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CONCLUSIONS: While the + AGIL Barcelona program had a limited quantitative impact on polypharmacy, it significantly reduced PIMs' use, particularly in nervous system-acting medications, which are involved in increased risk of falling and cognitive impairment in older adults. The study highlights the importance of medication review in multidimensional frailty management, although future research with larger samples and standardized medication review protocols is needed.

CONCLUSIONS: This observational study highlights that the relationship between DSI and cognitive impairment varied by personal responsibility for health. It is crucial to focus on the cognitive function of older adults with DSI and low personal health responsibility in rural China.

CONCLUSIONS: These findings underscore the need to review the type and range of activities offered in institutional settings, reducing time devoted to highly structured leisure activities and promoting more enriching experiences. To do so, experience-based co-design approaches involving institutionalised older adults and professionals in these settings are essential to develop person-centred programmes to enhance engagement in meaningful activities and occupational balance. Future research...

Defendants face prison time for criminal charges but samples may all have been inactivated and used for routine diagnostics