European Geriatric Medicine - Supplement 1 - Volume 7 - October 2016

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Results: Nine sessions were delivered over six months on topics such
as community services, mobility, dementia, frailty, occupational
therapy, polypharmacy, and delirium.
Sessions were attended by physiotherapists, occupational therapists,
nurses, advance nurse practitioners, case-managers, doctors, pharma-
cists, and students from respective professions including the ambu-
lance service.
Sessions scored 8.1/10 on average.100% (22/22) of responders agreeing
these sessions helped them to deepen their understanding of other
professions and helped promote effective team working. We also
received positive comments from those unable to access the face-to-
face teaching following dissemination of summaries by email and
website .
Conclusions: Interprofessional education is feasible and valued in
GEM settings. Mixed dissemination techniques allow a broader range
of access than just face-to-face teaching.
P-401
Effects of inpatient diabetic education on glycemic control and
prevention of diabetic complications: a nationwide survey of 1200
Japanese diabetologists
T. Hayashi1, A. Araki 2, S. Kawashima 3, H. Sone 4, H. Watanabe5, T. Ohr6,
K. Yokote7, M. Takemoto7, K. Kubota8. 1Nagoya Univ. Grad. Sch. of Med.
2Tokyo Metropolitan Geriatric Hosp., 3Osaka Saiseikai Nakatsu Hosp.,
4Endocrinol. & Metabol. Niigata Grad. Sch. of Med., 5Dept. of Clinical
Pharmacol. & Therap., Hamamatsu Univ. Sch. of Med., 6Dept. of Geriat.
Med., Tohoku Univ. Sch. of Med., 7Div. of Diabetes, Metabo. and
Endocrinol., Chiba Univ. Hosp., 8Dept. of Pharmacoepidemiol., Faculty of
Med., Univ
Objective: Although the utilization rate of inpatient diabetic education
(IDE) has decreased in most countries, diabetes prevalence has
profoundly increased.
Research Design and Methods: 1,200 diabetologists, certified by
Japan Diabetes Society (JDS), were randomly selected to participate in
the study. Additionally, 1,208 patients, experienced IDE (IDE group),
and 1,208 patients, not experienced IDE (control group), were followed
up for 1 year.
Results: 691 diabetologists participated (58%), representing 78% of
JDS approved hospitals. The patients ’ diabetes duration (longer than
10 years) and advanced age (older than 75 years) did not influence
their admission (89%, 100%). When plasma glucose levels had
deteriorated, they were admitted and evaluated for plasma glucose
control(100%) as well as for microangiopathy (88%), macroangiopathy
(60%), and occasionally, dementia (34%). In IDE group, mean patient
age was 62 years (27.7%: older than 75 years). Hospitalization period
ranged from 2 days (weekend) to 2 weeks (mean: 10.8 days). Patients ’
profiles before admission, at discharge, and one year later were
assessed. Their mean values: BMI: 25.7, 24.4 and 22.9; hemoglobin
A1c: 9.82, 9.21 and 7.79%; fasting plasma glucose(FPG): 192, 141 and
144 mg/dL; blood pressure(BP, systolic/diastolic): 132.8/75.4, 121.2/
71.8, and 126.2/71.9 mmHg; LDL-C:124.1, 95.1 and 101.3 mg/dL. In
control group, the initial data were not different from those in IDE
group, whereas one year after registration, those were: BMI, 25.7;
hemoglobin A1c7.99%; FPG178 mg/dL; BP, 130.7/76.8 mmHg, and LDL-
C114.8 mg/dL. These data were superior to those in control group.
Moreover, medical economic analyses revealed that a frequency
of admission of less than every 6 years is cost-effective to prevent
complications.
Conclusions: IDE improves diabetic status for a longer period and
effectively prevents complications. This finding is important for aging
societies and has applicability to develop educational systems in many
countries.
P-402
Level of health literacy in Thai elders, Bangkok, Thailand
W. Nilnate1, S. Hengpraprom1, P. Hanvoravongchai1. 1Faculty of
Medicine, Chulalongkorn University, Bangkok, Thailand
Introduction: Thailand’s population is rapidly aging. Although
growing attention among Thai health practitioners for improving
health literacy on health outcome across country, information about
the status of health literacy in Thailand remains scarce.
Objectives: The study objectives were to assess the health literacy
level and determine the demographic characteristics associated with
health literacy among Thai elders.
Methods: The health literacy survey was conducted in 440 Thai elders.
The respondents were randomly selected. Data collection was based
on the Thai elder health literacy questionnaire in paper-assisted
personal interviews. The data was analyzed using descriptive statistics
and the status of health literacy was categorized into three levels
included functional, interactive, and critical health literacy. The Chi-
square and Fisher’ s exact test were used to determine the association
among the factors related the health literacy.
Results: The 2 in 440 (0.5%) respondents showed interactive health
literacy and 438 in 440 (99.5%) expressed functional health literacy.
None of the participants had critical health literacy. Results indicated
that factors significantly associated with health literacy included
education, history of occupation, visibility, and reading ability.
Conclusion: The status of health literacy, especially functional level
were considered as having the limited literacy, among Thai older
persons represents an important challenge for Thai health policies and
health practitioners across Thailand. Knowledge of health literacy is
needed to provide the foundation for developing strategies to mitigate
effects of low health literacy on health outcome. The social gradient
could be taken into account when developing public health strategies
to improve health equity.
P-403
Is dementia and delirium an important topic for junior doctors?
L.J. Koizia, A. Porter, S-L Xiao, L. Poulton, M. Vilasuso. Northwick Park
Hospital
Introduction: Dementia and delirium affects more than a quarter of
in-patients at any one time. These patients have a higher mortality,
complication rates and increased length of stay. This has prompted the
development of the Commissioning for Quality and Innovation
(CQUIN) target and guidelines highlighting the importance of
cognitive screening in elderly patients admitted as an emergency.
Our project looked at if junior doctors felt that assessing memory and
identifying delirium, as an important part of the initial assessment of
elderly patients admitted acutely.
Methods: 30 junior doctors (ranging from FY1-ST7) undertook a
questionnaire on completing AMTS (abbreviated mental test score),
CAMs (confusion assessment method) and their importance. In
addition, the questionnaire asked what could be done to increase
completion of such screening tools.
Results: 20% of doctors felt that completing AMTS was not that
important, and only 13% answered that they always completed it. The
main reasons for not completing was “rushed for time” and “language
barrier”. In addition, 33% of doctors did not know what CAMs was and
its importance. More than 75% of doctors who did not always complete
these assessments, felt that additional education and a structured
clerking booklet, would increase the likelihood of completion.
Conclusions: Some junior doctors do not recognise the importance of
assessing cognition and confusion on elderly patients. However, by
improving their education and creating special sections on the
clerking booklet, junior doctors are much more likely to screen for
cognitive impairment. Thereby identifying and managing delirium
and dementia more effectively.
P-404
Gerodontology teaching amongst European dental schools – a
European College of Gerodontology survey
A. Kossioni1, G. McKenna2, F. Müller3, M. Schimmel4, J. Vanobbergen5.
1Division of Gerodontology, School of Dentistry, National and
Kapodistrian University of Athens, Greece;2Centre for Public Health, Royal
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S136