Adding life to years
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Guideline Development: Functionality and Social Participation


Status: Ongoing

Belgium Belgium
Print this page City population: 500.00025% over 60Practice started in 2020

Summary

Our goal is to develop a clinical practice guideline that enables physically frail older people to live independently and to participate in the community as long as possible.
Maintaining functionality is not only important for being able to live independently, it also reduces the burden of the caregiver and it influences the well-being of both. Occupational therapy, the health profession that focuses on enabling persons to engage in their daily occupations, is important in this respect. There is strong evidence that occupational therapy improves functioning, social participation and mobility of physically frail older people residing at home. (De Coninck et al., 2017)
Clinical practice guidelines are systematically developed statements to assist health care professionals and patient decisions about appropriate health care for specific clinical circumstances. (Institute of Medicine, 1990) So we develop an evidence based clinical guideline on the maintenance of independence and social participation of physical frail older people. Working evidence based means that we include the highest scientific evidence that is available, the wishes, needs and experiences of the older people, and the experience of the health care professional and that we adapt the results at the local context.
Subsequently we plan to implement the recommendations in the community.

References:
– De Coninck L, Bekkering GE, Bouckaert L, Declercq A, Graff MJL, Aertgeerts B. Home- and Community-Based Occupational Therapy Improves Functioning in Frail Older People: A Systematic Review. J Am Geriatr Soc. 2017;65(8):1863-1869. doi:10.1111/jgs.14889
– Institute of Medicine. (1990). Clinical Practice Guidelines: Directions for a New Program. M.J. Field and K.N. Lohr (eds.) Washington, DC: National Academy Press. (p.38)

Website: https://www.arteveldehogeschool.be/projecten/ergotherapie-voor-het-behoud-van-de-functionaliteit-en-de-sociale-participatie-van-de-thuiswonende-fysiek-kwetsbare-oudere-persoon

Key facts

Main target group: Vulnerable older people (e.g. at risk or victims of abuse, living alone, poor etc.)

Other target group(s): informal caregivers, often seniors

Sector(s): Education, Health

Other sector(s): Activities of daily living

Desired outcome for older people:
Meet their basic needs

Other issues the Age-friendly practice aims to address:
  • Ageism
  • Accessibility
  • Ageing in place
  • Healthy behaviours (e.g. physical activity)
  • Inequities
  • Inclusion
  • Participation

Contact details

Name: De Coninck, Leen

Email address: leen.deconinck@arteveldehs.be

Preferred language(s): English

Age-friendly practice in detail (click to expand):

Engaging the wider community

Project lead: Research institution

Others involved in the project:
  • Local authorities
  • Civil Society Organisation
  • Older People’s Association
  • Social or health care provider
  • Research institution

How collaboration worked: Our consortium consists of older people and their caregivers, an interdisciplinary team of health professionals, service organisations and a research team. We have a core team – the guideline development team that also includes older people and caregivers. A team of stakeholders provides periodic feedback on the work of the guideline development team. A supervision team consisting of senior guideline developers and delegates from the government supervise this process. The national external validation committee CEBAM evaluates the finalized guideline. Our project is funded by the Belgian government.

Older people’s involvement: Older people were involved in the age-friendly practice at multiple or all stages

Details on older people’s involvement: The older people participate from the conception till the implementation of the project. They provide feedback on completeness, priorities and feasability of the recommendations.

Moving forward

Has the impact of this age-friendly practice been analysed: No

Do you plan to evaluate your age-friendly practice? Yes

Expansion plans:
We will publish our guideline so that other countries can adapt it to their local context.

Looking back

Challenges:
We will anticipate possible lack of adherence and will implement recommendations on health literacy and shared decision making.