MACVIA-LR (Fighting Chronic Diseases for Active and Healthy Ageing in Languedoc-Roussillon): A Success Story of the European Innovation Partnership on Active and Healthy Ageing.

The Région Languedoc Roussillon is the umbrella organisation for an interconnected and integrated project on active and healthy ageing (AHA). It covers the 3 pillars of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA): (A) Prevention and health promotion, (B) Care and cure, (C) and (D) Active and independent living of elderly people. All sub-activities (poly-pharmacy, falls prevention initiative, prevention of frailty, chronic respiratory diseases, chronic diseases with multimorbidities, chronic infectious diseases, active and independent living and disability) have been included in MACVIA-LR which has a strong political commitment and involves all stakeholders (public, private, patients, policy makers) including CARSAT-LR and the Eurobiomed cluster. It is a Reference Site of the EIP on AHA. The framework of MACVIA-LR has the vision that the prevention and management of chronic diseases is essential for the promotion of AHA and for the reduction of handicap. The main objectives of MACVIA-LR are: (i) to develop innovative solutions for a network of Living labs in order to reduce avoidable hospitalisations and loss of autonomy while improving quality of life, (ii) to disseminate the innovation. The three years of MACVIA-LR activities are reported in this paper.

Operational Definition of Active and Healthy Ageing (AHA): A Conceptual Framework.

Health is a multi-dimensional concept, capturing how people feel and function. The broad concept of Active and Healthy Ageing was proposed by the World Health Organisation (WHO) as the process of optimizing opportunities for health to enhance quality of life as people age. It applies to both individuals and population groups. A universal Active and Healthy Ageing definition is not available and it may differ depending on the purpose of the definition and/or the questions raised. While the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) has had a major impact, a definition of Active and Healthy Ageing is urgently needed. A meeting was organised in Montpellier, France, October 20-21, 2014 as the annual conference of the EIP on AHA Reference Site MACVIA-LR (Contre les Maladies Chroniques pour un Vieillissement Actif en Languedoc Roussillon) to propose an operational definition of Active and Healthy Ageing including tools that may be used for this. The current paper describes the rationale and the process by which the aims of the meeting will be reached.

Developmental determinants in non-communicable chronic diseases and ageing.

Prenatal and peri-natal events play a fundamental role in health, development of diseases and ageing (Developmental Origins of Health and Disease (DOHaD)). Research on the determinants of active and healthy ageing is a priority to: (i) inform strategies for reducing societal and individual costs of an ageing population and (ii) develop effective novel prevention strategies. It is important to compare the trajectories of respiratory diseases with those of other chronic diseases.

Tratamiento multidisciplinar para el dolor lumbar crónico: programa de musicoterapia / Multitnodal treattnaent of chronic low back pain: a music therapy program

Introducción. El dolor crónico supone un importante obstáculo para mantener la funcionalidad y la independencia. Estudios previos han demostrado que la música puede mejorar la motivación y los sentimientos positivos de autocontrol frente al dolor. Objetivos. Descubrir qué estrategias de afrontamiento frente al dolor crónico son las más utilizadas por los pacientes y cómo se modifican al aplicar un programa de musicoterapia, en una muestra de pacientes con dolor lumbar crónico Material y métodos. 14 pacientes de la Unidad de Dolor del Hospital San Pedro de Logroño con dolor lumbar crónico fueron admitidos a un programa de musicoterapia durante seis semanas. Las sesiones fueron semanales, de una hora de duración, dirigidas por un musicoterapeuta que aplicó diferentes protocolos. El Cuestionario de Afrontamiento al Dolor CAD fue autoadministrado a los pacientes al inicio y al término del programa de musicoterapia. La intensidad del dolor se midió al principio y al final de cada sesión mediante la escala EVA. Resultados. La estrategia más utilizada frente al dolor fue la búsqueda de información. Todas las estrategias fueron más utilizadas al finalizar el programa de musicoterapia, aunque las diferencias fueron significativas sólo en tres de ellas: Búsqueda de información, Catarsis y Distracción. Conclusiones. Nuestro programa de musicoterapia resultó una herramienta efectiva para disminuir el dolor lumbar crónico al ser capaz de afectar a la percepción del dolor en su componente cognitivo, permitiendo a los pacientes desviar el foco del dolor del estimulo aversivo y mostrando una mayor destreza en el uso de estrategias de afrontamiento que permiten una adaptación positiva al dolor crónico (AU)

Background. Chronic pain represents a significant obstacle in maintaining function and independence. Previous studies have shown that music can improve motivation and increase feelings of control in patients with chronic pain. Objective. To examine the influence of a musictherapy program on chronic low back pain patients related to coping strategies. Material an method. 14 patients from the Pain Unit in the San Pedro Hospital of Logroño were included in a music-therapy program during six weeks with a dignosis of chronic low back pain. Subjects were weekly visited by a music therapist, 60 min per sesión. All the patients answered a questionnarie to evalúate the used coping strategies to pain (CAD), in the first and the end visits. In adittion, a severity pain scale (VAS) was answered twice in each interventional session. Results. The pain coping strategy more frecuently used was information seeking. All strategies shown better results at the end of the program, but only two of them had significant results: information seeking, catarsis, and distraction. Conclusión. The music-therapy program increased the more active pain coping estrategies that are possitively associated to a better degree of adjustment of the patient with chronic low back pain (AU)