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ABSTRACT: BackgroundDecline in functional competence is a major determinant of older persons’ needs, the development of dependency, use of care,
clinical outcome and mortality. The interactions between rising life expectancy and changes in morbidity and disability warrant
interdisciplinary research on functional disability, health promotion and prevention. The LUCAS (Longitudinal Urban Cohort
Ageing Study) research consortium was established to study particular aspects of functional competence, its changes with ageing,
to detect preclinical signs of functional decline, and to address questions on how to maintain functional competence and to
prevent adverse outcome. The questions originate from problems encountered in practical health care provision in different
settings, i.e. community, hospital and nursing home.
MethodsThe subprojects apply a longitudinal cohort follow-up study, an embedded randomised controlled intervention, cross-sectional
comparative, and prospective intervention studies.
ConclusionThe results will provide instruments to screen for preclinical signs of functional decline and concrete recommendations to
sustain independence and prevent adverse outcomes in older age in daily practice.
HintergrundAbnehmende funktionale Fähigkeiten bestimmen die Bedürfnisse älterer Menschen, die Entwicklung von Abhängigkeit, die Inanspruchnahme
von Versorgungsleistungen, klinischen Verlauf und Mortalität. Die Wechselwirkungen zwischen steigender Lebenserwartung und
Veränderungen von Morbidität und Behinderung erfordern interdisziplinäre Forschung zu funktionaler Beeinträchtigung, Gesundheitsförderung
und Prävention. Der LUCAS-Forschungsverbund (Longitudinale Urbane Cohorten Alters Studie) untersucht Teilaspekte von funktionaler
Kompetenz und ihren Veränderungen im Alter, um präklinische Hinweise für Fähigkeitsverlust aufzudecken und zu fragen, wie
funktionale Kompetenz am besten zu erhalten und ungünstige Verläufe zu vermeiden sind. Die Forschungsfragen betreffen Probleme
praktischer Gesundheitsversorgung in verschiedenen Bereichen, d.h. ambulant, im Krankenhaus und Pflegeheim.
MethodikIn den Teilprojekten kommen eine Kohorten-Längsschnittsstudie, eine darin eingebettete, randomisiert kontrollierte Interventionsstudie,
vergleichende Querschnitts- sowie prospektive Interventionsstudien zur Anwendung.
SchlussfolgerungenDie Ergebnisse liefern Hinweise zum Screening beginnender funktionaler Verluste bei älteren Menschen und konkrete Handlungsanweisungen
für die tägliche Praxis mit dem Ziel, Selbstständigkeit zu erhalten und ungünstige Verläufe im Alter zu vermeiden.
KeywordsFunctional competence in old age–Mobility–Frailty syndrome–Longitudinal cohort study–Multidimensional assessment
SchlüsselwörterFunktionale Kompetenz im hohen Alter–Mobilität–Frailty-Syndrom–Longitudinale Kohortenstudie–Multidimensionales Assessment
Zeitschrift für Gerontologie + Geriatrie 04/2012; 44(4):250-255. · 0.61 Impact Factor
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ABSTRACT: The interactions between rising life expectancy, morbidity and development of disability warrant interdisciplinary research on functional disability, health promotion and prevention as well as healthcare provision for older people. Therefore, the interdisciplinary LUCAS (Longitudinal Urban Cohort Ageing Study) research consortium of university and non-university institutions was established and is coordinated by the research department of the Albertinen-Haus at the University of Hamburg. The aim is to study particular aspects of functional competence, the changes with ageing, to detect pre-clinical signs of functional decline and to address questions on how to maintain functional competence and to prevent adverse outcomes. The research questions have their origin in problems of practical healthcare provision in the different settings of communities, hospitals and nursing homes. The articles of LUCAS subprojects report selected results from the first project phase (2007-2010) which was funded by the German Federal Ministry of Education and Research (BMBF) (Research program"Health in the elderly").).
The LUCAS subprojects 1-7 applied a true cohort study design with embedded randomized controlled intervention studies and cross-sectional studies for comparative purposes and to prepare intervention studies to be performed in the second project phase.
Results from the first project phase provided new instruments to screen and to assess functional competence in older people (population-based screening). In the second project phase these will be evaluated according to practicability and usefulness. Furthermore, parts of the results will be used by the health reporting system in Hamburg and for intervention studies performed by LUCAS subprojects during the second project phase (LUCAS II).
Zeitschrift für Gerontologie + Geriatrie 12/2011; 44 Suppl 2:55-72. · 0.61 Impact Factor
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[show abstract]
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ABSTRACT: Decline in functional competence is a major determinant of older persons' needs, the development of dependency, use of care, clinical outcome and mortality. The interactions between rising life expectancy and changes in morbidity and disability warrant interdisciplinary research on functional disability, health promotion and prevention. The LUCAS (Longitudinal Urban Cohort Ageing Study) research consortium was established to study particular aspects of functional competence, its changes with ageing, to detect preclinical signs of functional decline, and to address questions on how to maintain functional competence and to prevent adverse outcome. The questions originate from problems encountered in practical health care provision in different settings, i.e. community, hospital and nursing home.
The subprojects apply a longitudinal cohort follow-up study, an embedded randomised controlled intervention, cross-sectional comparative, and prospective intervention studies.
The results will provide instruments to screen for preclinical signs of functional decline and concrete recommendations to sustain independence and prevent adverse outcomes in older age in daily practice.
Zeitschrift für Gerontologie + Geriatrie 08/2011; 44(4):250-5. · 0.61 Impact Factor
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Das Gesundheitswesen 04/2008; 70 Suppl 1:S37-9. · 0.94 Impact Factor
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ABSTRACT: Certain aspects of the communication between mother (and father) and baby are of major influence on the developmental outcome of the child. Mentally ill mothers in psychiatric day care are considerably limited in their communicative abilities, especially in themes of developmental relevance. As a consequence of their inherent ego weakness the mothers' flexible adaption to the babies' needs is impaired. Because of their own emotional neediness mothers are not sufficiently sensible and responsive to the babies' signals. Almost all of the mothers feel aggressive impulses towards their babies. Indication for day care depends to an essential part on the mothers' reflective function concerning aggression. Although there is some danger of child abuse, the joint treatment is considered to prevent early attachment disorders and/or a pathologic developmental outcome in the child. In addition, mother-baby-therapy is indicated in cases of severe regulation disorders. The specific models of our therapy are illustrated in two case examples.
Praxis der Kinderpsychologie und Kinderpsychiatrie 10/2001; 50(7):552-9. · 0.58 Impact Factor
