Evidence map›Paper›PMID 29378540›Full record

ArticleBMC public health2018

Detecting frail, older adults and identifying their strengths: results of a mixed-methods study.

Sarah Dury, Eva Dierckx, Anne van der Vorst, Michaël Van der Elst, Bram Fret, Daan Duppen, Lieve Hoeyberghs, Ellen De Roeck, Deborah Lambotte, An-Sofie Smetcoren and 11 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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  16. Collaborating on Early Detection of Frailty; a Multifaceted Challenge.International journal of integrated care · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 5 institutions in 4 countries.

Sarah DuryDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium. sarah.dury@vub.be.ORCID 0000-0003-0743-0364
Eva DierckxDepartment of Clinical and Lifespan Psychology, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Anne van der VorstDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Duboisdomein 30, 6229, GT, Maastricht, The Netherlands.
Michaël Van der ElstDepartment of Public Health and Primary Care University of Leuven, Kapucijnenvoer 33 blok J postbus 7001, 3000, Leuven, Belgium.
Bram FretDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Daan DuppenDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Lieve HoeyberghsFaculty of Education, Health and Social Work, University College Ghent, Keramiekstraat 80, 9000, Ghent, Belgium.
Ellen De RoeckDepartment of Clinical and Lifespan Psychology, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Deborah LambotteDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
An-Sofie SmetcorenDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Jos ScholsDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200, MD, Maastricht, The Netherlands.
Gertrudis KempenDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200, MD, Maastricht, The Netherlands.
G A Rixt ZijlstraDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200, MD, Maastricht, The Netherlands.
Jan De LepeleireDepartment of Public Health and Primary Care University of Leuven, Kapucijnenvoer 33 blok J postbus 7001, 3000, Leuven, Belgium.
Birgitte SchoenmakersDepartment of Public Health and Primary Care University of Leuven, Kapucijnenvoer 33 blok J postbus 7001, 3000, Leuven, Belgium.
Dominique VertéDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Nico De WitteDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Tinie KardolDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Peter Paul De DeynLaboratory of Neurochemistry and Behaviour, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium.
Sebastiaan EngelborghsLaboratory of Neurochemistry and Behaviour, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium.
Liesbeth De DonderDepartment of Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium.
Vrije Universiteit Brussel · BEMaastricht University · NLKU Leuven · BEUniversity College Ghent · BEUniversity of Antwerp · BE

Funding

Agentschap voor Innovatie door Wetenschap en Technologie IWT-140027-SBO
6 · The paper itself

Abstract

backgroundThe debate on frailty in later life focuses primarily on deficits and their associations with adverse (health) outcomes. In addition to deficits, it may also be important to consider the abilities and resources of older adults. This study was designed to gain insights into the lived experiences of frailty among older adults to determine which strengths can balance the deficits that affect frailty.

methodsData from 121 potentially frail community-dwelling older adults in Flemish-speaking Region of Belgium and Brussels were collected using a mixed-methods approach. Quantitative data were collected using the Comprehensive Frailty Assessment Instrument (CFAI), Montreal Cognitive Assessment (MoCA), and numeric rating scales (NRS) for quality of life (QoL), care and support, meaning in life, and mastery. Bivariate analyses, paired samples t-tests and means were performed. Qualitative data on experiences of frailty, frailty balance, QoL, care and support, meaning in life, and mastery were collected using semi-structured interviews. Interviews were subjected to thematic content analysis.

resultsThe "no to mild frailty" group had higher QoL, care and support, meaning in life, and mastery scores than the "severe frailty" group. Nevertheless, qualitative results indicate that, despite being classified as frail, many older adults experienced high levels of QoL, care and support, meaning in life, and mastery. Respondents mentioned multiple balancing factors for frailty, comprising individual-level circumstances (e.g., personality traits, coping strategies, resilience), environmental influences (e.g., caregivers, neighborhood, social participation), and macro-level features (e.g., health literacy, adequate financial compensation). Respondents also highlighted that life changes affected their frailty balance, including changes in health, finances, personal relationships, and living situation.

conclusionThe findings indicate that frailty among older individuals can be considered as a dynamic state and, regardless of frailty, balancing factors are important in maintaining a good QoL. The study investigated not only the deficits, but also the abilities, and resources of frail, older adults. Public policymakers and healthcare organizations are encouraged to include these abilities, supplementary or even complementary to the usual focus on deficits.

Indexed as

AgedAged, 80 and overBelgiumCross-Sectional StudiesFemaleFrail ElderlyFrailtyHumansIndependent LivingMaleQualitative ResearchQuality of LifeSocioeconomic FactorsBelgiumCaregiversFrail elderlyHealth literacyIndependent livingQuality of lifeResidence characteristicsSocial participationSurveys and questionnaires

Identifiers

PMID29378540
PMCPMC5789734
OpenAlexW2795563487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.