European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty-a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS)

Regina Roller-Wirnsberger^{1

2}, Sonja Lindner³, Aaron Liew^{4

5}, Ronan O'Caoimh^{4

5}, Maria-Lamprini Koula⁶, Dawn Moody⁷, Juan Manuel Espinosa⁸, Thérèse van Durme⁹, Plamen Dimitrov¹⁰, Tomislav Benjak¹¹, Elena Nicolaidou¹², Teija Hammar¹³, Eliane Vanhecke¹⁴, Ulrike Junius-Walker¹⁵, Péter Csizmadia¹⁶, Lucia Galluzzo¹⁷, Jūratė Macijauskienė¹⁸, Mohamed Salem¹⁹, Liset Rietman²⁰, Anette Hylen Ranhoff²¹, Tomasz Targowski²², Miguel Telo de Arriaga²³, Elena Bozdog²⁴, Branko Gabrovec²⁵, Anne Hendry²⁶, Finbarr C Martin²⁷, Leocadio Rodriguez-Mañas²⁸

Affiliations

¹ Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria. Regina.Roller-Wirnsberger@medunigraz.at.
² European Geriatric Medicine Society (EuGMS), Genoa, Italy. Regina.Roller-Wirnsberger@medunigraz.at.
³ Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
⁴ Health Service Executive of Ireland, Dublin, Ireland.
⁵ National University of Ireland, Galway, Ireland.
⁶ Company of Psychosocial Research and Intervention, Ioannina, Greece.
⁷ National Health Services Orkney, Orkney, Scotland.
⁸ Regional Ministry of Health of Andalusia, Sevilla, Spain.
⁹ Catholic University of Louvain, Institute of Health and Society, Brussels, Belgium.
¹⁰ National Center of Public Health and Analyses, Sofia, Bulgaria.
¹¹ Croatian Institute of Public Health, Zagreb, Croatia.
¹² Ministry of Health of the Republic of Cyprus, Nicosia, Cyprus.
¹³ Finnish Institute for Health and Welfare, Helsinki, Finland.
¹⁴ Ministry of Health and Social Solidarity, General Directorate for Health, Paris, France.
¹⁵ Medical University of Hannover, Hannover, Germany.
¹⁶ Ministry of Human Capacities, Budapest, Hungary.
¹⁷ Italian National Health Institute, Rome, Italy.
¹⁸ Lithuanian University of Health Sciences, Kaunas, Lithuania.
¹⁹ San Vincent De Paule Long Term Care Facility, Marsa, Malta.
²⁰ National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
²¹ Norwegian Institute of Public Health, Oslo, Norway.
²² National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
²³ Ministry of Health, Directorate-General of Health, Lisbon, Portugal.
²⁴ Babeș-Bolyai University, Cluj-Napoca, Romania.
²⁵ National Institute of Public Health, Ljubljana, Slovenia.
²⁶ National Health Service Lanarkshire, Scotland, UK.
²⁷ European Geriatric Medicine Society (EuGMS), Genoa, Italy.
²⁸ Hospital Universitario de Getafe, Getafe, Spain.

PMID: 31970670
PMCID: PMC7170812
DOI: 10.1007/s40520-019-01455-5

Review

European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty-a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS)

Regina Roller-Wirnsberger et al. Aging Clin Exp Res. 2020 Apr.

. 2020 Apr;32(4):561-570.

doi: 10.1007/s40520-019-01455-5. Epub 2020 Jan 22.

