AutomedicationFrancoV1, Main, Exploration, bibRecord, 000089

The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity.

Identifieur interne : 000089 ( Main/Exploration ); précédent : 000088; suivant : 000090

The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity.

Auteurs : Robbert Jj Gobbens [Pays-Bas, Belgique] ; Petra Boersma [Pays-Bas] ; Izabella Uchmanowicz [Pologne] ; Livia Maria Santiago [Brésil]

Source :

Clinical interventions in aging [ 1178-1998 ] ; 2020.

RBID : pubmed:32110005

Descripteurs français

KwdFr :
- Analyse de régression (MeSH), Autorapport (MeSH), Chutes accidentelles (MeSH), Enquêtes et questionnaires (normes), Femelle (MeSH), Fragilité (diagnostic), Fragilité (physiopathologie), Fragilité (psychologie), Humains (MeSH), Mâle (MeSH), Participation sociale (MeSH), Pays-Bas (MeSH), Performance fonctionnelle physique (MeSH), Personne âgée fragile (MeSH), Personnes handicapées (statistiques et données numériques), Psychométrie (méthodes), Reproductibilité des résultats (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vie autonome (MeSH), État de santé (MeSH), Études longitudinales (MeSH), Études transversales (MeSH), Évaluation de l'invalidité (MeSH), Évaluation gériatrique (méthodes).
MESH :
- diagnostic : Fragilité.
- méthodes : Psychométrie, Évaluation gériatrique.
- normes : Enquêtes et questionnaires.
- physiopathologie : Fragilité.
- psychologie : Fragilité.
- statistiques et données numériques : Personnes handicapées.
- Analyse de régression, Autorapport, Chutes accidentelles, Femelle, Humains, Mâle, Participation sociale, Pays-Bas, Performance fonctionnelle physique, Personne âgée fragile, Reproductibilité des résultats, Sujet âgé, Sujet âgé de 80 ans ou plus, Vie autonome, État de santé, Études longitudinales, Études transversales, Évaluation de l'invalidité.
Wicri :
- geographic : Pays-Bas.

English descriptors

KwdEn :
- Accidental Falls (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Cross-Sectional Studies (MeSH), Disability Evaluation (MeSH), Disabled Persons (statistics & numerical data), Female (MeSH), Frail Elderly (MeSH), Frailty (diagnosis), Frailty (physiopathology), Frailty (psychology), Geriatric Assessment (methods), Health Status (MeSH), Humans (MeSH), Independent Living (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Netherlands (MeSH), Physical Functional Performance (MeSH), Psychometrics (methods), Regression Analysis (MeSH), Reproducibility of Results (MeSH), Self Report (MeSH), Social Participation (MeSH), Surveys and Questionnaires (standards).
MESH :
- geographic : Netherlands.
- diagnosis : Frailty.
- methods : Geriatric Assessment, Psychometrics.
- physiopathology : Frailty.
- psychology : Frailty.
- standards : Surveys and Questionnaires.
- statistics & numerical data : Disabled Persons.
- Accidental Falls, Aged, Aged, 80 and over, Cross-Sectional Studies, Disability Evaluation, Female, Frail Elderly, Health Status, Humans, Independent Living, Longitudinal Studies, Male, Physical Functional Performance, Regression Analysis, Reproducibility of Results, Self Report, Social Participation.

Abstract

Objective

The Tilburg Frailty Indicator (TFI) is a self-report user-friendly questionnaire for assessing multidimensional frailty among community-dwelling older people. The main aim of this study is to re-evaluate the validity of the TFI, both cross-sectionally and longitudinally, focusing on the predictive value of the total TFI and its physical, psychological, and social domains for adverse outcomes disability, indicators of healthcare utilization, and falls.

Methods

The validity of the TFI was determined in a sample of 180 Dutch community-dwelling older people aged 70 years and older. The participants completed questionnaires including the TFI, the Groningen Activity Restriction Scale (GARS) for assessing disability, and questions with regard to health care utilization and falls in 2016 and again one year later.

Results

The physical and psychological domains of the TFI were significantly correlated as expected with adverse outcomes disability, many indicators of healthcare utilization, and falls. Regression analyses showed that physical frailty was mostly responsible for the effect of frailty on the adverse outcomes. The cross-sectional and longitudinal predictive validity of total frailty with respect to disability and receiving personal care was excellent, evidenced by Areas Under the Curves (AUCs) >0.8. In most cases, using the cut-off point 5 for total frailty ensured the best values for sensitivity and specificity.

Conclusion

The present study provided new, additional evidence for the validity of the TFI for assessing frailty in Dutch community-dwelling older people aiming to prevent or delay adverse outcomes, including disability.

DOI: 10.2147/CIA.S243233
PubMed: 32110005
PubMed Central: PMC7041595

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000221
to stream Main, to step Curation: 000221

