ReviewClinical interventions in aging2021
Assessing Frailty with the Tilburg Frailty Indicator (TFI): A Review of Reliability and Validity.
Review in Clinical interventions in aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Frailty and postoperative complications in elderly patients undergoing cardiac surgery: a systematic review and meta-analysis.BMC geriatrics · 2026Pooled it
- Effect of cerebellar vermis intermittent theta-burst stimulation on balance function in frail older adults: a randomized controlled trial.BMC geriatrics · 2026Trial
- Frailty, Sarcopenia, and Cognitive Risk in Senior Living Communities: Associations with Relocation Reasons and Fitness Amenity Utilization.Geriatrics (Basel, Switzerland) · 2026Article
- Impact of Frailty Syndrome on Early and Midterm Adverse Events in Patients With Acute Coronary Syndrome.Medical science monitor : international medical journal of experimental and clinical research · 2026Observational
- Measuring bio-psycho-social frailty in older adults across multiple surveys and indicators: evidence from Italy for public health policy.European journal of public health · 2026Article
- The relationship between frailty, health literacy, and medication adherence in older adults.BMC geriatrics · 2026Article
- The Impact of Tilburg Frailty on Poststroke Fatigue in First-Ever Stroke Patients: A Cross-Sectional Study With Unified Measurement Tools and Improved Statistics.Annals of clinical and translational neurology · 2026Article
- Social frailty independently predicts 9-year mortality among community-dwelling older adults in Mexico: validation of a brief social frailty index.Frontiers in public health · 2026Article
- Selection of an Appropriate Tool for Assessing Geriatric Frailty in Clinical Practice: A Narrative Review.Clinical interventions in aging · 2026Review
- Primary health care professionals' experiences of using the Tilburg Frailty Indicator: an interview study.Primary health care research & development · 2025Article
- Validation of the nurse directed frailty assessment tool, to identify patients at risk of emergency department visits, hospitalisation, and 1-year all-cause mortality.European geriatric medicine · 2025Article
- The pictorial fit-frail scale: a novel tool for frailty assessment in critically ill older adults.BMC geriatrics · 2025Article
- A single-blind randomized trial on the efficacy of telerehabilitation in post-stroke cognitive impairment. CIPS-TER study: rationale, design and methodology.Frontiers in stroke · 2025Article
- Assessing the Impact of Frailty Interventions on Older Patients With Frailty.Current therapeutic research, clinical and experimental · 2025Article
- Scaling up frailty: psychometric validation of the functional limitations and geriatric syndromes frailty questionnaire-a new tool for uniformly classifying vulnerable hospital patients.Frontiers in medicine · 2025Article
- Development of a psychological frailty index: results from the China health and retirement longitudinal study.Frontiers in psychology · 2025Article
- Home Rehabilitation Experience and Influencing Factors in Frail Elderly Patients with Lumbar Spine Surgery: A Qualitative Study.Patient preference and adherence · 2025Article
- Not All Frailty Assessments Are Created Equal: Comparability of Electronic Health Data-Based Frailty Assessments in Assessing Older People in Residential Care.Biological research for nursing · 2024Article
- Efficacy of a Comprehensive and Personalised Approach for Frail Older People in Valencia (Spain): A Pre-Post Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- Psychometric adequacy of the persian adapted version of the tilburg frailty indicator (P-TFI).BMC geriatrics · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe Tilburg Frailty Instrument (TFI) is an instrument for assessing frailty in community-dwelling older people. Since its development, many studies have been carried out examining the psychometric properties. The aim of this study was to provide a review of the main findings with regard to the reliability and validity of the TFI.
methodsWe conducted a literature search in the PubMed and CINAHL databases on May 30, 2020. An inclusion criterion was the use of the entire TFI, part B, referring to the 15 components. No restrictions were placed on language or year of publication.
resultsIn total, 27 studies reported about the psychometric properties of the TFI. By far, most of the studies (n = 25) were focused on community-dwelling older people. Many studies showed that the internal consistency and test-retest reliability are good, which also applies for the criterion and construct validity. In many studies, adverse outcomes of interest were disability, increased health-care utilization, lower quality of life, and mortality. Regarding disability, studies predominantly show results that are excellent, with an area under the curve (AUC) >0.80. In addition, the TFI showed good associations with lower quality of life and the findings concerning mortality were at least acceptable. However, the association of the TFI with some indicators of health-care utilization can be indicated as poor (eg, visits to a general practitioner, hospitalization).
conclusionSince population aging is occurring all over the world, it is important that the TFI is available and well known that it is a user-friendly instrument for assessing frailty and its psychometric properties being qualified as good. The findings of this assessment can support health-care professionals in selecting interventions to reduce frailty and delay its adverse outcomes, such as disability and lower quality of life.
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