European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty-a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS).


Journal

Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 28 10 2019
accepted: 16 12 2019
pubmed: 24 1 2020
medline: 23 7 2020
entrez: 24 1 2020
Statut: ppublish

Résumé

Interprofessional collaborative practice (ICP) is currently recommended for the delivery of high-quality integrated care for older people. Frailty prevention and management are key elements to be tackled on a multi-professional level. This study aims to develop a consensus-based European multi-professional capability framework for frailty prevention and management. Using a modified Delphi technique, a consensus-based framework of knowledge, skills and attitudes for all professions involved in the care pathway of older people was developed within two consultation rounds. The template for the process was derived from competency frameworks collected in a comprehensive approach from EU-funded projects of the European Commission (EC) supported best practice models for health workforce development. The agreed framework consists of 25 items structured in 4 domains of capabilities. Content covers the understanding about frailty, skills for screening and assessment as well as management procedures for every profession involved. The majority of items focused on interprofessional collaboration, communication and person-centred care planning. This framework facilitates clarification of professionals' roles and standardizes procedures for cross-sectional care processes. Despite a lack of evidence for educational interventions, health workforce development remains an important aspect of quality assurance in health care systems. The multi-professional capability framework for frailty prevention and management incorporated interprofessional collaborative practice, consistent with current recommendations by the World Health Organization, Science Advice for Policy by European Academies and the European Commission.

Sections du résumé

BACKGROUND BACKGROUND
Interprofessional collaborative practice (ICP) is currently recommended for the delivery of high-quality integrated care for older people. Frailty prevention and management are key elements to be tackled on a multi-professional level.
AIM OBJECTIVE
This study aims to develop a consensus-based European multi-professional capability framework for frailty prevention and management.
METHODS METHODS
Using a modified Delphi technique, a consensus-based framework of knowledge, skills and attitudes for all professions involved in the care pathway of older people was developed within two consultation rounds. The template for the process was derived from competency frameworks collected in a comprehensive approach from EU-funded projects of the European Commission (EC) supported best practice models for health workforce development.
RESULTS RESULTS
The agreed framework consists of 25 items structured in 4 domains of capabilities. Content covers the understanding about frailty, skills for screening and assessment as well as management procedures for every profession involved. The majority of items focused on interprofessional collaboration, communication and person-centred care planning.
DISCUSSION CONCLUSIONS
This framework facilitates clarification of professionals' roles and standardizes procedures for cross-sectional care processes. Despite a lack of evidence for educational interventions, health workforce development remains an important aspect of quality assurance in health care systems.
CONCLUSIONS CONCLUSIONS
The multi-professional capability framework for frailty prevention and management incorporated interprofessional collaborative practice, consistent with current recommendations by the World Health Organization, Science Advice for Policy by European Academies and the European Commission.

Identifiants

pubmed: 31970670
doi: 10.1007/s40520-019-01455-5
pii: 10.1007/s40520-019-01455-5
pmc: PMC7170812
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

561-570

Subventions

Organisme : European Commission
ID : 724099

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Auteurs

Regina Roller-Wirnsberger (R)

Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria. Regina.Roller-Wirnsberger@medunigraz.at.
European Geriatric Medicine Society (EuGMS), Genoa, Italy. Regina.Roller-Wirnsberger@medunigraz.at.

Sonja Lindner (S)

Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.

Aaron Liew (A)

Health Service Executive of Ireland, Dublin, Ireland.
National University of Ireland, Galway, Ireland.

Ronan O'Caoimh (R)

Health Service Executive of Ireland, Dublin, Ireland.
National University of Ireland, Galway, Ireland.

Maria-Lamprini Koula (ML)

Company of Psychosocial Research and Intervention, Ioannina, Greece.

Dawn Moody (D)

National Health Services Orkney, Orkney, Scotland.

Juan Manuel Espinosa (JM)

Regional Ministry of Health of Andalusia, Sevilla, Spain.

Thérèse van Durme (T)

Catholic University of Louvain, Institute of Health and Society, Brussels, Belgium.

Plamen Dimitrov (P)

National Center of Public Health and Analyses, Sofia, Bulgaria.

Tomislav Benjak (T)

Croatian Institute of Public Health, Zagreb, Croatia.

Elena Nicolaidou (E)

Ministry of Health of the Republic of Cyprus, Nicosia, Cyprus.

Teija Hammar (T)

Finnish Institute for Health and Welfare, Helsinki, Finland.

Eliane Vanhecke (E)

Ministry of Health and Social Solidarity, General Directorate for Health, Paris, France.

Ulrike Junius-Walker (U)

Medical University of Hannover, Hannover, Germany.

Péter Csizmadia (P)

Ministry of Human Capacities, Budapest, Hungary.

Lucia Galluzzo (L)

Italian National Health Institute, Rome, Italy.

Jūratė Macijauskienė (J)

Lithuanian University of Health Sciences, Kaunas, Lithuania.

Mohamed Salem (M)

San Vincent De Paule Long Term Care Facility, Marsa, Malta.

Liset Rietman (L)

National Institute for Public Health and the Environment, Bilthoven, The Netherlands.

Anette Hylen Ranhoff (AH)

Norwegian Institute of Public Health, Oslo, Norway.

Tomasz Targowski (T)

National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

Miguel Telo de Arriaga (MT)

Ministry of Health, Directorate-General of Health, Lisbon, Portugal.

Elena Bozdog (E)

Babeș-Bolyai University, Cluj-Napoca, Romania.

Branko Gabrovec (B)

National Institute of Public Health, Ljubljana, Slovenia.

Anne Hendry (A)

National Health Service Lanarkshire, Scotland, UK.

Finbarr C Martin (FC)

European Geriatric Medicine Society (EuGMS), Genoa, Italy.

Leocadio Rodriguez-Mañas (L)

Hospital Universitario de Getafe, Getafe, Spain.

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