- D2.1 Dissemination strategy, Action Plan, Map and Tools
- D2.3 Final Conference Report
- D3.1 Monitoring and Evaluation Plan
- D3.2 Final Monitoring and Evaluation Report
- D5.1 Report on patients final beneficiaries on perception on frailty and multimorbidity
- D5.2 Report on RS Services Delivery
- D6.1 Experimentation of the model, its transferability and sustainability
- D6.2 Sunfrail Tools for the Identification of Frailty and Multimorbidity
- D6.3 Sunfrail Model of Care on Frailty and Multimorbidity
- D 7.1 Educational model for social and healthcare staff and related tools
- D 7.1 Annex II_Education Training Report
Final Report: summary for citizens
Project Brochure and Presentation
- Final SUNFRAIL brochure EN (2018)
- SUNFRAIL brochure EN (2017)
- SUNFRAIL brochure EN/FR/IT (2015)
- SUNFRAIL Presentation Understanding and Caring for Frailty and Multimorbidity, September 2016
- Onder, G., Cesari, M., Maggio, M. and K. Palmer, ‘Defining a care pathway for patients with multimorbidity or frailty’, European Journal of Internal Medicine, 2017, 2 pages
- Cesari, M., Calvani, R. and E. Marzetti,’Frailty in Older Persons‘, Clinics in Geriatric Medicine, 2017
- Kostka, T. et al., ‘ICT and environmental support for patients with frailty syndrome: CareWell project, FOCUS project and SUNFRAIL project‘, Medical Science Pulse 2017 (11) 1, 7 pages; Publication is also available in Polish (PL)
- Illario, M. et al., ‘The Impact of Social and Cultural Engagement and Dieting on Well-Being and Resilience in a Group of Residents in the Metropolitan Area of Naples’, Journal of Aging Research, vol. 2016, Article ID 4768420, 2016, 11 pages
- Bousquet, J. et al., ‘Operational definition of active and healthy ageing (AHA): The European Innovation Partnership (EIP) on AHA Reference Site questionnaire‘, Montpellier 2014, Lisbon 2015, 13 pages
- Obbia P., Maggio M., Palummeri E. et al., ‘Le sinergie tra i progetti CoNSENSo e SUNFRAIL per la prevenzione della fragilità nell’anziano e il sostegno all’autonomia e alla vita a domicilio. Dati preliminari dall’Alta Val Trebbia’, AGE in press, 2018, 7 pages
Project Communication Tools
Events and Workshops
SUNFRAIL presented at European Parliament, Workshop: “Limits and Potential of Public Health Programme” (Brussels, 22 November 2017)
- SUNFRAIL Presentation
- Press release
- Save the date: SUNFRAIL Final Conference 7 February 2018
SUNFRAIL Seminar (Brussels, 5 April 2017)
- Seminar poster and agenda
- 1. M. L. Moro Programmes on Ageing in Emilia Romagna Region
- 2. M. Barbolini SUNFRAIL Preliminary results
- 3. M. Maggio SUNFRAIL Tool
SUNFRAIL good practices on early identification of frailty and multimorbidity
- 4. V. Romano Regione Piemonte, Family and Community nursing
- 5. L. M. Moro Emilia Romagna Region, A regional model to predict, identify and manage multimorbidity and frailty
- 6. V. De Luca Regione Campania, Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA)
- 7. S. Hun Northern Ireland, Acute Care At Home Service (ACAH)
- 8. T. Kostka Universoty of Lodz, Managed Senior Care
- 9. G. Onorato Languedoc Roussillon, Sentinel Network for allergic rhinitis
2nd SUNFRAIL Transnational Workshop (Naples, 27 October 2016)
- Workshop Poster and Agenda
- Methodology and Discussion
- 1. M. Barbolini, Sunfrail Project Objectives and Challenges and Results
- 2. R. Gobbens, An integral concept of frailty
- 3. M. Cesari, Results of the assessment of services targeting frailty and multimorbidity
- 4. J. Millot, Screening and preventing risks of frailty in community dwelling citizens
- 5. S. Poli, Frailty and socioeconomic and lifestyle factors
- 6. R. Kressig, Frailty based on standardized functional reserve and stress resistance testing
- 7. I. Cacciapuoti, Experience from Emilia Romagna Region
- 8. T. Kostka, Experience from Medical University of Lodz
- 9. V. Romano, Experience from Piemonte Region
1st SUNFRAIL Transnational Workshop (Bologna, 22 March 2016)
- Workshop Poster and Agenda
- Methodology and discussion
- 1. A. Brambilla, A Regional Model to Predict Identify and Manage Multimorbidity and Frailty
- 2. G. Nicoletti, Mattone Internazionale Project
- 3. M. Barbolini, SUNFRAIL Project – objectives and challenges
