Falls among older adults are frequent and impact on morbidity, mortality and loss of autonomy. In Nouvelle-Aquitaine, 17.658 fall-related hospitalisations were recorded in 2020. These events disproportionately affect vulnerable populations, raising issues of equity in access to prevention. While hospital-based pathways are well-documented, few fall-prevention protocols are adapted to primary care. To address this gap and foster coordinated, community-based care, the multiprofessional primary care centre Cœur de Saintonge developed the ReCHUTEPA protocol, offering adults aged ≥60 years a structured multidisciplinary approach designed to reduce recurrence of falls.To assess whether the ReCHUTEPA protocol aligns with evidence-based recommendations for managing older adults after a fall in primary care.A scoping review was conducted using PubMed and Cochrane databases. Articles published between 2015 and 2025 were included if they involved adults aged ≥60 years, who had documented a fall, if  interventions were feasible in primary care. Data extraction and analysis followed PRISMA methodology.ReCHUTEPA already integrates the major components identified in the literature: functional rehabilitation, medication review, nutritional evaluation, cognitive screening, orthostatic hypotension testing, footwear and vision assessment, vitamin D evaluation, and home environment adaptation. The review highlighted additional areas to reinforce: assessment of fear of falling (s-FESI), pain, urinary incontinence, and hearing, as well as systematic involvement of caregivers—an essential component of equitable and collaborative care. Evidence also supports strengthening balance- and strength-focused training (Otago, Tai Chi) and medication review using Beers or STOP-Falls criteria. Fall-risk stratification emerged as a key recommendation to guide personalised care pathways.The findings show that ReCHUTEPA is broadly consistent with current evidence. Its design reflects a pragmatic balance between comprehensive multidisciplinary care and the practical constraints of staffing and public health resources in general practice. Importantly, the programme is entirely free for patients, removing financial barriers and promoting equity in access to fall-prevention strategies. Incorporating additional recommended assessments may further enhance autonomy and ensure that all older adults—regardless of socioeconomic status—can benefit from appropriate, tailored interventions.ReCHUTE PA is a feasible and equity-oriented protocol for managing older adults after a fall in primary care. Updating it based on this review may strengthen its effectiveness.

Frail older adults have a high risk of rehospitalization following a hospital stay for heart failure (HF). The transition from hospital to primary care may be improved through patient-centred, home-based network care after discharge. World Cafés (WC), are a method for the co-creation of complex interventions with stakeholders. This study ecplores the use of WCs for the development of a patient-centered, home-based, network care intervention for frail older adults with HF.To develop a patient-centered, home-based network care intervention for frail older adults with HF, which can be integrated into the current practice of patient care in the XXX region. Subsequent studies will test the intervention’s feasibility and impact on rehospitalizations and quality of life.Three sessions will be organized following the World Café principles of Brown and Isaacs (1) set the context; (2) create a hospitable space; (3) explore questions that matter; (4) encourage contributions; (5) cross-pollinate; (6) identefy patterns; (7) harvest and share discoveries. Each WC will consist of 12–15 participants, including healthcare professionals, patients, and caregivers. The first two WCs will identify key components of home-based network care for frail older adults with HF and how these can be applied in practice in the XXX region. Transcripts and field notes of the WCs will be analyzed by two resachers using inductive content analysis. Based on this analysis, a prototype of the intervention is crerated. At the third WC the intervention is finetuned untill consensus is reached among participants.We will present a qualitative analysis of stakeholder views on home-based network care for frail older adults with HF and its potential application in the XXX region, as well as the co-created protocol for the network care intervention.We expect that the WC method will lead to an intervention feasable in the current reality of patient care in the XXX region. Special attention should be given to creating an equitable environment to ensure patient-centered dialogue and outcomes.At submission, data collection is ongoing and will continue until April 2026. At the conference, we expect to be able to present the final outputs of all WC sessions.

In neurogeriatrics, clinicians care for patients with cognitive decline, reduced autonomy, and limited communication, making them vulnerable to inequity and emotional neglect. Our team questioned how to maintain equity, dignity, and staff well-being through collective reflection when verbal communication is no longer possible.This practice-based reflection emerged from my integration into a neurogeriatric ward between August and November 2025. During this period, I worked closely with a multidisciplinary team and encountered patients with neurocognitive disorders and behavioral disturbances such as refusal of care, agitation, and verbal or physical aggression. These situations often led to caregiver exhaustion, disrupted routines, and family distress. To address these challenges, we implemented a person-centered, team-based intervention that included, negotiation-based care strategies, physical activity, art therapy workshops, animal-assisted therapy and Snoezelen relaxation sessions with therapeutic touch and breathing techniques. Team strategies included regular case reviews, psychological support sessions for staff, and mutual assistance during complex care situations. Strengths included active team engagement, input from multiple healthcare roles and a focus on real-life holistic approach. Limitations were subjective data, a small sample size, and absence of patient feedback due to cognitive impairment.This experience showed that structured communication and coordinated teamwork can transform refusal of care into cooperation and  improve equity by ensuring consistent access to care. Future work should adapt these strategies for general practice using simple tools such as brief communication protocols, small sensory-care kits, and short team-reflection routines.BPSD can create inequities by pushing teams toward task-focused care. A multidisciplinary approach can reduce these effects, but limited staff and high workloads make person-centered care difficult, as in general practice. Strong organizational strategies are therefore essential to support effective teamwork and workflows.Strengthening teamwork and person-centered approaches can restore therapeutic alliance, support staff resilience, and promote more equitable care for vulnerable patients in neurogeriatrics.

