Clinical Global Impression of Change in Physical Frailty: Development of a Measure Based on Clinical Judgment
Abstract
Objectives To expand the ability to assess physical frailty by developing a Clinical Global Impression of Change in Physical Frailty (CGIC-PF) instrument. Design Qualitative and quantitative instrument development. Setting Academic centers. Participant s Six expert panel members, 46 clinicians, 24 patients, and 12 caregivers. Measurements Literature review and structured group processes with experts, clinicians, and consumers were used to generate an initial list of domains and indicators. Structured interviews with clinical experts in the area of frailty were used to establish relevance and feasibility of measurement of domains. Interrater reliability was assessed through a Web-based study. Geriatricians pilot tested the feasibility of the baseline CGIC-PF with 10 patients. Results The CGIC-PF includes six intrinsic domains (mobility, balance, strength, endurance, nutrition, and neuromotor performance) and seven consequences domains (medical complexity, healthcare utilization, appearance, self-perceived health, activities of daily living, emotional status, and social status). Each domain has two to four clinical indicators. Change is scored on a 7-point scale from markedly worse to markedly improved. Average interrater reliability of the CGIC-PF for the Web-based cases was 0.97. Geriatricians completed a baseline CGIC-PF on their own patients in 10 minutes or less. Conclusion The CGIC-PF is a structured assessment of change in physical frailty with defined content and proces…
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The EFS is shorter than another recent clinical proposal that focused on change.
“The EFS is shorter than another recent clinical proposal [18] that focused on change”
From Validity and reliability of the Edmonton Frail Scale (2006) · cites this paper as [18]
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- Authors
- Studenski, S., Hayes, R. P., Leibowitz, R. Q., Bode, R., Lavery, L., Walston, J., Duncan, P., & Perera, S.
- Affiliations
- University of Pittsburgh (US)
- Northwestern University (US)
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2004-08-16
- Volume
- 52
- Issue
- 9
- Pages
- 1560-1566
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W1556601302
- Cited by
- 252
- References
- 29
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 9 · 2023: 1 · 2022: 5 · 2021: 9 · 2020: 3 · 2019: 11 · 2018: 12 · 2017: 16 · 2016: 12 · 2015: 13 · 2014: 16 · 2013: 16 · 2012: 11
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Keywords
- physical frailty, Clinical Global Impression of Change, frailty assessment, change measurement, instrument development, inter-rater reliability, geriatric assessment, mobility (physical function), balance, muscle strength, endurance, nutrition, activities of daily living, health care utilization, health perception, emotional state, social status
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Attitude of Health Personnel, Attitude to Health, Clinical Competence, Disability Evaluation, Postural Balance, Feasibility Studies, Female, Geriatrics, Humans, Judgment, Male, Mental Health, Nutritional Status, Physical Endurance, Psychometrics, Psychomotor Performance, Surveys and Questionnaires, Self-Assessment, Geriatric Assessment, Observer Variation, Frail Elderly, Qualitative Research
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