- 4. R. Gobbens, An Integral Concept of Frailty
- 5. M. Maggio, Biomedical vs Bio-Psychosocial Models of Frailty
- 6. A. Perra, Understanding and Detecting Pre-frailty – PASSI d’Argento
- 7. M. Cesari, Existing Tools for the Identification of Frailty and Multimobidity – The Importance of an Integrated Response
- 8. A. Cano, Synergies with the EIP AHA Initiative – A3
- 9. F. Mammarella, Synergies with Joint Action CHRODIS
- 10. M. Illario, Synergies with SIMPATHY Project
- 11. A. Cano, Synergies with FOCUS
- 12. G. Moda, CONSENSO Project
- 13. L. Calzà, How to Identify Good Practices on Frailty and Multimorbidity
Education and training
The first step of WP7 work on professionals’ education and training consisted of a literature and documentation overview about the training programmes, academic and non academic, for health and social care professionals in some European countries, and a survey with some stakeholders of the EIP-AHA and Sunfrail partners. WP7 found that biomedical databases literature search regarding the health and social care professionals’ education field has brought about very little material concerning the concepts of frailty and multimorbidity in the official programmes. After the acknowledgment of a gap in the educational programmes regarding the prevention and management of frailty (according to the evidence-based meaning agreed in the Sunfrail project), WP7 and Sunfrail partners developed an experimental programme in a 2 day-module. The experimentation took place in Turin in the months of July and September 2017.
The course programme included the introduction of SUNFRAIL by the project coordinator from RER-ASSR, and of the SUNFRAIL Tool which was presented by Marcello Maggio, University of Parma, and Ernesto Palummeri, Liguria Region.
The training also includes video material, recorded both in Italy during some training moments of the Consenso project and during a site-visit to the Irish partner of Sunfrail, which captures the application of the SUNFRAIL Tool in practice in the experimentation sites (Northern Ireland and Liguria Region). The course allocated a lot of time for discussions and sharing of experiences, and all the process was coordinated using the methodology of conceptual mapping.
One of the outputs of the course is an innovative academic toolkit (Continuing Medical Education (CME) and Continuing Professional Development (CPD) mainly addressed to health and social care professionals, formal and informal caregivers and the community. The toolkit aims at highlighting the potential of the SUNFRAIL questionnaire in meeting future needs of the ageing population and at being proactive in prevention. Specifically, the innovative programme has a strong focus on prevention and on identifying and managing frailty and multimorbidity in the population (over 65 years old) at an early stage.
About 60 participants took part in the course, all of whom were completely satisfied and enthusiastic about it.
Overall project impact assessment
The Sunfrail project allowed supporting a change of mindset and management approach.
Particularly, the Sunfrail tool proved to be effective in raising elderly people awareness on frailty and multimorbidity risk factors and on potential ways to prevent and manage these conditions; thus bridging the gap between beneficiaries perception and needs and services available.
The Sunfrail Model and Tools can act as catalysers of change. Strengthening professional’s knowledge and approach to frailty through interdisciplinary training, mapping and connecting available services and sectors can contribute to promote services overall efficiency and effectiveness.
The project’s overall impact is demonstrated by changes in thinking, attitudes and processes that Reference Sites will continue to maintain beyond the project life; as indicated by the requests for adoption of the Sunfrail Model and Tools from professionals (GPs), local authorities, Italian and European regions.
Furthermore, the decisions to commit further funding on Sunfrail by regional and local stakeholders, to perform further pilot studies, and the creation of local stakeholders groups involving health, social services and community actors underlines the ongoing processes of change.