Cited by 169Frailty in Older AdultsAging, Health, and DisabilityPharmaceutical Practices and Patient Outcomes

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The psychometric properties of three self-report screening instruments for identifying frail older people in the community

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Metzelthin, Silke F, Daniëls, Ramon, van Rossum, Erik, de Witte, Luc, van den Heuvel, Wim JA, Kempen, Gertrudis IJM·2010·BMC Public Health

DOI 10.1186/1471-2458-10-176PMC PMC2868816

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Abstract

BACKGROUND: Frailty is highly prevalent in older people. Its serious adverse consequences, such as disability, are considered to be a public health problem. Therefore, disability prevention in community-dwelling frail older people is considered to be a priority for research and clinical practice in geriatric care. With regard to disability prevention, valid screening instruments are needed to identify frail older people in time. The aim of this study was to evaluate and compare the psychometric properties of three screening instruments: the Groningen Frailty Indicator (GFI), the Tilburg Frailty Indicator (TFI) and the Sherbrooke Postal Questionnaire (SPQ). For validation purposes the Groningen Activity Restriction Scale (GARS) was added. METHODS: A questionnaire was sent to 687 community-dwelling older people (> or = 70 years). Agreement between instruments, internal consistency, and construct validity of instruments were evaluated and compared. RESULTS: The response rate was 77%. Prevalence estimates of frailty ranged from 40% to 59%. The highest agreement was found between the GFI and the TFI (Cohen's kappa = 0.74). Cronbach's alpha for the GFI, the TFI and the SPQ was 0.73, 0.79 and 0.26, respectively. Scores on the three instruments correlated significantly with each other (GFI - TFI, r = 0.87; GFI - SPQ, r = 0.47; TFI - SPQ, r = 0.42) and with the GARS (GFI - GARS, r = 0.57; TFI - GARS, r = 0.61; SPQ - GARS, r = 0.46). The GFI and the TFI scores were, as expected, significantly related to age, sex, education and income. CONCLUSIONS: The GFI and the TFI showed high internal consistency and construct validity in contrast to the SPQ. Based on these findings it is not yet possible to conclude whether the GFI or the TFI should be preferred; data on the predictive values of both instruments are needed. The SPQ seems less appropriate for postal screening of frailty among community-dwelling older people.

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Authors: Metzelthin, S. F., Daniëls, R., van Rossum, E., de Witte, L., van den Heuvel, W. J., & Kempen, G. I.
Affiliations: Maastricht University (NL)
Zuyd University of Applied Sciences (NL)
Corresponding author: Metzelthin, Silke F
ORCID: Metzelthin, Silke F
Daniëls, Ramon
Kempen, Gertrudis IJM
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2010-03-31
Volume: 10
Issue: 1
Pages: 176-176
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/1471-2458-10-176
PMC: PMC2868816
OpenAlex: W2065281435
Cited by: 169
References: 39
Citations by year: 2026: 3 · 2025: 2 · 2024: 5 · 2023: 9 · 2022: 11 · 2021: 11 · 2020: 9 · 2019: 21 · 2018: 14 · 2017: 9 · 2016: 11 · 2015: 7 · 2014: 10 · 2013: 16 · 2012: 20
FWCI: 6.00
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: BMC Public Health (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion, cc-by)
University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders: Universiteit Maastricht
Zuyd Hogeschool
Topics: Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords: frailty, frailty screening, community-dwelling older adults, Groningen Frailty Indicator, Tilburg Frailty Indicator, psychometric properties, internal consistency, construct validity, inter-instrument agreement, disability prevention
MeSH terms: Aged, Aged, 80 and over, Community Health Services, Female, Health Services for the Aged, Humans, Male, Mass Screening, Netherlands, Psychometrics, Surveys and Questionnaires, Residence Characteristics, Geriatric Assessment, Prevalence, Frail Elderly, Self Report

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The psychometric properties of three self-report screening instruments for identifying frail older people in the community

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