A Service-Learning Program for Comprehensive Geriatric Assessment and Health Promotion in Older Adults

• Comprehensive Geriatric Assessment (CGA) (Diagnostic test): The intervention will consist of a total of 3 sessions which will take place in different areas of the Faculty of Health and Welfare Sciences (FCSB) at the University of Vic - Central University of Catalonia. In Session 1, a comprehensive geriatric assessment (CGA) will be conducted to the users (by students supervised by health professionals).
• Health education (Behavioral): A report with the results of the CGA and health recommendations will be delivered to the users. They will receive health education including specific recommendations and community health resources based on their health status and CGGA.

Primary outcomes

• Frailty [Baseline assessment]: VIG-Frail is a screening tool used to assess frailty in older adults. It's a short, easy-to-administer test that helps healthcare providers identify individuals who may be at risk of adverse health outcomes due to frailty.
• Users Satisfaction with treatment [Up to 2-4 weeks (Post-intervention - 2nd session)]: Evaluation of the user's general satisfaction with participating in the project (5-point Likert scale from 1-not at all to 5-very satisfied)
• Students Satisfaction with intervention [At the end of Session 1 (CGA of users)]: Evaluation of the students' general satisfaction with the participation in the study (5-point Likert scale from 1-not at all to 5-very satisfied)

Secondary outcomes

• Self-reported Quality of Life [Baseline assessment]: Quality of Life measured with EuroQol 5D-5L, a standardised tool used to measure and assess health-related quality of life. The "5D" refers to five dimensions of health: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has five levels, ranging from "no problems" to "extreme problems," allowing for a detailed assessment of a person's health status.Health state index scores generally range from less than 0 (where 0 is the value of a health state equivalent to dead; negative values representing values as.
• Intrinsic capacity [Baseline assessment]: Integrated care for older people approach (ICOPE) is a framework developed by the World Health Organization to support the health and well-being of older adults through comprehensive, integrated care. It focuses on 7 key dimensions: cognitive decline, limited mobility, undernutrition, vision impairment, hearing loss, depressive symptoms, and social care and supports, as well as carer support and urinary incontinence. These areas are assessed to create a holistic care plan tailored to the individual's needs. This outcome will be categorized according to the number or preserved dimensions: from 7 (all 7 dimesions preserved) to 0 (all 7 dimensions affected).
• Nursing Outcomes Classification [Baseline assessment]: The NOC (Nursing Outcomes Classification) is a system used to assess the results of nursing care, helping to measure a person's level of functioning and well-being in different areas of health. The NOC outcomes evaluated in this context are: Cognition, Mobility, Nutritional Status, Sensory Function: Vision, Desire to Live, Caregiver Well-being Urinary Continence, Psychosocial Adjustment: Life Change These outcomes are assessed using a 5-point Likert scale, ranging from 1 (Not demonstrated) to 5 (Always demonstrated).
• Students Self-perception of increased knowledge, skills and competencies [At the end of Session 1 (CGA of users)]: Knowledge about Health Promotion and Disease Prevention, Improvement in Skills and Technical Competencies in Comprehensive Geriatric Assessment (CGA), Skills and Technical Competencies in Intrinsic Capacity (ICOPE), Transversal Skill "Communication", Critical Thinking, Integration of Knowledge, Skills, and Competencies in the subject in Which the project Was Held, Problem-Solving Ability, Interdisciplinary. These outcomes are assessed using a 5-point Likert scale, ranging from 1 (Not demonstrated) to 5 (Always demonstrated).
• Users Self-perception of increased knowledge, skills and competencies [Up to 2-4 weeks (Post-intervention - 2nd session)]: Knowledge about Their Own Health, Lifestyle and Risk Factors to Modify for increasing Health and Disease Prevention and Community Health Resources, evaluated with a Likert scale from 1 to 5 (1 = not much, 5 = very much)

Sex: All, ages: 60 Years to any, accepts healthy volunteers

Inclusion Criteria:

A) For users:

* Any person aged 60 or older who can move to the facility (Faculty of Health Sciences and Welfare) independently or accompanied by a caregiver.

B) For students:

* Students from Nursing, Physiotherapy, Nutrition and Dietetics, Occupational Therapy and Psychology degrees of UVic-UCC.

Exclusion Criteria:

* For users: Individuals institutionalized in a long-term care institution.

• Results publication: Casacuberta-Roca J, Minobes-Molina E, Terradas-Monllor M, Escriba-Salvans A, Oliveira VR, Fenollosa-Romani E, Mondejar-Pont M, Chirveches-Perez E, Gorchs-Font N, Goutan-Roura E, Vila M, Blancafort-Alias S, Dachs-Delgado M, Salazar PLV, Rusinol-Rodriguez J, Garcia-Alvarez A, Valente T, Casals-Coll M, Madrid-Alejos C, Jerez-Roig J. A Service-Learning Program Based on Comprehensive Geriatric Assessment and Health Promotion in Older Adults: Protocol for the GEROS Project. BMC Geriatr. 2026 Mar 21;26(1):602. doi: 10.1186/s12877-026-07312-1. PMID 41862814

• Júlia Casacuberta-Roca, Nursing, Study director, University of Vic - Central University of Catalonia