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

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coordination of care, (7) a fall-related educational program for primary
care professionals.
Conclusion: This process yielded a care model that has been
implemented and is being tested in a controlled before/after
sequential trial.
P-719
Factors of success of community based occupational therapy to
improve functionality in physically frail older people
L. De Coninck 1,2, A. Declercq3, G. Bekkering4, L. Bouckaert 2, M. Graff5,
B. Aertgeerts1. 1Department of Public Health and Primary Care, KU
Leuven, 2Departement OT, University College Artevelde, Ghent, 3LUCAS –
Centre for Care Research and Consultancy KU Leuven, 4CEBAM Belgian
Center of Evidence-based Medicine vzw Leuven, Belgium; 5Department of
Rehabilitation, Section OT, Radboud University Medical Center, Nijmegen,
The Netherlands
Background: Living safely and independently is a priority goal. The
provision of a high quality home care service results in a decrease in
the number of admissions in hospitals and residential care centers.
In collaboration with other health professionals, occupational thera-
pists aim to facilitate the independent living and participation of
community dwelling older persons. The purpose of this study is to
explore the factors of success of a community based Occupational
Therapy (OT) intervention for physically frail older people.
Method: The analysis of proven effective OT interventions discovered
by a systematic review, lead to the detection of components of high
quality OT interventions. Qualitative research lead to the identification
of determinants of functionality perceived by the older people and
to determinants of collaboration between health professionals. The
outcome of this mixed method study lead to a concept community
based OT protocol that has been tested on feasibility.
Results: The detected factors of success of community based OT
interventions are “an evidence based, tailored made, client centered
and holistic approach imbedded in meaningful activities, empower-
ment, an active and informed patient, reciprocally collaboration
between health professionals and with caregivers, and available
health-IT tools ”. The result of this study fits into the components of
the chronic care model (CCM) of Wagner.
Key conclusion: A high quality community based OT intervention
focuses on the areas of the CCM: self-management support, delivery
system design, decision support and clinical information systems. A
supporting health system and developing partnerships with commu-
nity organizations are also preconditions for success.
P-720
Does a multifactorial patient-centered fall prevention program
increase the compliance of community dwelling older persons at
high risk of falls?
L. De Coninck 1–3, M.L. Himpe1, J. Spildooren4, E. Van Cleynenbreugel1,
S. Verschueren 5, L. Vander Weyden1, M. Stas6, M. Polfliet6,
J. Flamaing1,7, K. Milisen1,2. 1Depart of GenMed, UZ Leuven, 2Depart of PH
and PC, KU Leuven, 3Depart OT, University College Artevelde, 4Faculty of
Med and Life Sciences, Rehab Sciences and PT, Hasselt University, 5Depart
of Rehab Sciences, KU Leuven, 6National Health Insurance Association CM,
7Depart of Clinical and Exp Medicine, KU Leuven, Belgium
Background: Although multifactorial interventions have proven to
reduce the risk of falls, falls reduction is not always guaranteed
in community dwelling older persons at high risk of falls. Low
compliance of the older person to the multifactorial advices can be a
contributing factor, as well as lack of knowledge by professionals
to handle falls. Our objective was to examine if a client centered and
tailor made counseling in a falls clinic and education of primary
care professionals combined with care coordination performed by a
fall coach and e-data sharing, can enhance patient compliance to
therapy.
Method: A controlled before/after sequential trial with 2 cohorts. The
control cohort received usual care at the falls clinic. The intervention
cohort received a client centered tailored made approach including
prioritized recommendations combined with transmural care coord-
ination. Primary care professionals of the intervention cohort received
specific fall-related education.
Results: Preliminary results at 2 months follow-up show that the
compliancewith the recommendation to perform home modifications
improved with 17.7% in the intervention cohort compared to the
control cohort (64.3% versus 80%, respectively). Initiating physiother-
apy improved with 16.1% (51.7% versus 77.8%, respectively) and using
walking aids with 13.3% (26.7% versus 40%, respectively). A larger
sample size and follow-up data at 6 months will be available at the
conference.
Key conclusion: Preliminary results of this client centered, tailored
made approach seem to positively affect compliance of community
dwelling older persons with high risk of falling.
P-721
The effect of a multifactorial patient-centered fall prevention
program on falls and fall related injuries
J. Spildooren1, L. De Coninck2–4, E. Van Cleynenbreugel2, M.L. Himpe2,
S. Verschueren5, L. Vander Weyden2, M. Stas6, A. Nieuwboer5,
M. Polfliet7, K. Milisen2,4, J. Flamaing2,8. 1Faculty of Med and Life
Sciences, Rehab Sciences and PT, Hasselt University, 2Depart of Ger
Medicine, UZ Leuven, 3Depart OT, University College Artevelde, Gent,
4Depart of Public Health and Primary Care, KU Leuven, 5Depart of Rehab
Sciences, KU Leuven, 6Nat Health Insurance Association CM, 7Home
Nursing Association Wit Gele Kruis, 8Depart of Clin and Exp Medicine,
KU Leuven, Belgium
Introduction: Multifactorial interventions can reduce the number of
falls and fall related injuries in older persons. However, patient
compliance to these interventions is weak resulting in a poor effect on
these outcomes. This study presents the effects on falls and fall related
injuries of a multifactorial patient-centered fall prevention programby
focusing on increasing patients’ compliance.
Methods: This ongoing study is a pre-post-test design with two
patient cohorts (standard of care, i.e. control cohort (n = 42) and
implementation of a fall-prevention program, (i.e. intervention cohort
(n = 15)) to document the effect on falls and fall related injuries 2
months after the initial evaluation in the falls clinic. During the
conference, a larger sample size and follow-up data at 6 months will be
available.
Results: Fall incidents and fear of falling prior to the evaluation in the
falls clinic was comparable for both groups. Preliminary results at
2 months follow-up show, that the amount of fallers and multiple
fallers was 26.7% and 6.7% in the intervention group compared to
40.5% and 12.5% in the control group, respectively. In the intervention
group, fall related injuries were limited to minor injuries only (50%) in
comparison to the control group were 52,9% and 23,5% of fall incidents
resulted in minor and moderate injuries, respectively.
Key conclusions: Preliminary results of this intervention focusing on
patient compliance show a decrease of falls and fall related injuries 2
months after the consultation at the falls clinic. During the conference
an update of the ongoing study results will be presented.
P-722
Managing active and healthy aging with use of caring service
robots (MARIO)
G. D’ Onofrio1, O. James2, D. Sancarlo1, F. Ricciardi 3, K. Murphy2,
F. Giuliani3, D. Casey2, A. Greco1. 1Geriatric Unit & Laboratory of
Gerontology and Geriatrics, Department of Medical Sciences, IRCCS “Casa
Sollievo della Sofferenza”, San Giovanni Rotondo, Foggia, Italy; 2National
University of Ireland, Galway, Ireland; 3ICT, Innovation and Research Unit,
IRCCS “Casa Sollievo della Sofferenza”, San Giovanni Rotondo, Foggia, Italy
Objectives: In the frame of the European Community funded MARIO,
caregivers of 139 dementia patients were recruited in National
University of Ireland (NUIG), in Geriatrics Unit of IRCCS “Casa
Sollievo della Sofferenza”-Italy (IRCCS) and in Alzheimer Association
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S218