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Disability Evaluation (MeSH)</term>
<term>Disabled Persons (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Frail Elderly (MeSH)</term>
<term>Frailty (diagnosis)</term>
<term>Frailty (physiopathology)</term>
<term>Frailty (psychology)</term>
<term>Geriatric Assessment (methods)</term>
<term>Health Status (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Independent Living (MeSH)</term>
<term>Longitudinal Studies (MeSH)</term>
<term>Male (MeSH)</term>
<term>Netherlands (MeSH)</term>
<term>Physical Functional Performance (MeSH)</term>
<term>Psychometrics (methods)</term>
<term>Regression Analysis (MeSH)</term>
<term>Reproducibility of Results (MeSH)</term>
<term>Self Report (MeSH)</term>
<term>Social Participation (MeSH)</term>
<term>Surveys and Questionnaires (standards)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse de régression (MeSH)</term>
<term>Autorapport (MeSH)</term>
<term>Chutes accidentelles (MeSH)</term>
<term>Enquêtes et questionnaires (normes)</term>
<term>Femelle (MeSH)</term>
<term>Fragilité (diagnostic)</term>
<term>Fragilité (physiopathologie)</term>
<term>Fragilité (psychologie)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Participation sociale (MeSH)</term>
<term>Pays-Bas (MeSH)</term>
<term>Performance fonctionnelle physique (MeSH)</term>
<term>Personne âgée fragile (MeSH)</term>
<term>Personnes handicapées (statistiques et données numériques)</term>
<term>Psychométrie (méthodes)</term>
<term>Reproductibilité des résultats (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vie autonome (MeSH)</term>
<term>État de santé (MeSH)</term>
<term>Études longitudinales (MeSH)</term>
<term>Études transversales (MeSH)</term>
<term>Évaluation de l'invalidité (MeSH)</term>
<term>Évaluation gériatrique (méthodes)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Frailty</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Fragilité</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Geriatric Assessment</term>
<term>Psychometrics</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Psychométrie</term>
<term>Évaluation gériatrique</term>
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<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Enquêtes et questionnaires</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Fragilité</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Frailty</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Fragilité</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Frailty</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Surveys and Questionnaires</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Disabled Persons</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Personnes handicapées</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Disability Evaluation</term>
<term>Female</term>
<term>Frail Elderly</term>
<term>Health Status</term>
<term>Humans</term>
<term>Independent Living</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Physical Functional Performance</term>
<term>Regression Analysis</term>
<term>Reproducibility of Results</term>
<term>Self Report</term>
<term>Social Participation</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Analyse de régression</term>
<term>Autorapport</term>
<term>Chutes accidentelles</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Participation sociale</term>
<term>Pays-Bas</term>
<term>Performance fonctionnelle physique</term>
<term>Personne âgée fragile</term>
<term>Reproductibilité des résultats</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vie autonome</term>
<term>État de santé</term>
<term>Études longitudinales</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><p><b>Objective</b>
</p>
<p>The Tilburg Frailty Indicator (TFI) is a self-report user-friendly questionnaire for assessing multidimensional frailty among community-dwelling older people. The main aim of this study is to re-evaluate the validity of the TFI, both cross-sectionally and longitudinally, focusing on the predictive value of the total TFI and its physical, psychological, and social domains for adverse outcomes disability, indicators of healthcare utilization, and falls.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Methods</b>
</p>
<p>The validity of the TFI was determined in a sample of 180 Dutch community-dwelling older people aged 70 years and older. The participants completed questionnaires including the TFI, the Groningen Activity Restriction Scale (GARS) for assessing disability, and questions with regard to health care utilization and falls in 2016 and again one year later.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Results</b>
</p>
<p>The physical and psychological domains of the TFI were significantly correlated as expected with adverse outcomes disability, many indicators of healthcare utilization, and falls. Regression analyses showed that physical frailty was mostly responsible for the effect of frailty on the adverse outcomes. The cross-sectional and longitudinal predictive validity of total frailty with respect to disability and receiving personal care was excellent, evidenced by Areas Under the Curves (AUCs) >0.8. In most cases, using the cut-off point 5 for total frailty ensured the best values for sensitivity and specificity.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Conclusion</b>
</p>
<p>The present study provided new, additional evidence for the validity of the TFI for assessing frailty in Dutch community-dwelling older people aiming to prevent or delay adverse outcomes, including disability.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="Objective" NlmCategory="UNASSIGNED">The Tilburg Frailty Indicator (TFI) is a self-report user-friendly questionnaire for assessing multidimensional frailty among community-dwelling older people. The main aim of this study is to re-evaluate the validity of the TFI, both cross-sectionally and longitudinally, focusing on the predictive value of the total TFI and its physical, psychological, and social domains for adverse outcomes disability, indicators of healthcare utilization, and falls.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">The validity of the TFI was determined in a sample of 180 Dutch community-dwelling older people aged 70 years and older. The participants completed questionnaires including the TFI, the Groningen Activity Restriction Scale (GARS) for assessing disability, and questions with regard to health care utilization and falls in 2016 and again one year later.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">The physical and psychological domains of the TFI were significantly correlated as expected with adverse outcomes disability, many indicators of healthcare utilization, and falls. Regression analyses showed that physical frailty was mostly responsible for the effect of frailty on the adverse outcomes. The cross-sectional and longitudinal predictive validity of total frailty with respect to disability and receiving personal care was excellent, evidenced by Areas Under the Curves (AUCs) >0.8. In most cases, using the cut-off point 5 for total frailty ensured the best values for sensitivity and specificity.</AbstractText>
<AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">The present study provided new, additional evidence for the validity of the TFI for assessing frailty in Dutch community-dwelling older people aiming to prevent or delay adverse outcomes, including disability.</AbstractText>
<CopyrightInformation>© 2020 Gobbens et al.</CopyrightInformation>
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<ForeName>Robbert Jj</ForeName>
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<AffiliationInfo><Affiliation>Zonnehuisgroep Amstelland, Amstelveen, the Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</Affiliation>
</AffiliationInfo>
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<ForeName>Petra</ForeName>
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<ForeName>Izabella</ForeName>
<Initials>I</Initials>
<Identifier Source="ORCID">0000-0002-8002-2052</Identifier>
<AffiliationInfo><Affiliation>Division of Nursing in Internal Medicine Procedures, Department of Clinical Nursing, The Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Santiago</LastName>
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<AffiliationInfo><Affiliation>Faculty of Medicine, Department of Speech and Language Pathology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.</Affiliation>
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<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity.

The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity.

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