EACS2023: 186 Supporting practitioners to identify, assess and manage frailty in people living with HIV: introducing a practical, co-created guide T. Barber , T. Levett , D. Brown , P. Pristera , N. Galbraith , B. Patterson , J. Williams , M. Boffito Ian Charleson Day Centre, Royal Free London NHS Foundation Trust, HIV, London, United Kingdom, Institute for Global Health, University College London, London, United Kingdom, University Hospitals Sussex NHS Foundation Trust, Elderly Medicine, Sussex, United Kingdom, Chelsea and Westminster NHS Foundation Trust, Therapies Department, London, United Kingdom, Cuttsy + Cuttsy, Cambridge, United Kingdom, Gilead Sciences Ltd, HIV Standards Support Team, London, United Kingdom, Gilead Sciences Ltd, HIV, London, United Kingdom, Liverpool University Hospitals NHS Foundation Trust, Community Specialist HIV Nursing Service, Liverpool, United Kingdom, Chelsea and Westminster NHS Foundation Trust, HIV Medicine, London, United Kingdom General data Abstract category: Ageing and frailty Abstract body Purpose: To help people live well with HIV, frailty assessments will need to become an integrated part of clinical practice. However, while more than 50% of the UK’s HIV population may be aged ≥50 by 2028, there is still no consensus on how healthcare practitioners should identify, assess, and manage frailty in this population. Frailty tools exist but are often considered ‘inappropriate’ in the context of HIV. Seeing an urgent need for more practical support, we co-created a user-friendly frailty resource with senior practitioners to better equip those caring for people living with HIV. Method: Six healthcare professionals who see frailty at different stages of HIV care in England were purposefully selected. After an initial briefing call, in-depth semi-structured interviews were conducted virtually. These were audio-recorded, transcribed and thematically analysed to better understand current practice and barriers, and to collate suggestions for making the identification, assessment and management of frailty easier in practice. A draft practitioner guide was developed by Gilead for review by the interviewees and two HIV advocates. Multi-way stakeholder discussions followed until a final iteration was approved and designed. Results: We curated four in-depth sections around (1) understanding frailty; (2) identifying signs of frailty; (3) assessing and managing signs of frailty; and (4) getting services ready. Further quick-reference content links to screening examples, case studies and available tools. We also introduce the acronym ‘FRAIL in HIV’ as an expanded framework (albeit unvalidated) to help people think about frailty in the wider context of HIV. Conclusions: Our compendium of practical information hopes to better support practitioners in recognising and responding to frailty in people living with HIV, particularly if formal guidance is limited. In-depth content paired with summary recommendations, practical examples and links to further reading offers diverse and accessible information to support a range of settings. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1,2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 65
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