Frailty in community-dwelling older people and nursing home residents: An adaptation and validation study.
Sergej Kmetec, Zvonka Fekonja, Adam Davey and 5 others
PMID 37828685WHAT IT FOUND
A Slovenian frailty questionnaire was usable for older people at home and in nursing homes.
It took under 15 minutes, and 45% were frail.
Key findings
01The adapted questionnaire took under 15 minutes to complete, and experts rated every item as relevant.
02In 866 analysed questionnaires, 45% of older people were frail overall, 59% in nursing homes and 36% in community-dwelling settings.
03The total score was reproducible in the test-retest analysis, and the overall internal consistency was adequate.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was a convenience sample, so it may not represent all older Slovenians. Older people with cognitive impairment or who could not answer the questionnaire were excluded, so the findings do not apply to them. The study did not report health status, medications, or other interventions, so it cannot say how frailty scores relate to those factors. The characteristics of people who returned incomplete questionnaires were not analysed, and reasons for non-response were not known. The same 10 people were used for content validity and face validity. The retest data were not matched to the same participants, and three months may allow frailty to change.
Declared interests
The authors declared no conflict of interests.
The easy way to misread this
Do not read this as evidence that using the questionnaire improves care. It validated a Slovenian version in older people who could answer it, and it excluded people with cognitive impairment.