Frailty phenotype of homebound Montreal older community dwellers during the COVID-19 pandemic: Results of a cross-sectional population study

Launay, Cyrille P.; Cooper-Brown, Liam A; Ivensky, V.; Beauchet, Olivier

doi:10.14283/jfa.2020.69

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…First, these measures often deprived older people of face-to-face access to social activities and social networks, which often led to an increase in their social isolation ( 2 ). Second, in many countries, such as Canada, there was an increased demand for access to the health care system and community resources, which could not always be met ( 3 , 4 ). This combination of an increase in social isolation and increased pressure on the healthcare system and community organizations often led to a degradation in physical and mental health, making older adults frail and increasing their risk of adverse outcomes ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Benefits of a 3-month cycle of weekly virtual museum tours in community dwelling older adults: Results of a randomized controlled trial

et al. 2022

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BackgroundMuseums can be instrumental in fostering social inclusion and may improve the overall health of the older population. Over the course of the 2019 coronavirus pandemic, many older adults suffered as a result of confinement measures, which may have accelerated the processes that lead to physical frailty and increased mental health risks. This study aims to examine whether a 3-month cycle of weekly virtual tours of the Montreal Museum of Fine Arts (MMFA) may have improved feelings of social inclusion, wellbeing and quality of life, and reduced physical frailty in older adults living within the community of Montreal.Methods and designA total of 106 older adults, who were community-dwellers living in Montreal (Quebec, Canada), were recruited for a randomized controlled trial in two parallel groups (intervention with n = 53 vs control with n = 53) between January and April 2022. The intervention consisted of a 3-month cycle of weekly virtual museum tours of the MMFA. Social isolation, wellbeing, quality of life and frailty were evaluated using validated scales that were assessed on a web platform at baseline (M0) and after 3 months (M3) in the intervention group. The control group completed the same assessment according to the same schedule. The outcomes were the mean scores at M0 and M3, and changes in mean scores between M0 and M3.ResultsThe intervention group showed significant improvements in their social isolation, wellbeing, quality of life and frailty scores when compared to the control group, the highest benefits being observed with frailty.ConclusionThe results suggest that the 3-month cycle of weekly virtual MMFA tours may improve social inclusion, physical and mental health in community-dwelling older adults living in Montreal.Trial registrationhttps://clinicaltrials.gov/ct2/show/NCT05046288, identifier NCT05046288.

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Section: Introductionmentioning

confidence: 99%

Benefits of a 3-month cycle of weekly virtual museum tours in community dwelling older adults: Results of a randomized controlled trial

et al. 2022

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“…Evaluation SOcio-GERiatrique (ESOGER), administered by medical students via telephone, identifed those adults at highest risk enabling prioritization of those who required urgent health or social care [33]. ESOGER was tested in a study of 879 older adults and reported an overall frailty prevalence rate of 65%, suggesting that COVID-19 restrictions among the homebound places them at greater risk for physical deconditioning and, subsequently, at greater risk for falls and fractures [34]. Te social determinants of health framework has also been recommended to identify older adults at risk for poor outcomes during the pandemic due to poverty, disability, and social isolation [35].…”

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confidence: 99%

Assessing Risk among Frail Older Adults in Ontario, Canada, during the COVID-19 Pandemic: A Mixed Methods Evaluation of a Telephone Outreach Program

