The Advanced Care Research Centre at the University of Edinburgh is a new £20m interdisciplinary research collaboration aiming to transform later life with person centred integrated care
The vision of the ACRC is to play a vital role in addressing the Grand Challenge of ageing by transformational research that will support the functional ability of people in later life so they can contribute to their own welfare for longer. With fresh and diverse thinking across interdisciplinary perspectives our academy students will work to creatively embed deep understanding, data science, artificial intelligence, assistive technologies and robotics into systems of health and social care supporting the independence, dignity and quality-of-life of people living in their own homes and in supported care environments.
The ACRC Academy will equip future leaders to drive society’s response to the challenges of later life care provision; a problem which is growing in scale, complexity and urgency. Our alumni will become leaders in across a diverse range of pioneering and influential roles in the public, private and third sectors.
Our goal is to determine the association between frailty and older people’s views about ‘quality of life’ and ‘quantity of life’.
- What is the relationship between older people’s perception of whether they are frail, and their e-frailty index?
- Which high technology interventions do older people desire-in their current state of health; and in different hypothetical clinical scenarios?
- How does the desire for high technology interventions relate to current frailty?
- Why do mismatches exist between frailty and desire for high technology interventions?
Frailty is a state of vulnerability to poor resolution of homeostasis following a stress. It can be quantified using an e-frailty index.
Clinicians often use frailty as a criterion for making decisions about ‘ceilings of care’ and the use of high technology interventions or not, but little is known about older people’s views of their own frailty and how these views influence plans for future care.
This project seeks to understand the complex interrelationships between older people’s e-frailty index and their desire for ‘quality of life’ over ‘quantity of life; through a survey of older people and then in-depth interviews.
This project will align to work package 4 (Understanding the person in context), and will explore how older people view different models of care, high technology interventions (e.g. ventilation, intensive care) and how their own level of frailty might influence their views about their ‘quality’ versus ‘quantity’ of life.