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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.


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


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



s medication management ability assessment: comparison

between a standard and a real therapeutic regimen

A.M. Advinha


, C. Nunes


, M.J. Lopes


, S. Oliveira-Martins





of Lisbon, Faculty of Pharmacy,


Universidade NOVA de Lisboa, National

School of Public Health, Public Health Research Centre, Lisbon,



of Évora, Nursing School of S. João de Deus, Évora, Portugal


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



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).


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.


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




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


3. Tordoff J, Simonsen K, Thomson WM, Norris PT.


s just routin.


qualitative study of medicine-taking amongst older people in New


Pharm World Sci

. 2010;32(2):154


4. Beckman AGK, Parker MG, Thorslund M. Can elderly people take

their medicine?

Patient Educ Couns

. 2005;59(2):186



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.


of Medicine of Vilnius University, Vilnius, Lithuania


Aim of study

to investigate the relationship between

subjective wellbeing, perceived stress and health related quality of life

in elderly women.


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.


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


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).


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



Relationship between Mini-Cog and functional status in geriatric

oncology patients

K. Alexander


, A. Shahrokni


, B. Korc-Grodzicki





Memorial Sloan Kettering Cancer Center,


Weill Cornell Medical Center,

New York, NY, United States


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.


This is a retrospective analysis of 703 older cancer patients


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



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