OPTimizing Independence, Mobility and Active Life (OPTIMAL)

Research-clinical partnership: GERAS researchers are working with the team of geriatricians, clinic leaders, case managers and nursing staff to integrate best-practices in our Frailty Clinic Initiative –OPTimizing Independence, Mobility and Active Life (OPTIMAL)

Aim: To develop best practices in the assessment and management of frailty at the Centre for Healthy Aging at St. Peter’s Hospital.​

Measurement Components: 

  • Short Physical Performance Battery (SPPB)
    • Chair stand test
    • Balance test
    • Walk test
  • Fried Frailty Phenotype
    • Self-report: weight loss, exhaustion, physical activity
    • Grip strength
    • Walk test

Preliminary findings*: In our pilot study, 60% of geriatric outpatients attending the Centre for Healthy Aging at St. Peter’s Hospital were identified as frail with poor lower extremity function.

Rationale:  The development of best practices will help inform individualized treatment plans to optimize independence, mobility and active life in geriatric outpatients.

Components of Success:

  • Strengthened relationships between clinical and research staff
  • Use of evidence-based practice in frailty assessment and management
  • Improved patient outcomes  ​​​

*Measuring frailty in clinical practice: a comparison of physical frailty assessment methods in a geriatric out-patient clinic.
Pritchard JM, Kennedy CC, Karampatos S, Ioannidis G, Misiaszek B, Marr S, Patterson C, Woo T, Papaioannou A. BMC Geriatr. 2017 Nov 13;17(1):264. doi: 10.1186/s12877-017-0623-0.