Our panelists will share about their current projects. 3 presentations will be given, followed by a discussion will all speakers, and Mrs Brenda Andreas, in her role as patient partner. This webinar will highlight issues related to frailty and older adults primary health care.

Join us on Tuesday January 26, 2021

12:00pm to 1:30pm EST

Registration is required, please register here

Questions related to this event should be addressed to: admin@spor-pihci.com

Download a flyer in English or in French.

Presentations:

Machine Learning for Identification of Frailty in Canadian Primary Care Practices

Presented by Sabrina T. Wong, RN, PhD Professor, UBC School of Nursing and Centre for Health Services and Policy Research, PhD, RN, Assistant Professor School of Nursing Dalhousie University

Electronic medical records (EMRs) contain a large amount of longitudinal data that can be used for primary care research. Machine learning can fully utilize this wide breadth of data for the detection of diseases and syndromes. The objective of this study was to develop a validated case definition of frailty for the primary care context, using machine learning. We used 7 supervised machine learning algorithms to train classification models to identify frail patients, with validation performed on a subsample of the total patients. Final model performance was evaluated using sensitivity, specificity, negative predictive value and positive predictive value. The creation of a frailty case definition using machine learning may facilitate early intervention, inform advanced screening tests, and allow for surveillance.

Identifying and Understanding the Health and Social Care Needs of Indigenous and Non-Indigenous Older Adults with Multiple Chronic Conditions and their Caregivers

 Presented by Katherine S. McGilton RN, PhD, FCAHS, Senior Scientist, KITE-Toronto Rehabilitation Institute – UHN; Professor, S. Lawrence Bloomberg Faculty of Nursing, University of Toronto

And

Sharlene Webkamigad RN, MA, PhD (C), School of Rural and Northern Health, Laurentian University

We undertook two scoping reviews to understand the health and social needs of two populations, those who are Indigenous and non-Indigenous.  Similar themes were found between the two groups, access to information and a focus for prevention strategies (i.e. wellness approaches) to better assist older adults to manage their conditions  Unique to Indigenous populations was a strong focus on social support which mostly included family involvement and the need to return to the traditional ways of intergenerational caregiving. While non-Indigenous older adults were concerned with coordination of services and supports, Indigenous populations were concerned with access to any services because of their remote locations where they live, and the limited time clinics are open to meet their needs. Finally, unique to research conducted with Indigenous older adults with MCC was a focus on building community and the need for cultural preservation in health.  We will discuss policy implications based on these results.

Out-of-pocket expenses related to aging-in-place for older people with frailty: A patient-engaged scoping review

Presented by Elaine Moody, PhD, RN, Assistant Professor School of Nursing
Dalhousie University

As the aging population grows, there has been a growing interest in supporting people to live in their homes and communities as they age—often referred to as aging-in-place. While aging in place is very often the preference of older people, and has been shown to be more cost-efficient than long-term care, there are also important financial considerations for individuals and caregivers as people experience health and function decline, and need support to remain at home. This scoping review sought to better understand the existing literature on out-of-pocket expenses related to aging in place and was supported by two patient-engagement groups to
ensure the review reflected the realities of older people in the community.