Evidence map›Paper›PMID 33125682›Full record

ArticleEuropean geriatric medicine2021

Perceptions, attitudes and training needs of primary healthcare professionals in identifying and managing frailty: a qualitative study.

Christina Avgerinou, Marina Kotsani, Magda Gavana, Martha Andreou, Dimitra-Iosifina Papageorgiou, Violeta Roka, Despoina Symintiridou, Chrysanthi Manolaki, George Soulis, Emmanouil Smyrnakis

Open access · hybridAbstract read
In one paragraph

Article in European geriatric medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.8field-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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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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

10 authors at 6 institutions in 3 countries.

Christina AvgerinouDepartment of Primary Care and Population Health, University College London, Rowland Hill Street, London, NW3 2PF, UK. c.avgerinou@ucl.ac.uk.ORCID 0000-0002-1445-1676
Marina KotsaniUniversité de Lorraine, CHRU-Nancy, Pôle "Maladies du Vieillissement, Gérontologie et Soins Palliatifs", 54000, Nancy, France.
Magda GavanaLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Martha AndreouAvdira Health Center, Abdera, Xanthi, Greece.
Dimitra-Iosifina PapageorgiouLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Violeta RokaFarkadona Health Center, Farkadona, Trikala, Greece.
Despoina Symintiridou1st TOMY Serron, Serres, Greece.
Chrysanthi ManolakiRodolivos Health Center, Rodolivos, Serres, Greece.
George SoulisOutpatient Geriatric Assessment Unit, Henry Dunant Hospital Center, Athens, Greece.
Emmanouil SmyrnakisLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Aristotle University of Thessaloniki · GRe-Trikala (Greece) · GRGeneral Hospital of Serres · GRHenry Dunant Hospital · GRRoland Hill (United Kingdom) · GBUniversité de Lorraine · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough frailty can be delayed or prevented by appropriate interventions, these are often not available in countries lacking formal education and infrastructure in geriatrics. The aim of this study was to: (a) explore ideas, perceptions and attitudes of primary health care (PHC) professionals towards frailty in a country where geriatrics is not recognised as a specialty; (b) explore PHC professionals' training needs in frailty; and (c) define components of a frailty educational programme in PHC.

methodsQualitative design, using two focus groups with PHC professionals conducted in Thessaloniki, Greece. Focus groups were audio recorded and transcribed. Data were analysed with thematic analysis.

resultsIn total 31 PHC professionals (mean age: 46 years; gender distribution: 27 females, 4 males) participated in the study (physicians n = 17; nurses n = 12; health visitors n = 2). Four main themes were identified: (1) Perceptions and understanding of frailty; (2) Facilitators and barriers to frailty identification and management; (3) Motivation to participate in a frailty training programme; (4) Education and training. The main barriers for the identification and management of frailty were associated with the healthcare system, including duration of appointments, a focus on prescribing, and problems with staffing of allied health professionals, but also a lack of education. Training opportunities were scarce and entirely based on personal incentive. Professionals were receptive to training either face-to-face or online. A focus on learning practical skills was key.

conclusionEducation and training of professionals and interdisciplinary collaboration are essential and much needed for the delivery of person-centred care for people with frailty living in the community.

Indexed as

FrailtyAttitudeFemaleHealth PersonnelHumansMaleMiddle AgedPerceptionPrimary Health CareEducationFrailtyGeriatricsHealth professionalsPrimary careQualitative research

Identifiers

PMID33125682
PMCPMC7990835
OpenAlexW3097242664

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.