Theou, O;
Andrew, M;
Ahip, SS;
Squires, E;
McGarrigle, L;
Blodgett, JM;
Goldstein, J;
... Rockwood, K; + view all
(2019)
The Pictorial Fit-Frail Scale: Developing a Visual Scale to Assess Frailty.
Canadian Geriatrics Journal
, 22
(2)
pp. 64-74.
10.5770/cgj.22.357.
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Abstract
BACKGROUND: Standardized frailty assessments are needed for early iden-tification and treatment. We aimed to develop a frailty scale using visual images, the Pictorial Fit-Frail Scale (PFFS), and to examine its feasibility and content validity. METHODS: In Phase 1, a multidisciplinary team identified domains for measurement, operationalized impairment levels, and re-viewed visual languages for the scale. In Phase 2, feedback was sought from health professionals and the general public. In Phase 3, 366 participants completed preliminary testing on the revised draft, including 162 UK paramedics, and rated the scale on feasibility and usability. In Phase 4, following translation into Malay, the final prototype was tested in 95 participants in Peninsular Malaysia and Borneo. RESULTS: The final scale incorporated 14 domains, each conceptual-ized with 3–6 response levels. All domains were rated as “understood well” by most participants (range 64–94%). Percentage agreement with positive statements regarding appearance, feasibility, and usefulness ranged from 66% to 95%. Overall feedback from health-care professionals sup-ported its content validity. CONCLUSIONS: The PFFS is comprehensive, feasible, and appears gener-alizable across countries, and has face and content validity. Investigation into the reliability and predictive validity of the scale is currently underway.
| Type: | Article |
|---|---|
| Title: | The Pictorial Fit-Frail Scale: Developing a Visual Scale to Assess Frailty. |
| Location: | Canada |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.5770/cgj.22.357 |
| Publisher version: | https://doi.org/10.5770/cgj.22.357 |
| Language: | English |
| Additional information: | © 2019 Author(s). Published by the Canadian Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivative license (http://creativecommons.org/licenses/by-nc-nd/2.5/ca/), which permits unrestricted non-commercial use and distribution, provided the original work is properly cited. |
| Keywords: | Pictorial Fit-Frail Scale, assessment, content validity, feasibility, frailty |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10127212 |
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