Lee

Hillier²,

Carducci

et al. 2023

Health & Social Care in the Community

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We developed a pandemic telephone outreach protocol to identify risk for social isolation, health destabilization, medication issues, inadequate services and supports, and caregiver stress among older adults at high risk of destabilization. Screening, conducted between April 1, 2020, and May 8, 2020, was targeted to those who had previously been screened as frail or who were identified as vulnerable by their family physician. This study describes the implementation and results of this risk screening protocol and describes patient, caregiver, and health professional perceptions of this outreach initiative. Mixed methods included satisfaction surveys and interviews completed by patients/caregivers (N = 300 and N = 26, respectively) and health professionals (N = 18 and N = 9, respectively). A medical record audit collected information on patient characteristics and screening outcomes. A total of 335 patients were screened in the early weeks of the pandemic, of whom 23% were identified with at least one risk factor, most commonly related to the potential for health destabilization and medication risk. Follow-up referrals were made most frequently to physicians, a pharmacist, and a social worker. The outreach calls were very well received by patients and caregivers who described feeling cared for and valued at a time when they were socially isolated and lonely. The outreach calls provided access to trusted COVID-19 information and reassurance that health care was still available. The majority of health professionals (>86%) were “very” or “extremely” satisfied with the ease of completing the screening via telephone and value for time spent; for 79% the protocol was “very” or “extremely” feasible to implement. Health professional interviews revealed that patients were unaware they could access care during the pandemic lockdown but were reassured that care was available, potential crises were averted, and they supported future implementation. Risk screening provides a significant opportunity to provide information, support, and mitigate potential risks and is an important and feasible component of pandemic planning in primary care.

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Effectiveness of a web-based socio-geriatric pre-consultation tool for older adults in primary care: A randomized controlled trial (Preprint)

Sourial,

Fernainy,

Develay

et al. 2024

Preprint

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BACKGROUND Pre-consultation tools have been proposed as a solution to support primary care providers in effectively managing the growing number of older adults. Despite older adults making up 25% of primary care consultations, few tools are specifically adapted for them, and most only assess their physical health. The Evaluation SOcio-GERiatrique (ESOGER) tool, a short web-based pre-consultation questionnaire of older adults' physical, mental, cognitive, and social support needs, administered by phone, may provide an effective means of supporting providers in improving patient outcomes in the primary care setting. OBJECTIVE To evaluate the effectiveness of the ESOGER tool in improving health-related quality of life and unplanned health service use for older adults in the primary care context. METHODS A multi-center, individually-randomized parallel-group controlled trial was conducted at four university affiliated interprofessional primary care clinics in Quebec, Canada. Participants were randomized 1 to 1 to either the intervention or standard care group. The intervention group was administered the ESOGER tool by phone by clinic staff (total of 12 clinic staff across sites) at least one day prior to their consultation with their health provider. The ESOGER tool generated a report for the provider to view at the time of consultation. Although clinics were not blinded to group assignment, patients were blinded unless the tool was mentioned during consultation with the health provider. The primary outcome of interest was self-reported health-related quality of life (HRQoL) as measured by the EuroQol 5D (EQ-5D). Secondary outcomes were self-reported unplanned visits to their family doctor, visits to the emergency department (ED) and hospitalizations within the last three months. Data were collected at baseline and 3 months. An intention-to-treat (ITT) analysis was carried out for the study outcomes. The primary outcome was analysed using beta regression. Secondary outcomes were analysed using logistic regression. Inverse probability of censoring weighting was used to impute missing data due to censoring. RESULTS Of the 452 eligible to participate, 111 were lost to follow up, for a total sample size of 341 (75.4%) participants. No significant differences in the EQ-5D were observed between the intervention and the standard care group (OR = 1.0, 95%CI [0.5, 2.0]) or the secondary outcomes. CONCLUSIONS ESOGER, a pre-consultation tool in the primary care setting for older adults, did not have an effect on health-related quality of life or unplanned health service use when compared to standard care. The non-significant results of the ESOGER tool could be due to a ceiling effect, a limited follow-up duration, or lack of resources for the implementation of the ESOGER tool. Given the potential of pre-consultation tools to support the management of older adults, further research should explore the conditions under which these tools can lead to positive patient outcomes. CLINICALTRIAL ClinicalTrials.gov NCT05102890

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Frailty phenotype of homebound Montreal older community dwellers during the COVID-19 pandemic: Results of a cross-sectional population study

Cited by 3 publications

References 7 publications

Benefits of a 3-month cycle of weekly virtual museum tours in community dwelling older adults: Results of a randomized controlled trial

Benefits of a 3-month cycle of weekly virtual museum tours in community dwelling older adults: Results of a randomized controlled trial

Assessing Risk among Frail Older Adults in Ontario, Canada, during the COVID-19 Pandemic: A Mixed Methods Evaluation of a Telephone Outreach Program

Effectiveness of a web-based socio-geriatric pre-consultation tool for older adults in primary care: A randomized controlled trial (Preprint)

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