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

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which are unable to meet fully the prevention and treatment
needs of a younger population with relatively low-cost, easy-to-
prevent, easy-to-treat illnesses. There is scarcity of research and
publications in the field regarding the ageing population in the Middle
East region.
Methods: Abyad Medical Center & Middle East Network on Research
on Ageing-MENAR that are closely linked to the Middle East Academy
for Medicine of Ageing MEAMA decided to do a community study on
the elderly in Lebanon. We selected the InterRai Community Health
Assessment CHA instrument for this study. The main reason for
selecting this instrument is the fact that it is easy to apply in the
community and it is a good introduction to the various instruments of
InterRAI.
Objectives and outcomes: The goals of the study include among
others collecting data on the elderly living in the community in the
Middle East, in addition by using this instrument to be able to compare
various elderly community in the region and comparing the region to
the rest of the World. The study will be able among others to identify
prevalence of dementia disorder in the community
P-229
Elderly ’s medication management ability assessment: comparison
between a standard and a real therapeutic regimen
A.M. Advinha 1, C. Nunes2, M.J. Lopes3, S. Oliveira-Martins1. 1University
of Lisbon, Faculty of Pharmacy, 2Universidade NOVA de Lisboa, National
School of Public Health, Public Health Research Centre, Lisbon, 3University
of Évora, Nursing School of S. João de Deus, Évora, Portugal
Introduction: As people age, the decrease of cognitive and physical
skills has a significant impact on unintentional non-adherence,
that usually results from medication management inability [1,2].
Some studies have shown that new information treatment is more
affected by ageing, than routine information, revealing difficulties of
elders to handle new medication regimens [3,4]. This study aims
to assess elderly ’s medication management ability using the Self-
Medication Assessment Tool – Portuguese Version (SMAT-PT) and to
correlate the performance between standard and real therapeutic
regimens.
Methods: Pilot study was carried out in a purposive sample of 150
Portuguese community-dwelling elders (recruited in community
pharmacies). The screening tools were SMAT-PT, Medication
Regimen Complexity Index (MRCI), Measure Treatment Adherence
(MTA), Mini-Mental State Examination (MMSE) and Clock-Drawing
Test (CDT). Data analysis was conducted using SPSS (v22).
Results: Of the 150 participants, 112 (74.7%) were women, and
the mean age was 74.73, ±6.43 years. The SMAT-PT standard regimen
mean scores were 20.92 (±6.83) in functional ability and 38.75 (±5.92)
in cognitive ability; for the real regimen, mean scores were 83.74
(±15.86) in medication recall, 96.96 (±11.39) in adherence self-report
and 4.82 (±10.10) in intentional non-adherence. All measures were
inversely correlated with age (except adherence measures and MRCI).
Significant correlations between medication recall and standard
regimen items were found. Cognitive measures were directly corre-
lated with medication management ability.
Key conclusions: Multidimensional assessments can promote detec-
tion of early signals and deficits regarding medication management
ability.; Elders’ ability to treat new information is lower than ability to
report routine information.
References
1. Maddigan SL, Farris KB, Keating N, Wiens CA, Johson JA. Predictors
of older adults’ capacity for medication management in a self-
medication program: a retrospective chart review. J Ageing Health.
2003;15(2):332 –52.
2. Hutchison LC, Jones SK, West DS, Wei JY. Assessment of
medication management by community-living elderly persons
with two standardized assessment tools: a cross-sectional study.
Am J Geriatr Pharmacother. 2006;4(2):144–53.
3. Tordoff J, Simonsen K, Thomson WM, Norris PT. “It’s just routin.” A
qualitative study of medicine-taking amongst older people in New
Zealand. Pharm World Sci. 2010;32(2):154–61.
4. Beckman AGK, Parker MG, Thorslund M. Can elderly people take
their medicine? Patient Educ Couns. 2005;59(2):186–91.
P-230
The relationship between subjective wellbeing, perceived stress
and health related quality of life in elderly women
A. Cernovas, K. Kluonaitis, M. Tamulaitiene, R. Stukas, V. Alekna. Faculty
of Medicine of Vilnius University, Vilnius, Lithuania
Objectives: Aim of study – to investigate the relationship between
subjective wellbeing, perceived stress and health related quality of life
in elderly women.
Methods: This cross-sectional study was performed on community
dwelling women aged 60 years and older, which are Vilnius public
health bureau Healthy and active aging school visitors. Exclusion
criteria were musculoskeletal or nervous system diseases or condi-
tions that restricted movements in upper or lower extremities. Data
was collected by direct interviewing and recording the answers on a
survey which consisted of sociodemographic questions and four
questionnaires: Control, Autonomy, Pleasure, and Self-realization
(CASP-19), Satisfaction with Life Scale (SWLS), Perceived Stress Scale
(PSS-14) and European Quality of Life-5 Dimensions (EQ-5D). Datawas
analyzed using “SPSS 18.0 for Windows ” program. Correlations were
determined using Spearman correlation coefficient.
Results: The study was performed on 81 women, mean age was
68.89 ± 5.12 years. Of them, 13 (17.3%) women were single, 27 (36%)
married, 24 (32%) widowed and 11 (14.7%) divorced. It was found that
age weakly negatively (p < 0.05) correlated with CASP-19 and EQ-5D
scores (r = − 0.434 and r = −0.426, respectively), and positively – with
PSS-14 score (r = 0.411, p < 0.05). The study data had revealed that
CASP-19 score moderately negatively correlated with PSS-14 score
(r = −0.678, p < 0.05), positively moderately with EQ-5D index (r =
0.600, p < 0.05) and SWLS score (r = 0.621, p < 0.05).
Conclusion: Older age was associated with greater perceived stress,
with worse subjective wellbeing and health related quality of life.
Subjective wellbeing negatively correlated with perceived stress and
positively with health related quality of life and satisfaction with life
score.
P-231
Relationship between Mini-Cog and functional status in geriatric
oncology patients
K. Alexander1,2, A. Shahrokni1,2, B. Korc-Grodzicki1,2. 1Geriatrics,
Memorial Sloan Kettering Cancer Center, 2Weill Cornell Medical Center,
New York, NY, United States
Objectives: The prevalence and incidence of dementia rises exponen-
tially with age. Progression of dementia is associated with increasing
functional decline. The Mini-Cog binary scoring is used to screen for
cognitive impairment. This study aims to determinewhether Mini-Cog
score when used as a continuous variable could indicate the presence
and quantity of functional disability.
Methods: This is a retrospective analysis of 703 older cancer patients
(age ≥65 years) who presented to the Geriatrics clinic at Memorial
Sloan Kettering Cancer Center for evaluation between January 2015
and December 2015. All patients carried a diagnosis of active cancer
and were referred to the Geriatrics clinic for a Geriatric assessment
prior to surgery or chemotherapy or due to specific concerns that
arose while on treatment. Sociodemographic features and geriatric
assessment parameters were collected and analyzed. For continuous
and categorical variables, t-test and Chi-square test were applied
respectively.
Results: Of the 703 patients,137 (19.5%) screened positive for cognitive
deficits with a Mini-Cog score <3 and 566 (80.5%) screened negative
with a score ≥ 3. All the individual components of ADLs (p < 0.001–
0.015) and IADLs (p < 0.001), as well as the KPS (p < 0.001) and TGUG
Poster presentations / European Geriatric Medicine 7S1 (2016) S29–S259 S89