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

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patients will perform cerebral MRI at inclusion. The study is rando-
mized and controlled, stratified concerning sub-type of cerebral
vascular pathology, and blinded to active treatment (concerning
evaluation of objectives). All patients will have learning sessions
provided to clarify benefits of physical activity, independently of the
randomized arm.
Acknowledgement: Research grant FCT (PTDC/DTP-DES/3706/2014).
P-153
Dementia education programme for non-professionals
L. Weidinger 1, A. Lipusch2. 1Geriatric Health Care Centers Graz, 2Geriatric
Health Care Centers Graz, Graz, Austria
Issue/Problem: Currently 46.8 million people worldwide suffering
from dementia. According to forecasts this number will almost double
every 20 years. From the public health point of view, it is imperative to
establish a system in which people affected by dementia and their
caregivers live in a community that promotes participation and
autonomy to the greatest possible extent. One of the main objectives
of the Austrian Dementia Strategy 2015 is to improve knowledge,
skills and expertise of informal and formal caregivers by providing
appropriate training.
Objectives: The Albert Schweitzer Institute for Geriatric Medicine
and Gerontology established a low-threshold dementia education
programme for non-professionals to learn about the basics of
dementia and how to deal with those affected. The main objectives
were to raise awareness and to inform about local advice and support
facilities.
Methods: A psychiatric nurse designed a 4-hours education pro-
gramme. In February 2016 30 voluntary readers and employees of
a library attended the programme. 3 months later a survey was
conducted to measure its effectiveness and sustainability.
Results: The results of the survey show that the programme succeeds
in improving social skills of non-professionals and helps them
strengthening their understanding for behavioural problems of
people with dementia. Furthermore a reading circle in a nursing
home of the Geriatric Health Care Centers was established.
P-154
Informal caregivers of memory clinic patients: subjective burden
and analysis of risk factors for overburdening
D.J. Woudstra, L. Hempenius. MCL, Netherlands
Objective: Aim of this study was to determine the degree of subjective
informal caregiver burden at first memory clinic visit and identifying
risk factors that increased this burden.
Methods: This was a retrospective, cross-sectional study, performed
in the Medical Centre Leeuwarden, the Netherlands. Patient- and
caregiver data of first visits to the memory clinic were collected by file
search from May 2013 to January 2016. The main outcome was the
score on the questionnaire for informal burden (based on the Zarit
Burden Interview). Risk factors considered were demographic and
clinical characteristics of the patients along with caregiver age, gender,
assessment of cognitive decline and relationship to the patient.
Univariate and multivariate binary logistic regression analysis was
performed to estimate odds ratios (ORs) and 95% confidence intervals
(95% CIs).
Results: 466 dyads were included in the analysis. Prevalence of
more than average burden was almost 12%, with 3,9% of all carers
experiencing a “high” burden. ADL-dependence (OR: 2.351; 95% CI:
1.036–5.335), neuropsychiatric symptoms (OR: 2.987; 95% CI: 1.316–
6.775), duration of symptoms (OR: 1.009; 95% CI: 1.003–1.015),
anosognosia by the patient (OR: 2.724; 95% CI: 1.049–7.075), hearing
problems (OR: 2.601; 95% CI: 1.138 –5.948) and risk of falling (OR:
7.965; 95% CI: 1.569–40.441) all independently increased the risk of
higher burden.
Conclusion: Visiting the memory clinic for the first time, some
informal caregivers experienced considerable burden. By identifying
characteristics that increased this subjective burden, a better risk
assessment can be made to identify and prevent potential over-
burdening as early as possible.
P-155
The investigation of rural and urban area differences of cognitive
functions among older adults with chronic musculoskeletal pain
in Turkey
N. Yagci1, E.A. Telci1, U. Eraslan1, G. Kara1. 1Pamukkale University School
of Physiotherapy and Rehabilitation, Denizli, Turkey
Objectives: Cognitive impairment is commonly associated with the
pain experience. This impairment represents a major obstacle to daily
activities and rehabilitation, especially in the chronic pain population.
Our study was designed to investigate cognitive function in older
adults with chronic musculoskeletal pain in rural and urban areas in
Turkey.
Methods: A cross-sectional survey of 862 participants over 65 years
old was participated the study. In this study, 692 participants who
reported musculoskeletal pain at least 3 months were taken. Overall,
45.9% (n = 318) of participants were living in rural area (the surround-
ing villages of Denizli), 54.1% (n = 374) of participants were living in
urban area (city center of Denizli, Turkey). Cognitive function was
evaluated by Standardized Mini-Mental State Examination (MMSE).
Results: The most common musculoskeletal pain cites in both groups
were found knee (rural: 67.6%; urban: 66%), back (rural: 63.2%; urban:
61.7%), neck (rural: 41.5%; urban: 40.3%) areas, respectively. In our
study, mild dementia was found in older adult living in rural areas
(mean score: 22.01 ± 5.70), whereas normal cognitive function was
found in older adult living in urban areas (mean score: 24.19 ± 5.07).
The differences was significant in terms of cognitive function
parameters between two groups (p = 0.0001).
Conclusions: Our results suggest that living in rural area affect
cognitive function negatively in older adults. Further future studies are
needed to examine how the environmental factors affect on cognitive
function.
P-156
Validation of the Turkish version of the Quick Mild Cognitive
Impairment screen (Qmci-TR)
Burcu Balam Yavuz1, Hacer Dogan Varan1, R. O′Caoimh2,3, Muhammet
Cemal Kizilarslanoglu1, Mustafa Kemal Kilic1, D.W. Molloy2, Rana
Tuna Dogrul1, Erdem Karabulut, A. Svendrovski, Aykut Sağır1, Eylem
Sahin Cankurtaran, Yusuf Yesil1, Mehme. 1Department of Internal
Medicine, Division of Geriatric Medicine, Hacettepe University School of
Medicine, Ankara, Turkey, 2Centre for Gerontology and Rehabilitation, St
Finbarr’ s Hospital, University College Cork, Cork City, Ireland, 3Health
Research Board, Clinical Research Facility Galway, National University of
Ireland, Galway, Geata an Eolais, University Road, Galway, Ireland
Introduction: This study intended to evaluate the effects of insulin
pump therapy integratedwith continuous glucose monitoring (SAP) in
metabolic control and self-rated perception of health among older
adults.
Materials and Methods: We included patients with Type 1 and 2
Diabetes(DM) with preserved basic functionality, adequate social
support network and at least one year of SAP usage. We measured
glycosylated hemoglobin prior to initiation of SAP therapy and
monthly afterwards. Recruitment took place from 2008 to 2014 with
continuous monitoring until 2015 when follow-up measurements
were taken and self-rated health perception(SHP) was evaluated again.
Results: 50 patients were included, 26 adults <60 years-of-age and 24
adults ≥60 years-of-age. The average agewas 38 and 69.7 years-of-age
for younger and older adults respectively. The younger adults were
predominantly Type 1 diabetics (84.6%), older adults were mostly
Type 2 diabetics (58.3%). In older adults after SAP, the number of
hospitalizations (33% vs. 12.85% p = 0.0407) severe hypoglycemic
episodes (66.67% vs. 0% p < 0.001). and HbA1c (9.06 ± 1.69 vs.
7.27 ± 0.87 p < 0.001) decreased and a significant improvement of
SHP was found (46.08 ± 24.30 vs. 82.69 ± 18.86 p < 0.001). No
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S69