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Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults

Author

Listed:
  • Ana Filipa Cardoso

    (Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal)

  • Elzbieta Bobrowicz-Campos

    (Centre of 20th Century Interdisciplinary Studies, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal)

  • Luísa Teixeira-Santos

    (Health Sciences Research Unit, Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal)

  • Daniela Cardoso

    (Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal)

  • Filipa Couto

    (Alfena Hospital—Trofa Health Group, Health Sciences Research Unit, Nursing, Nursing School of Coimbra, 3000-232 Coimbra, Portugal)

  • João Apóstolo

    (Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal)

Abstract

Early detection of frailty may prevent or delay adverse health outcomes in community-dwelling older adults. In Portugal, there are currently no valid multidimensional frailty screening tools. SUNFRAIL is a user-friendly multidimensional tool for frailty screening that can be used in primary care. Aims: (i) to determine the validity and reliability of the European Portuguese version of the SUNFRAIL tool for use in community-dwelling older adults; (ii) to assess the screening capacity of this version of SUNFRAIL using Fried’s phenotypic model criteria for frailty as a reference test. Methods: Cross-sectional pilot study in a convenience sample of 128 community-dwelling older adults. Objective and subjective data were collected. Internal consistency, concurrent validity, sensitivity, and specificity (ROC curve analysis) were examined. Results: Internal consistency was low. Significant moderate to strong correlations were found between different domains and the total score. The differences between robust, pre-frail, and frail older adults were significant. SUNFRAIL was also correlated with multimorbidity. Sensitivity and specificity were satisfactory. Conclusions: The European Portuguese version of the SUNFRAIL tool is a promising frailty screening tool for community-dwelling older adults to be routinely used in clinical practice. However, more consistent results on its validity and reliability are needed to be used nationwide.

Suggested Citation

  • Ana Filipa Cardoso & Elzbieta Bobrowicz-Campos & Luísa Teixeira-Santos & Daniela Cardoso & Filipa Couto & João Apóstolo, 2021. "Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1394-:d:492333
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    References listed on IDEAS

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    1. Iris A. Lesser & Carl P. Nienhuis, 2020. "The Impact of COVID-19 on Physical Activity Behavior and Well-Being of Canadians," IJERPH, MDPI, vol. 17(11), pages 1-12, May.
    2. Yuta Suzuki & Noriaki Maeda & Daigo Hirado & Taizan Shirakawa & Yukio Urabe, 2020. "Physical Activity Changes and Its Risk Factors among Community-Dwelling Japanese Older Adults during the COVID-19 Epidemic: Associations with Subjective Well-Being and Health-Related Quality of Life," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
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    1. Vincenzo De Luca & Grazia Daniela Femminella & Roberta Patalano & Valeria Formosa & Grazia Lorusso & Cristiano Rivetta & Federica Di Lullo & Lorenzo Mercurio & Teresa Rea & Elena Salvatore & Nilufer K, 2022. "Assessment Tools of Biopsychosocial Frailty Dimensions in Community-Dwelling Older Adults: A Narrative Review," IJERPH, MDPI, vol. 19(23), pages 1-32, November.
    2. Maria Gabriella Melchiorre & Sabrina Quattrini & Giovanni Lamura & Marco Socci, 2022. "Role and Characteristics of Personal Care Assistants of Frail Older People with Functional Limitations Ageing in Place in Italy," IJERPH, MDPI, vol. 19(7), pages 1-25, March.

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