The relationship between Body Mass Index (BMI) and mortality has long been debated, with evidence suggesting a U- or J-shaped association. Among older adults, age-related physiological changes and comorbidities may modify this relationship. Understanding how BMI predicts mortality across age groups can guide clinical decision-making in primary care.This study aimed to examine the association between BMI and all-cause mortality across different age groups and to determine whether BMI remains a reliable predictor in older populations, particularly those aged ≥ 65 years.This retrospective cohort study included 124,456 adults from a health check center in Taiwan. Baseline data included anthropometrics, socioeconomic status, laboratory results, and lifestyle factors. Participants were categorized into four age groups: < 65, 65–< 75, 75–< 85, and ≥ 85 years. Survival status over a 10-year follow-up was recorded. BMI was calculated as weight (kg)/height² (m²). Student’s t-test evaluated crude associations, and multivariable logistic regression was applied to assess the independent effect of BMI on all-cause mortality after adjusting for age, sex, lifestyle, and comorbidities (hypertension, diabetes, heart disease, and cancer).Among the participants, 47.2% were male, with a mean age of 42.89 ± 13.88 years and mean BMI of 23.10 ± 3.49 kg/m². During follow-up, 3.2% (n = 3,947) died, most commonly from cancer. BMI showed significant associations with mortality in the < 65, 65–< 75, and 75–< 85 groups (all P < 0.001), but not in those ≥ 85 years (P = 0.943). After adjustment, BMI was negatively associated with mortality in the 65–< 75 (OR 0.96, 95% CI 0.94–0.98) and 75–< 85 groups (OR 0.93, 95% CI 0.90–0.96).Findings suggest that higher BMI may confer a protective effect in older adults, consistent with the “obesity paradox.” BMI loses predictive value in adults aged ≥ 85, possibly due to frailty, sarcopenia, and survivor bias.BMI alone may not be a reliable mortality predictor across all age groups. In adults aged 65–84, higher BMI appears protective, highlighting the need for age-specific interpretation of BMI in primary care.

Despite the widespread benefits of vaccines, vaccination uptake among older people in Malaysia remains low. Currently, many studies on understanding factors influencing vaccine uptake focused on healthcare providers. Understanding the factors that shape motivation from the perspective of older adults is essential to designing effective interventions for this at-risk population.This study aims to explore factors influencing motivation to vaccination among older adults attending an urban primary care clinic in Malaysia.This is a currently ongoing qualitative study. This study was guided by the eight domains associated with motivation in the Theoretical Domains Framework namely, Social and professional roles and identity, Beliefs about capabilities, Optimism, Beliefs about consequences, Reinforcement, Intentions, Goals, and Emotion. A total of five older adults (³ 60 years old) attending an urban primary care clinic were recruited. Semi-structured interviews were conducted, audio-recorded, and transcribed verbatim. A combination of framework and thematic analysis were conducted using the NVIVO software.Five themes emerged from the preliminary analysis: (1) Confidence in personal health resilience - participants believe their body is strong enough to tolerate vaccines; (2) Emotional confidence in health - older adults described emotional resilience, including a lack of fear of falling sick and optimism about their body’s ability to handle vaccines; (3) Intention driven by practical benefits - motivation was enhanced when vaccines were free, reasonably priced, easily available, or required for travel; (4) Convenience as a motivational reinforcement - simplifying procedures such as shorter waiting times and easier access was perceived as highly encouraging, and (5) Identity based on social roles - participants’ roles as caretakers, socially active individuals, or older persons influenced their decisions, shaping whether they viewed vaccination as a personal responsibility or a collective obligation.Enhancing convenience, addressing emotional concerns, strengthening informational self-efficacy, and recognising the influence of social roles may improve vaccine uptake among older adults. Data collection is still ongoing to refine the findings.Motivation to vaccinate among older adults in Malaysia is multidimensional and deeply influenced by beliefs, emotions, intentions, and social identity.