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0.110 –1.05). However, negative perceptions of seniors as stubborn
(β = −0.503, 95% CI = −0.820 to −0.187) as well as not seeing grand-
parents on a daily basis (β = −0.450, 95% CI = −0.775 to − 0.126) were
associated with lower probability of choosing to stay with parents.
The model containing these 3 factors was statistically significant, χ2 (3,
N = 1,335) = 24.1, p < 0.001.
Conclusions: The study has identified key factors that shape teen-
agers’ impressions on future care of their parents. If the family is to
continue to be the social safety net for more frail seniors in the future,
efforts to nurture positive attitudes of the young towards seniors and
foster closer ties are necessary.
P-416
Diabetes education in the elderly: are the targets different?
D. Tessier. Research Center on Aging, Sherbrooke University, Sherbrooke,
Canada
Introduction: Type 2 diabetes is frequent in the elderly and is the
fasting growing segment of the diabetic population. Comorbidities
are frequent with and have ab impact on life expectancy. Targets for
cardiometabolic parameters are probably different in this population.
Method: A cohort of 198 diabetic subjects >65 years old was recruited
in 2002 in the Sherbrooke area for the evaluation of hypertension
prevalence. 83% of the subjects were actively treated for hypertension.
193 subjects had a 24 hour ambulatory blood pressure monitor.
This population was reassessed 8 years later to analyse the factors
associated with an increased mortality. Twenty-seven subjects died
in the interval. In multivariate analysis, factors identified as associated
with an increased total mortality were waist circumference <94 in
men, <80 cm in women, creatinine level >84 μmol/L and diastolic
blood pressure <67 mm Hg on the ambulatory blood pressure
monitoring. Considering the sample size, HbA1c levels were not
associated with a difference in mortality.
Conclusion: In older patients with diabetes, weight management
should be adapted to individual situations. Hypertension treatment
should be tailored to avoid diastolic blood pressure in the hypotensive
range. Declining kidney function is probably a reflect of systemic
multiorgan declining function. Glycemic targets remains a question of
debate in the older diabetic population and an individual approach is
suggested.
P-417
Dementia and behaviours that challenge: how new
communication skills raise hospital staff confidence – a
comparative study in interprofessional education
S. Thompson1, Z. Hussain1, J. Bowen1, K. Boncey1, A. Aquatan1, E. Hawk2,
K. Campbell1, D. Johnson1, J. Rudney1, L. Flynn3, K. Dean1, K. Bangalore1,
R. Ayers1, N. Butt1, J. Martin1, N. Joyce1, C. Halsworth1, C. Allan2,
S. Wheeler 1, K. Ashton1, J. Beale1, P. Mitter 2, H. Salisbury4, L. Martos2,
A. Anwar 2, S. Ralhan1, L. Wright1. 1Department of Clinical Geratology
John Radcliffe Hospital, Oxford University Hospitals, 2Oxford Health NHS
Foundation Trust, 3Nuffield Department of Surgical Sciences, University of
Oxford, 4Nuffield Department of Primary Care Health Sciences, University
of Oxford
Objectives: Older patients with dementia and delirium often have
reduced ability to deal with stress (e.g. infection), resulting in
behaviours that challenge (prevalence 16% to 50%; aggression (48%)
and wandering (25%) most common). These can have negative impact
on the quality of care, but good communication skills could aid effec-
tive management. Oxford Medical School communication skills
workshop was adapted for hospital staff, delivered by inter-profes-
sional teams focusing on: non-verbal skills, patient distress, techni-
ques to calm patients, patient/staff safety.
Methods: Anonymous written feedback from 138 hospital staff
(doctors, nurses, porters etc.) and 104 students, before and after
sessions, was compared, concerning perceived confidence in commu-
nication with patients with dementia and behaviours that challenge,
using a 4-point Likert scale with corresponding numerical value (low
(1), medium (2), high (3), very high (4)).
Results: Before the workshop, rates of high or very high confidence
were higher among staff (22%, vs. 4%students), while low confidence
rates were higher among students (50%, vs. 15.2%staff). After the
workshop the increased perceived confidence was 63% staff vs. 86.5%
students, of which 5% saw confidence rise by 2 or more points (vs.
14.4%students). More staff than students reported no change in
confidence (36% vs.14.4%). Both groups had almost identical post-
workshop levels of low confidence (1% staff vs. 2% students).
Conclusion: Changes in confidence ratings from pre- to post-inter-
vention were positive for the majority of staff and students taught at
these workshops, being statistically significantly higher after (M = 2.8,
SE = .05) than before (M = 2, SE = .06), t(137) = −13.48 p = .000.
P-418
Use of organisation and patient outcomes to evaluate education
programmes for health care professionals in older adult’s care: the
Older Person’s Nurse Fellowship (OPNF) initiative
V. Tzouvara, C. Naughton, N. Hayes, J. Fitzpatrick, C. Nicholson,
Z. Zahran, G. Lee, C. Norton. King’ s College London
Background: Evaluating of education programme often rely only
on self-reports from course participants. It is rare to consider the
perspective of third party stakeholders, yet the value of health care
professionals’ education should also be judged by the impact on the
organisation and patient outcomes.
Aims: This study examined the impact of an education programme
for senior nurses in older adult’s care, the Older Person’s Nurse
Fellowship (OPNF), from the perspective of senior clinical and nurse
managers (stakeholder) from students’ organisations.
Methods: An on-line questionnaire survey using a 360 degree evalua-
tion post-test/pretest design was utilised. The questionnaire included
open and closed ended questions on five domains: (a) quality impro-
vement, (b) leading change, (c) results driven, (d) leading people, and
(e) building coalitions/communication.
Results: Twenty-three stakeholders provided feedback on 14 of the
OPNF students (85%). Twenty-two stakeholders believed that the
Quality Improvement projects positively impacted on patient out-
comes and organisational goals. Projects improved patient outcomes,
and the overall patient journey, through the careful process of decision
making and care planning, the utilisation of screening tools, and the
development of more proactive approaches to care. Project benefits on
organisational goals involved reducing the length of patients’ stay and
cost, improving communication across specialities, better meeting
the needs of patients, and more accurately recognising higher risk
patients. Finally, stakeholders rated OPNF students’ ability as high to
very high across the remaining domains.
Conclusion: It is important that curricula can demonstrate organisa-
tional benefits in terms of improving professional competencies that
meet organisations strategic goals.
Area: Geriatric rehabilitation
P-419
Fear of falling in the study I-DONT-FALL
P. Alcalde-Tirado, S. Ariño. Geriatrics Department
Goals: The European study I-DONT-FALL evaluates the effectiveness of
different tools Technologies Information and Communication on the
prevention of falls. Your goal besides preventing falls also it includes
the impact on their quality of life as is the fear of falling.
Methodology: A total of 500 participants are included over a period of
3 years in 8 pilot centers. Its design provide four randomized branches
(physical therapy, neuropsychology, mixed group, and control group).
We analyze the fear of falling in our pilot center by FES-I scale at
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S140