145 / 290
implementation of specific education and practice protocols to
improve the outcome of this significate number of patients.
P-412
Collaborative education between Internal Medicine and Geriatric
Medicine. A literature review
F.A. Suescun
1
, G.A. Polanía
1
, Y.F. Zuluaga
2
, P. Martinez
3
.
1
Unidade Local
de Saúde do Norte Alentejano,
2
Hospital de Santo Espírito da ilha terceira,
Portugal;
3
Hospital Nuestra Señora de la Monataña, Caceres, Spain
Objectives:
To identify and describe comprehensive approaches to the
care of elderly people that incorporate the complexity of age-related
issues into the routine clinical practice and decision-making of
Internal Medicine residents.
Background:
Elderly people are now the most rapidly growing part
of the patient population worldwide. Despite efforts, there is also a
growing shortage of specialists in geriatrics. In this paper, we address
the initiative to prepare internal medicine physicians to provide expert
geriatric care across the clinical spectrum within team-based models.
Methods:
This literature reviews searched English, Portuguese and
Spanish journal articles in PsycINFO, EBSCOhost, PubMed and Google
academic databases from 2010 to 2016. 96 abstracts were evaluated, 71
were excluded and 25 articles were included.
Results:
some internal medicine programs focused on a disease-
oriented approach, which did not take account of age-related changes,
functional, cognitive impairment or personal preferences where
transformed to embraced a geriatric multisystem approach, taking
account the complexity and over-lapping health and social problems
of elderly patients.
Conclusions:
Combining expertise of geriatric medicine and internal
medicine educators improve residents
’
skills in assessing and manag-
ing the medical challenges of caring for geriatrics patients, to teach
future generations of physicians, and to conduct research on the
quality of geriatrics care. The field of geriatric medicine provides a
framework for others to use when analyzing how to improve care
delivery systems responsive to the needs of older adults.
P-413
Social gerontology students and outcome expectations for
functional focused care
J. Tavares
1
, F. Marques
1
, S. Silva
1
.
1
Polytechnic Institute of Coimbra
Objectives:
Functional Focused Care (FFC) is a philosophy that stimu-
lates older adults (OA) to perform as much as possible on their own.
The perceived benefits of FFC for gerontology students (GS) may have a
role in the care provided. This study aims to analyse the outcome
expectations (OE) regarding FFC among GS.
Methods:
A cross-sectional study was conducted with 120 GS, study-
ing for a Bachelor degree. The survey included sociodemographic
variables and the OE scale was administered. A higher score (range
from 9 to 45) indicates lower OE. Statistical analyses (factor analysis,
reliability, One-Way ANOVA/Mann-Objectives: Functional Focused
Care (FFC) is a philosophy that stimulates older adults (OA) to
perform as much as possible on their own. The perceived benefits of
FFC for gerontology students (GS) may have a role in the care provided.
This study aims to analyse the outcome expectations (OE) regarding
FFC among GS.
Methods:
A cross-sectional study was conducted with 120 GS, study-
ing for a Bachelor degree. The survey included sociodemographic
variables and the OE scale was administered. A higher score (range
from 9 to 45) indicates lower OE. Statistical analyses (factor analysis,
reliability, One-Way ANOVA/Mann-Whitney/Kruskall-Wallis tests)
were performed using SPSS and p < .05 was considered statistically
significant.
Results:
The majority of the sample is female (90%) and without
previous training in gerontological care (83.3%). A 2-factor solution
was obtained (expectation toward professional performance and
expectation toward OA), with Cronbach
’
s alpha ranging from 0.83 to
0.79. The mean of professional expectation and OA was 6.71 ± 2.88
and 7.43 ± 2.75, respectively. The academic year mean score ranged
6.21
–
8.27. No statistically significant differences were found between
the sexes and having or not having previous training (p > .05).
Statistically significant differences were found between the 1st and
2nd year students in expectation regarding OA (p = .023), with 1st Year
GS presenting higher OE.
Conclusion:
The GS have strong beliefs (lower scores) in encouraging
FFC activities. It seems that OE isn
’
t influenced by sex and former
training experiences. The differences between 1st and 2nd years
suggest that gerontological education can foster a sense of confidence
to promote FFC.
P-414
Theoretical testing of functional focused care among gerontology
students
J. Tavares
1
, F. Marques
1
, S. Silva
1
.
1
Polytechnic Institute of Coimbra
Objectives:
The promotion of functionality for older adults (OA) is the
corner-stone of care since functional decline often leads to institu-
tionalisation. Gerontology students (GS) must be proficient and
knowledgeable in promoting Functional Focused Care (FFC) and
high-quality care. This study aims to test the theoretical knowledge
of FFC among GS.
Methods:
A cross-sectional study was conducted with 120 GS,
studying for a Bachelor
’
s degree. A survey that included socio-
demographic variables and the Theoretical Test of FFC was adminis-
tered. Scores range from 0 to 15, the higher score indicating more
knowledge. Statistical analyses were performed using SPSS and p < .05
was considered statistically significant.
Results:
Ninety per cent of the participants were female and 83.3%
did not have previous training in gerontological care. The mean
knowledge scores were 9.79 ± 1.91 with the majority (87.5%) obtaining
more than 7 correct answers. One-Way ANOVA showed no statis-
tically significant differences between the sexes and having or not
having previous training in gerontological care or knowledge of FFC.
Statistically significant differences were found between the 1st
(M = 8.56 ± 2.01) and 2nd years (M = 10.09 ± 1.60) (p < .001) and 1ST
(M = 8.56 ± 2.01) and 3rd year (M = 10.67 ± 1.49) (p < .001).
Conclusion:
Knowledge among GS about promoting functionality
was found adequate, considering the curriculumstructure of the under-
graduate course (more focused on social issues of ageing). Students
from 2nd and 3rd Years demonstrated significantly more knowledge
than the 1st Year students. A possible explanation could be that the first
year curriculum doesn
′
t addresses restorative care. The study findings
support the need for improving the 1st Years
’
knowledge of FFC.
P-415
Factors influencing teenagers
’
choice of living with and caring for
ageing parents in the future
P.P. Tay
1
, N.H.L. Ha
2
, C.Y. Cheong
1
, P. Yap
1,2
.
1
Khoo Teck Puat Hospital,
Alexandra Health System,
2
Geriatric Education and Research Institute,
Singapore
Background:
The Singapore General Household Survey in 2015
showed a 7% (69% to 62%) decrease in seniors staying with their
children compared to 2005. This study explores the factors that
influence teenagers
’
decision to live with and care for their ageing
parents in the future.
Methods:
One thousand four hundred and five teenage students
(Mage = 14.9 ± 1.30) attending a schools
’
outreach programme on
ageing and dementia answered a purpose-designed questionnaire
comprising 4 questions regarding the quality of their relationship with
grandparents and 10 Likert-scaled statements about their perception
towards ageing. Univariate analysis and logistic regression were
performed to evaluate factors that influenced their decisions on
staying with and caring for their parents.
Results:
Majority of the students (83.1%) chose to stay with their
parents in the future and having a positive perception of seniors
as wise increased the likelihood (
β
= 0.579, OR = 1.78, 95% CI =
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S139