Implementation of CESAM©® in Tan Tock Seng hospital geriatric clinic, Singapore


The Centre of Excellence on Longevity Self-Administered questionnaire (CESAM) is a digital tool aimed for older adults to self-assess their functional and cognitive health status themselves and become involved players in their own healthcare, with high levels of involvement and activity.

Developed by the Centre of Excellence on Longevity, the CESAM is the first scientifically validated self-assessment tool used to evaluate the state of general and functional health in elderly people. It provides recommendations to follow based on the provided information. It was developed to predict adverse health events and to provide early warning for individuals who are at risk of suffering significant disturbance to their overall health so that preventative measures can be put in place.


  • To examine the feasibility, usability and participant compliance regarding the questionnaire in older patients visiting the outpatient geriatric care centre of TTSH Singapore
  • To compare the CESAM score with the other validated tools used in the assessment of frailty in day-to-day practice at TTSH
  • To examine the accuracy and complementarity of the CESAM recommendations when compared to physician recommendations
  • To evaluate if the transfer of CESAM to clinical practice would be useful for Singapore
  • To examine the predictive value of CESAM for the occurrence of adverse health outcomes with and without using recommendations of CESAM in addition to normal care


The design is a cross-sectional study.

The recruitment of as many patients as possible, according to the following selection criteria; Inclusion criteria: Participants are patients aged of 65 years and over, visiting the geriatric outpatient clinic of TTSH for the first time.


Development of multilingual versions through a translation of CESAM into Mandarin Chinese

Analysis of cultural impact

Development and implementation of specifically designed modules, questionnaires and recommendations


Tan Tock Seng Hospital Geriatric Clinic, Singapore

Lee Kong Chian School of Medicine, Singapore

Nanyang Technological University, Singapore

Code Lion, Montreal