SUNFRAIL project reports
The project SUNFRAIL recognises the importance of patients’/beneficiaries’ perception and expectations on frailty and multimorbidity and on services and support related to these conditions. Understanding patients’/beneficiaries’ perception and expectations in this area is vital as it helps the project to communicate in an optimum way to older people. It is also key to ensuring the model is fit-for-purpose in terms of addressing patients’/beneficiaries’ frailty and multimorbidity needs and expectations of services available to them.
The report aims to outline a high level analysis of the results of various studies and highlight those which has particular significance and relevance to enhancing the project’s understanding of patient’s/final beneficiaries viewpoints, thus to tailor services tackling their needs.
Before developing a model of care for the detection, management and treatment of frailty and multimorbidity to be applied across Europe, it is important to verify which are the resources and organizations currently in place. For this reason, the SUNFRAIL project has conducted a preliminary description of the current situation across the participating Reference Sites located across Europe.
The results demonstrate a major heterogeneity across Europe for the resources and models devoted at detecting and managing frail older persons. The report identifies the few commonalities present across the Reference Sites and then proposes a possible model of care taking advantage of these shared points.
- 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
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.
- SUNFRAIL Project Overview Presentation Understanding and Caring for Frailty and Multimorbidity, September 2015