The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity.
Accidental Falls
Aged
Aged, 80 and over
Cross-Sectional Studies
Disability Evaluation
Disabled Persons
/ statistics & numerical data
Female
Frail Elderly
Frailty
/ diagnosis
Geriatric Assessment
/ methods
Health Status
Humans
Independent Living
Longitudinal Studies
Male
Netherlands
Physical Functional Performance
Psychometrics
/ methods
Regression Analysis
Reproducibility of Results
Self Report
Social Participation
Surveys and Questionnaires
/ standards
Tilburg Frailty Indicator
disability
frailty
older people
validity
Journal
Clinical interventions in aging
ISSN: 1178-1998
Titre abrégé: Clin Interv Aging
Pays: New Zealand
ID NLM: 101273480
Informations de publication
Date de publication:
2020
2020
Historique:
received:
21
12
2019
accepted:
31
01
2020
entrez:
29
2
2020
pubmed:
29
2
2020
medline:
4
9
2020
Statut:
epublish
Résumé
The Tilburg Frailty Indicator (TFI) is a self-report user-friendly questionnaire for assessing multidimensional frailty among community-dwelling older people. The main aim of this study is to re-evaluate the validity of the TFI, both cross-sectionally and longitudinally, focusing on the predictive value of the total TFI and its physical, psychological, and social domains for adverse outcomes disability, indicators of healthcare utilization, and falls. The validity of the TFI was determined in a sample of 180 Dutch community-dwelling older people aged 70 years and older. The participants completed questionnaires including the TFI, the Groningen Activity Restriction Scale (GARS) for assessing disability, and questions with regard to health care utilization and falls in 2016 and again one year later. The physical and psychological domains of the TFI were significantly correlated as expected with adverse outcomes disability, many indicators of healthcare utilization, and falls. Regression analyses showed that physical frailty was mostly responsible for the effect of frailty on the adverse outcomes. The cross-sectional and longitudinal predictive validity of total frailty with respect to disability and receiving personal care was excellent, evidenced by Areas Under the Curves (AUCs) >0.8. In most cases, using the cut-off point 5 for total frailty ensured the best values for sensitivity and specificity. The present study provided new, additional evidence for the validity of the TFI for assessing frailty in Dutch community-dwelling older people aiming to prevent or delay adverse outcomes, including disability.
Identifiants
pubmed: 32110005
doi: 10.2147/CIA.S243233
pii: 243233
pmc: PMC7041595
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
265-274Informations de copyright
© 2020 Gobbens et al.
Déclaration de conflit d'intérêts
The authors report no conflict of interest in this work.
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