ArticleHealthcare (Basel, Switzerland)2023
Translation and Validation of the Swedish Version of the Tilburg Frailty Indicator.
Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Protocol for the HALDI study-conceptual framework for investigating health and living conditions in an arctic area of Sweden with a multiethnic population.Annals of medicine · 2025Article
- REAGERA-dementia: study protocol for the validation of screening instruments to detect abuse of people with dementia.BMC geriatrics · 2025Article
- Primary health care professionals' experiences of using the Tilburg Frailty Indicator: an interview study.Primary health care research & development · 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
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
Abstract
The Tilburg Frailty Indicator (TFI) is a questionnaire with 15 questions designed for screening for frailty in community-dwelling older people. TFI has a multidimensional approach to frailty, including physical, psychological, and social dimensions. The aim of this study was to translate TFI into Swedish and study its psychometric properties in community-dwelling older people with multimorbidity. A cross-sectional study of individuals 75 years and older, with ≥3 diagnoses of the ICD-10 and ≥3 visits to the Emergency Department in the past 18 months. International guidelines for back-translation were followed. Psychometric properties of the TFI were examined by determining the reliability (inter-item correlations, internal consistency, test-retest) and validity (concurrent, construct, structural). A total of 315 participants (57.8% women) were included, and the mean age was 83.3 years. The reliability coefficient KR-20 was 0.69 for the total sum. A total of 39 individuals were re-tested, and the weighted kappa was 0.7. TFI correlated moderately with other frailty measures. The individual items correlated with alternative measures mostly as expected. In the confirmatory factor analysis (CFA), a three-factor model fitted the data better than a one-factor model. We found evidence for adequate reliability and validity of the Swedish TFI and potential for improvements.
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