ArticleResearch square2026
Five Factors of Frailty: A Multidimensional Psychometrically Robust Research Tool.
Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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3 authors.
Funding
Abstract
Background: Availability of large longitudinal population health and aging studies, such as the English Longitudinal Study on Ageing, hold many opportunities for the examination of the development of Frailty over time. Lacking are psychometrically robust longitudinal measurement of the concepts of frailty required for accurate and reliable estimates and identification of frail individuals. Objectives: Development of a psychometrically robust longitudinal research tool of Frailty. The tool is to be easy to replicate for future use in health and aging research. Participants/Measurements: Data comes from four waves of ELSA (2014-2017); Design: Exploratory factor analysis (EFA) of common-self-reported deficits available across four waves of longitudinal data were compared to determine which deficits were a best fit for a research-based frailty index. Standardized regression factor scores were calculated to represent individual's placement in factors identified from EFA. Cross-sectional validation and reliability are reported. Results: Five-Factors of Frailty found were consistent across ELSA waves. Mobility/Severe Pain, Planning/Self Care, Depression, Moderate Pain/Movement/Arthritis and Cardio-Metabolic. The variable make-up of each factor differed between males and females. Psychometric properties of the five factor frailty model were taken into account at each stage of development (factorability/sampling adequacy, cross-sectional replicability, internal consistency, low interdeterminacy, relations with age). Conclusions: Five distinct factors of an accumulation of deficits approach to frailty were found. Use and development of the five factors of frailty research tool are outlined. This research tool will aid researchers in determining the complex risk factors and outcomes of empirically derived components of frailty in ELSA.
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