What do we need to know to enhance treatment for multimorbid older patients?-Results from the PACT study.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-02-17 DOI:10.1080/13607863.2025.2459231

B Wild, V S Wurmbach, F H Boehlen, M Kusch, C Paul, H-C Friederich, M Hartmann, J Slaets, H M Seidling

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引用次数: 0

Abstract

Objectives: The aim of the PACT (Prioritization by pArticipation) study was to evaluate the 'Life and Vitality Assessment' (LAVA) in terms of visualizing and exploiting priorities, resources, and problem areas of elderly people.

Method: In total, n = 164 older persons (mean age: 68.6, 51.8% females) with multimorbid conditions were included. All patients completed the LAVA, additional questionnaires, and the INTERMED for the Elderly interview. The LAVA is a non-normative approach, applied in two steps: First, participants assign 25 aspects of life to three groups (not important, important, most important). Second, they rate their current satisfaction with the most important aspects on a scale from 1 to 10.

Results: The majority of patients indicated that family (84.1%), mental health (84.8%), physical health (78.7%), and independent decision making (76.2%) were very important aspects of their life, mostly considered as resources. Variables related to negative well-being in older age-such as sleep quality and pain-were mostly considered as problem area. There was a high variability across patients regarding the number of resources and problem areas.

Conclusion: The LAVA provides important information on resources and problem areas, which might be helpful to improve quality of life for multimorbid patients by considering their resources for treatment planning.

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.