The role of home care in the prevention of cognitive decline and frailty

The role of home care in the prevention of cognitive decline and frailty

  1. English
  2. English

Activity details

Multiple chronic diseases are more prevalent in ageing compared to the general population and thus, independence level and Quality of Life (QoL) of older and frail people who receiving homecare are possibly influenced. Therefore, in this commitment, we seek to provide answers to specific research questions such as; • How QoL affected by the presence of multiple chronic diseases (multimorbidity) in patients with dementia, Mild Cognitive Impairments (MCI) and Frailty? • How does Frailty and Independence of frail older adults affected by multimorbidity effect? • To identify possible differences in QoL between independent and not independent frail elders taking into consideration the burden of multimorbidity and depression? • To assess whether chronic diseases such as Diabetes Mellitus of CVD present a higher risk of having frailty? In this commitment, we designed a study research protocol – focusing on home care older patients conducting full screening program by visiting them into their homes for early recognition of frailty in a prefecture Region of Heraklion Crete, Greece. Age-related syndromes such as dementia (cognitive decline) and depression were also identified.
Action Group:
Other organisations participating in the commitment: 
Non Government Organization (NGO) "Allilegii" - Heraklion Crete, SI4Life Regional Hub-Italy.
Objective:
Lead organisation name: 
Hellenic Mediterranean University
Organisation country:
Contact person: 
Christos KLEISIARIS, Chariklia Tziraki
Contact person email: 
chrisklisiaris@staff.teicrete.gr
Activity type:
Start date: 
13/11/2016
End date: 
30/05/2017
Geographic_coverage:
Last update: 10/09/2019

Current Status

Ongoing
Assessing the Impact of Frailty on Cognitive Function in Older Adults Receiving Home Care Abstract (FULL TEXT: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6581500/) It is commonly accepted that frailty and dementia-related cognitive decline are strongly associated. However, degree of this association is often debated, especially in homebound elders with disabilities. Therefore, this study aimed to investigate the association of frailty on cognitive function in older adults receiving home care. A screening for frailty and cognitive function was conducted at 12 primary healthcare settings of the nationally funded program “Help at Home” in Heraklion Crete, Greece. Cognitive function and frailty were assessed using the Montreal Cognitive Assessment questionnaire and the SHARE-f index, respectively. Barthel-Activities of Daily Living and the Charlson Comorbidity Index were also used for the identification of disability and comorbidity, respectively. The mean age of the 192 participants (66% female) was 78.04 ± 8.01 years old. In depth-analysis using multiple linear regression revealed that frailty was not significantly associated with cognitive decline (frail vs. non-frail (B′=−2.39, p=0.246) even after adjusting for depression and multi-comorbidity. Importantly, as protective factors for cognitive decline progression and thus dementia development, was scientifically correlated with annual individual income >4500 (B′=2.31, p=0.005) -poverty threshold-compared to those with <4500 and, higher education level as compared to Uneducated (B′=2.94, p=0.019). However, depression was associated with cognitive decline regardless of socioeconomic variables. In conclusion, our results suggest that health professionals caring for frail people with cognitive impairment must focus on early recognition and management of depression.

Results

Title Planned Deadline Current Status Category Attachments
The role of home care in the prevention of cognitive decline and frailty syndrome 26/08/2019 Achieved Dissemination: Meetings, events, conferences PDF icon Conclusion Given that frailty is strongly associated with cognitive decline, a great proportion of decline in cognitive function

Outcomes

Indicator Target indicator Current status
SHARE - Frailty Instrument approximately 5 publications at PhD level ongoing