A Self-Reported Screening Tool for Detecting Community-Dwelling Older Persons with Frailty Syndrome in the Absence of Mobility Disability: The FiND Questionnaire
A Self-Reported Screening Tool for Detecting Community-Dwelling Older Persons with Frailty Syndrome in the Absence of Mobility Disability: The FiND Questionnaire
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DOI：
10.1371/journal.pone.0101745
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发表时间：
2014-07-07
期刊：
影响因子：
3.7
通讯作者：
Andrieu, Sandrine
中科院分区：
文献类型：
--
作者：
Cesari, Matteo;Demougeot, Laurent;Andrieu, Sandrine
背景资料：“虚弱综合症”（一种老年多方面病症，其特点是储备能力下降，对压力的抵抗力下降）是预防老年人残疾的一个有希望的目标。在没有残疾的情况下确定虚弱的现有筛查工具存在重大局限性。特别是，它们必须由受过训练的评估员管理，需要特殊设备，和/或不区分体弱和残疾人。本研究的目的是验证协议的一种新的自我报告的问卷调查（“脆弱的非残疾”[FiND]仪器），旨在检测非流动性残疾体弱老年人的结果从参考tools.Methodology/主要调查结果：数据来自45个社区居住的个人年龄>= 60岁。参与者被要求分别完成FiND问卷，探索脆弱和残疾领域。然后，盲法评估者客观地测量了虚弱状态（使用Fried及其同事提出的表型）和活动能力障碍（使用400米步行测试）。计算Cohen的kappa系数，以确定FiND问卷与参考工具之间的一致性。参与者的平均年龄（女性62.2%）为72.5岁（标准差8.2）。7名（15.6%）参与者表示无法完成400米步行测试。根据虚弱表型标准，25名（55.6%）参与者为虚弱前或虚弱，13名（28.9%）为健壮。总体而言，仪器与参考工具的基本一致性（kappa = 0.748，二次加权kappa = 0.836，均为p值
Background: The "frailty syndrome'' (a geriatric multidimensional condition characterized by decreased reserve and diminished resistance to stressors) represents a promising target of preventive interventions against disability in elders. Available screening tools for the identification of frailty in the absence of disability present major limitations. In particular, they have to be administered by a trained assessor, require special equipment, and/or do not discriminate between frail and disabled individuals. Aim of this study is to verify the agreement of a novel self-reported questionnaire (the "Frail Non-Disabled'' [FiND] instrument) designed for detecting non-mobility disabled frail older persons with results from reference tools.Methodology/Principal Findings: Data are from 45 community-dwelling individuals aged >= 60 years. Participants were asked to complete the FiND questionnaire separately exploring the frailty and disability domains. Then, a blinded assessor objectively measured the frailty status (using the phenotype proposed by Fried and colleagues) and mobility disability (using the 400-meter walk test). Cohen's kappa coefficients were calculated to determine the agreement between the FiND questionnaire with the reference instruments. Mean age of participants (women 62.2%) was 72.5 (standard deviation 8.2) years. Seven (15.6%) participants presented mobility disability as being unable to complete the 400-meter walk test. According to the frailty phenotype criteria, 25 (55.6%) participants were pre-frail or frail, and 13 (28.9%) were robust. Overall, a substantial agreement of the instrument with the reference tools (kappa = 0.748, quadratic weighted kappa = 0.836, both p values