adults with frailty work? I'm looking for literature to support/refute this comment. I'm thinking of lifestyle advice and self-management strategies to improve medication adherence, improve mobility, navigate the health care system, etc.
Sorry Elsa, this is not an area I am currently involved in.
If you like I am happy to follow up with one of my colleagues who is. Unfortunately, she is currently on long term leave. Let me know if you would like to me to follow up with her on her return.
With a right balance of support and education, i would think so. Heterogeneity among older adults make it more challenging. In a pilot study completed with pre-frail older people (75+ nonMaori and 60+Maori), we notice that support, particular transport, seem to be more important for those who are frailer and have lower SES. We will be writing up the findings in the next month.
Hi Elsa,
It would seem the answer could be yes, although perhaps some of the specifics around which intervention elements are most important and their mechanisms of effect remain uncertain. You might like to check out these two related studies below (pubmed links below) which should be relevant to your context. Just let me know if you want to discuss further, we have taken some elements from this onto some further investigations (results not yet available).
https://www.ncbi.nlm.nih.gov/pubmed/19245413
https://www.ncbi.nlm.nih.gov/pubmed/21457411
I send you the "White book on Frailty" of IAGG.
I hope it will be useful to you
http://garn-network.org/documents/WHITEBOOKONFRAILTY-USVERSION.pdf
Constant moderate, regulate physical activity may help becoming centenarian, see link :
https://en.wikipedia.org/wiki/Blue_Zone
https://en.wikipedia.org/wiki/Blue_Zone
See also more specifically following linked article : « A Review of the Effects of Physical Activity and Exercise on Cognitive and Brain Functions in Older Adults » (Louis Bherer, Kirk I. Erickson and Teresa Liu-Ambrose), J Aging Res., 2013
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786463/
Especially Items 5 and 6 and the quoted references :
5. Physical Activity and Cognition in Frail Older Adults
6. Physical Activity and Cognition in Older Adults with Mild Cognitive Impairment and Dementia
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786463/
In short, yes. PC4- Primary Care Collaborative Cancer Clinical Trials Group provides a wide range of primary care resources and assist in collaborations in primary care cancer research. Best to see www.pc4tg.com.au and sign up.
Community Actions and Resources Empowering Seniors (CARES) :
This initiative partners pre-frail seniors with community GPs and volunteer community-trained wellness coaches to promote health behaviours that improve quality of life, delay frailty, and reduce Emergency visits and hospital admissions. CARES also provides GPs with an electronic tool to assess frailty before and after behaviour changes and foster team-based practice by supporting nurses to help complete frailty assessments. This program also includes a meaningful medication review to determine if medications are still optimum for the person or if changes or deletions need to be made.
Go to this link for more information:
http://qualityforum.ca/qf2016/wp-content/uploads/2016/03/A2.2.pdf
Hi Elsa.
See these congress publications (below).
We hope to have an article with full results soon (publicated in 3-4 months).
Conference Paper Physical and functional improvements after 4 weeks of a func...
Conference Paper Neuromuscular and Cognitive Changes in Adults with Severe Co...
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