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this system were used to coach physical activity among clinical

populations [1



Twelve adults aged above 65 used a smartphone, a

pedometer and a smartscale for a period of four weeks. Afterwards,

an interview was performed to assess the participants


experience regarding the use of the system. Well-being was assessed

with a set of questions on the daily experience of positive emotions.

The actual behavior was compared to the self-perception of physical



Seven participants reported they became more active,

although objective data does not support this statement. Four parti-

cipants reported becoming more aware about their well-being

through the daily questions about experience of positive emotions.

In general, the participants were satisfied and would like to use such

system in their daily lives; participants recommended incorporation

of tips and warnings tailored to personal needs and capabilities.


Older adults are willing to use technology to monitor

their health and to coach them into healthier lifestyles. Daily life

interventions must be tailored to the individual needs and wishes,

instead of taking a one-size-fits-all approach. The results of this study

are transversal and assist in the design of interventions using mobile

technology in daily life.


[1] Dekker-van Weering M. G. H., Vollenbroek-Hutten M. M. R., &

Hermens H. J. (2012). Do personalized feedback messages about

activity patterns stimulate patients with chronic low back pain

to change their activity behavior on a short term notice?


Psychophysiology and Biofeedback

, 37(2), 81

9. doi:

10.1007/ s10484-012-9181-6

[2] Tabak M., Brusse-Keizer M., van der Valk P., Hermens H., &

Vollenbroek-Hutten M. (2014). A telehealth program for self-

management of COPD exacerbations and promotion of an active

lifestyle: A pilot randomized controlled trial.

International Journal


, 9, 935

944. doi:


[3] Wolvers Md., Bruggeman-Everts F. Z., Van der Lee M. L., Van

de Schoot R., & Vollenbroek-Hutten M. M. (2015). Effectiveness,

Mediators, and Effect Predictors of Internet Interventions for

Chronic Cancer-Related Fatigue: The Design and an Analysis

Plan of a 3-Armed Randomized Controlled Trial.

JMIR Research


, 4(2), e77. doi:



Caring for the caregiver

A. Cochofel


, B. Filipe


, I. Pecellin




Unidade de Saúde Familiar Flor de

Lótus, Cacém,


Unidade de Saúde Familiar Quinta da Prata, Borba,



The informal caregiver helps the personwho is partially

or totally dependent on their activities of daily living (ADL). The

caregiver finds himself in the social network of informal support

and assumes this responsibility voluntarily or in an imposed way.


Understanding the real impact on the lives of informal

caregivers and strategies that could minimize them.

Material and methods:

Meta-analysis, systematic reviews and

randomized controlled trials research in the following scientific

databases: Scielo and ClinicalKey. These included articles written

in Portuguese, Spanish and English, published in the last five years,

using the following MESH terms:

Cuidador informal






Of the 2124 initial results 474 articles were analyzed, 5 of

which met inclusion criteria. The articles showed that the main

impacts on the life of informal caregiver are: 1. Back pain overload;

2. Chronic stress related to high blood pressure; 3. Depression related

to the number of hours spent in the care of the geriatric person;

4. Interaction difficulties, which cause great emotional and psycho-

logical wear; 5. Scarcity of financial resources. These changes in the


s life end up having an important impact on the care

provided and the relationship established with the dependent elderly



The activity of the informal caregiver

implies a significant physical, mental, social and economic overload,

for which we believe the creation of support programs could help

lighten this load. It is necessary to implement programs that integrate

multidisciplinary teams in order to provide specialized support to



Aged Residential Care Healthcare Implementation Project

(ARCHIP). A multidisciplinary team (MDT) intervention package

reduces emergency hospital presentations from Long Term

Care (LTC)

M.J. Connolly


, J.B. Broad


, M. Boyd


, X. Zhang


, D. Bramley



L.F. Johnson


, K. Bloomfield




University of Auckland New Zealand,


Waitemata District Health Board,


Waitemata Primary Health

Organisation, Auckland, New Zealand


The complexity of older people living in LTC facilities

poses challenges often leading to potentially avoidable Emergency

Department (ED) referrals. ARCHIP

s aim was to evaluate an MDT

intervention supporting LTC facility staff to decrease potentially

avoidable resident ED admissions.


ARCHIP (conducted in 21 facilities [1,296 beds] with

previously-noted high ED referral rates) comprised clinical coaching

for LTC facility staff by gerontology nurse specialist (GNS) and MDT

(facility senior nurse, resident

s general practitioner, GNS, geriatrician,

pharmacist) review of selected high-risk residents

care-plans. A

before-after repeated measures analysis of ED visits was conducted

for facilities pre- and post-intervention. The sample included ED

admissions 9 months before and 9 months after intervention

commencement (29-month period in total because of staggered

facility enrolment). Modelling adjusted for time trend, seasonality,

facility size, and cluster effect.


ED admission rate ratio was 0.75 (95%C.I. 0.63,0.88, p-value

= 0.0008), a 25% reduction in ED presentations post-intervention.

A sensitivity model used a shorter, staggered time period centred on

intervention start (9 months pre-intervention and 9 months post-

intervention) for each facility, and a four-level categorical interven-

tion variable testing intervention effect over time. This showed a

24% reduction in ED presentations in months 1

3 post-intervention

(p-value = 0.07), 34% reduction in months 4

6 (p-value = 0.01), and

32% reduction in ED presentations in months 7

9 (p-value = 0.03).

When the higher rates for 3 months immediately pre-intervention

were modelled, ED presentation rates reverted to previous levels.

Key conclusions:

GNS-led MDT outreach intervention decreases

avoidable ED admissions of high-risk residents from selected facilities.


Health Care of Older People hospital readmissions: a prospective


R. Cowan


, A. Blundell


, A. Ali




Health Care of Older People, Nottingham

University Hospitals NHS Trust, United Kingdom


The United Kingdom

s National Tariff Payment System

describes the 30 day readmission rule in which commissioners set

a threshold above which payment for emergency readmissions is

not reimbursed. Reasons for hospital readmission are complex and

multifactorial, with little evidence to support cost-effective ways of

preventing readmissions.


A prospective audit of emergency readmissions within

28 days from an inpatient stay under the Health Care of Older People

(HCOP) department was carried out. Demographic data for the

initial admission and readmission were collected for 122 readmission

episodes. The prospective approach enabled gathering of qualitative

data through case notes review and discussion with the multidiscip-

linary team and General Practitioner regarding events of the initial

admission and prior to readmission.

Poster presentations / European Geriatric Medicine 7S1 (2016) S29