Perspectives of Frailty and Frailty Screening: Protocol for a Collaborative Knowledge Translation Approach and Qualitative Study of Stakeholder Understandings and Experiences.
Perspectives of Frailty and Frailty Screening: Protocol for a Collaborative Knowledge Translation Approach and Qualitative Study of Stakeholder Understandings and Experiences.
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DOI：
10.1186/s12877-017-0483-7
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发表时间：
2017-04-17
期刊：
影响因子：
4.1
通讯作者：
Kitson AL
中科院分区：
文献类型：
--
作者：
Archibald MM;Ambagtsheer R;Beilby J;Chehade MJ;Gill TK;Visvanathan R;Kitson AL
伴随着全球老年人口的空前增长，虚弱的患病率也在增加，这是一种与年龄相关的临床状态，对压力源事件的脆弱性增加。这种脆弱性的增加导致社会参与度和生活质量下降，依赖性增加，发病率、保健服务使用率和死亡率上升。早期识别虚弱是必要的，以指导实施干预措施，以防止相关的功能衰退。关于如何在临床上识别和管理虚弱缺乏共识。目前尚不清楚医疗保健提供者和医疗保健消费者如何理解和感知虚弱，他们是否将虚弱视为公共卫生问题；关于消费者和医疗保健提供者群体对虚弱的间接和直接经验的信息明显有限。我们将对消费者、执业护士、全科医生、急诊科医生和整形外科医生在南澳大利亚大都市和非大都市中对虚弱和虚弱筛查的看法进行定性研究。我们将根据每个利益相关者群体使用量身定制的半结构化访谈和基于艺术的数据收集方法组合，然后使用定性描述对数据进行归纳和迭代分析。使用利益攸关方驱动的方法来理解和解决脆弱性和脆弱性筛查问题至关重要，因为全球范围内的脆弱性患病率和负担可能会增加。我们将利用虚弱认知和虚弱筛查研究的结果，为虚弱筛查工具的情境驱动识别、实施和评估提供信息；推动利益相关者群体的意识、知识和技能发展战略；并指导未来的努力，通过协作知识翻译方法，将有关脆弱性及其管理的新兴知识嵌入到南澳大利亚不同的环境中。研究结果将有助于实现与澳大利亚和国外其他司法管辖区相关的协调的脆弱和健康老龄化战略，而利益攸关方驱动方法的应用将有助于阐明其如何适用于其他司法管辖区。
Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This increased vulnerability results in lower social engagement and quality of life, increased dependency, and higher rates of morbidity, health service utilization and mortality. Early identification of frailty is necessary to guide implementation of interventions to prevent associated functional decline. Consensus is lacking on how to clinically recognize and manage frailty. It is unknown how healthcare providers and healthcare consumers understand and perceive frailty, whether or not they regard frailty as a public health concern; and information on the indirect and direct experiences of consumer and healthcare provider groups towards frailty are markedly limited. We will conduct a qualitative study of consumer, practice nurse, general practitioner, emergency department physician, and orthopedic surgeons’ perspectives of frailty and frailty screening in metropolitan and non-metropolitan South Australia. We will use tailored combinations of semi-structured interviews and arts-based data collection methods depending on each stakeholder group, followed by inductive and iterative analysis of data using qualitative description. Using stakeholder driven approaches to understanding and addressing frailty and frailty screening in context is critical as the prevalence and burden of frailty is likely to increase worldwide. We will use the findings from the Perceptions of Frailty and Frailty Screening study to inform a context-driven identification, implementation and evaluation of a frailty-screening tool; drive awareness, knowledge, and skills development strategies across stakeholder groups; and guide future efforts to embed emerging knowledge about frailty and its management across diverse South Australian contexts using a collaborative knowledge translation approach. Study findings will help achieve a coordinated frailty and healthy ageing strategy with relevance to other jurisdictions in Australia and abroad, and application of the stakeholder driven approach will help illuminate how its applicability to other jurisdictions.