Authors

Affiliations

¹ Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria. Regina.Roller-Wirnsberger@medunigraz.at.
² European Geriatric Medicine Society (EuGMS), Genoa, Italy. Regina.Roller-Wirnsberger@medunigraz.at.
³ Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
⁴ Health Service Executive of Ireland, Dublin, Ireland.
⁵ National University of Ireland, Galway, Ireland.
⁶ Company of Psychosocial Research and Intervention, Ioannina, Greece.
⁷ National Health Services Orkney, Orkney, Scotland.
⁸ Regional Ministry of Health of Andalusia, Sevilla, Spain.
⁹ Catholic University of Louvain, Institute of Health and Society, Brussels, Belgium.
¹⁰ National Center of Public Health and Analyses, Sofia, Bulgaria.
¹¹ Croatian Institute of Public Health, Zagreb, Croatia.
¹² Ministry of Health of the Republic of Cyprus, Nicosia, Cyprus.
¹³ Finnish Institute for Health and Welfare, Helsinki, Finland.
¹⁴ Ministry of Health and Social Solidarity, General Directorate for Health, Paris, France.
¹⁵ Medical University of Hannover, Hannover, Germany.
¹⁶ Ministry of Human Capacities, Budapest, Hungary.
¹⁷ Italian National Health Institute, Rome, Italy.
¹⁸ Lithuanian University of Health Sciences, Kaunas, Lithuania.
¹⁹ San Vincent De Paule Long Term Care Facility, Marsa, Malta.
²⁰ National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
²¹ Norwegian Institute of Public Health, Oslo, Norway.
²² National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
²³ Ministry of Health, Directorate-General of Health, Lisbon, Portugal.
²⁴ Babeș-Bolyai University, Cluj-Napoca, Romania.
²⁵ National Institute of Public Health, Ljubljana, Slovenia.
²⁶ National Health Service Lanarkshire, Scotland, UK.
²⁷ European Geriatric Medicine Society (EuGMS), Genoa, Italy.
²⁸ Hospital Universitario de Getafe, Getafe, Spain.

PMID: 31970670
PMCID: PMC7170812
DOI: 10.1007/s40520-019-01455-5

Abstract

Background: Interprofessional collaborative practice (ICP) is currently recommended for the delivery of high-quality integrated care for older people. Frailty prevention and management are key elements to be tackled on a multi-professional level.

Aim: This study aims to develop a consensus-based European multi-professional capability framework for frailty prevention and management.

Methods: Using a modified Delphi technique, a consensus-based framework of knowledge, skills and attitudes for all professions involved in the care pathway of older people was developed within two consultation rounds. The template for the process was derived from competency frameworks collected in a comprehensive approach from EU-funded projects of the European Commission (EC) supported best practice models for health workforce development.

Results: The agreed framework consists of 25 items structured in 4 domains of capabilities. Content covers the understanding about frailty, skills for screening and assessment as well as management procedures for every profession involved. The majority of items focused on interprofessional collaboration, communication and person-centred care planning.

Discussion: This framework facilitates clarification of professionals' roles and standardizes procedures for cross-sectional care processes. Despite a lack of evidence for educational interventions, health workforce development remains an important aspect of quality assurance in health care systems.

Conclusions: The multi-professional capability framework for frailty prevention and management incorporated interprofessional collaborative practice, consistent with current recommendations by the World Health Organization, Science Advice for Policy by European Academies and the European Commission.

Keywords: Competences; Education; Frailty management; Frailty prevention; Multi-professional; Training.

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Conflict of interest statement

This work was supported by the European Commission, Grant Agreement Number 724099. None of the authors has any other potential conflict of interest.

References

1. Clegg A, Young J, Iliffe S, et al. Frailty in elderly people. Lancet (London, England) 2013;381:752–762. doi: 10.1016/s0140-6736(12)62167-9. - DOI - PMC - PubMed
1. Rodríguez-Mañas L, García-Sánchez I, Hendry A, et al. Key messages for a frailty prevention and management policy in Europe from the Advantage Joint Action Consortium. J Nutr Health Aging. 2018 doi: 10.1007/s12603-018-1064-y. - DOI - PubMed
1. Windhaber T, Koula ML, Ntzani E, et al. Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review. Aging Clin Exp Res. 2018;30:1409–1415. doi: 10.1007/s40520-018-0918-9. - DOI - PMC - PubMed
1. Schmitt M, Blue A, Aschenbrener CA, et al. Core competencies for interprofessional collaborative practice: reforming health care by transforming health professionals’ education. Acad Med. 2011;86:1351. doi: 10.1097/acm.0b013e3182308e39. - DOI - PubMed
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European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty-a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS)

Affiliations

European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty-a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS)

Authors

Affiliations

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources