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Embedding and Sustaining a Focus on Function in Specialty Research and Care.

Kathryn E Callahan1, Malaz Boustani2, Lauren Ferrante3

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Integrating function into older adult care is crucial for daily independence. This workshop identified research gaps and strategies to embed functional assessments and interventions across medical and surgical specialties.

Keywords:
cognitionfunctionhealth systemimplementation sciencephysical performancesensory health

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Area of Science:

  • Gerontology
  • Geriatric Medicine
  • Health Services Research

Background:

  • Maintaining function and independence in daily activities is vital for older adults.
  • Function is increasingly recognized as important across medical and surgical fields, beyond geriatrics.
  • Consistent integration of functional perspectives into clinical practice remains a challenge.

Purpose of the Study:

  • To identify scientific gaps in understanding and implementing function in older adult care.
  • To recommend research strategies for advancing the integration of function into clinical practice.
  • To foster a transdisciplinary approach to functional care for older adults.

Main Methods:

  • Summarized presentations and discussions from a workshop on "Embedding/Sustaining a Focus on Function in Specialty Research and Care."
  • Included transdisciplinary leaders discussing mobility programs, functional assessments (e.g., comprehensive geriatric assessment), and cognitive/sensory function.
  • Explored the role of culture, environment, community, and health systems in functional care.

Main Results:

  • Emphasized aligning goals and assessments for older adults.
  • Highlighted the need for innovative methods to identify functional limitations and facilitate gains.
  • Stressed the importance of a team science approach involving clinicians and frontline staff.

Conclusions:

  • A transdisciplinary, team science approach is essential for embedding function into older adult care.
  • Further research is needed to address scientific gaps and implement effective functional interventions.
  • Integrating functional assessments and strategies can improve independence and daily activity performance in older populations.