Toward a conceptual definition of frail community dwelling older people
In order to be able to identify frail community-dwelling older people, a reliable and valid definition of the concept of frailty is necessary. The aim of this study was to provide an overview of the literature on conceptual and operational definitions of frailty, and to determine which definitions a...
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Veröffentlicht in: | Nursing outlook 2010-03, Vol.58 (2), p.76-86 |
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description | In order to be able to identify frail community-dwelling older people, a reliable and valid definition of the concept of frailty is necessary. The aim of this study was to provide an overview of the literature on conceptual and operational definitions of frailty, and to determine which definitions are most appropriate for identifying frail community-dwelling older people. Therefore, a computerized search was performed in the PubMed database, Web of Science and PsychInfo. A successful definition of frailty reflects a multidimensional approach, makes clear its dynamic state, predicts adverse outcomes, does not include disease, comorbidity or disability, and meets the criterion of practicability. None of the current conceptual and operational definitions meet these criteria. In this article a new integral conceptual definition of frailty is proposed which meets the criteria of a successful definition. |
doi_str_mv | 10.1016/j.outlook.2009.09.005 |
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The aim of this study was to provide an overview of the literature on conceptual and operational definitions of frailty, and to determine which definitions are most appropriate for identifying frail community-dwelling older people. Therefore, a computerized search was performed in the PubMed database, Web of Science and PsychInfo. A successful definition of frailty reflects a multidimensional approach, makes clear its dynamic state, predicts adverse outcomes, does not include disease, comorbidity or disability, and meets the criterion of practicability. None of the current conceptual and operational definitions meet these criteria. 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The aim of this study was to provide an overview of the literature on conceptual and operational definitions of frailty, and to determine which definitions are most appropriate for identifying frail community-dwelling older people. Therefore, a computerized search was performed in the PubMed database, Web of Science and PsychInfo. A successful definition of frailty reflects a multidimensional approach, makes clear its dynamic state, predicts adverse outcomes, does not include disease, comorbidity or disability, and meets the criterion of practicability. None of the current conceptual and operational definitions meet these criteria. In this article a new integral conceptual definition of frailty is proposed which meets the criteria of a successful definition.</description><subject>Aged</subject><subject>Community</subject><subject>Community living</subject><subject>Comorbidity</subject><subject>Consensus</subject><subject>Definitions</subject><subject>Disability</subject><subject>Frail</subject><subject>Frail Elderly</subject><subject>Frailty</subject><subject>Geriatric Assessment - methods</subject><subject>Homebound Persons</subject><subject>Humans</subject><subject>Models, Nursing</subject><subject>Multidimensional approach</subject><subject>Nursing</subject><subject>Nursing Assessment - methods</subject><subject>Nursing Evaluation Research</subject><subject>Older people</subject><subject>Research Design</subject><subject>Studies</subject><subject>Vulnerable Populations</subject><issn>0029-6554</issn><issn>1528-3968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkUtLJDEQgIOs6Pj4CUqzlz31mEcn6ZxkkfUBghc9h3RSLRm7O23SveK_N82Me9jLQEEg-apSVR9CFwSvCSbiarMO89SF8LamGKv1EpgfoBXhtC6ZEvUPtMKYqlJwXh2jk5Q2GOOqkuoIHVPMBJVSrNDdc_gw0RWmsGGwME6z6QoHrR_85MNQhLZoo_Fdfu77OV9-Fu4Dus4Pr0XoHMRihDB2cIYOW9MlON-dp-jl9s_zzX35-HT3cPP7sbSckqlUQlCCwTFupYLKtQ0zqm4k1EZJhxuwwvBGEc64a5WUruGOUC4VIRVnNWGn6Ne27hjD-wxp0r1PNjdkBghz0jWpJauEYHtJWVFJJMNyP8kYyy3whfz5H7kJcxzywJooyShVtMoQ30I2hpQitHqMvjfxUxOsF3d6o3fu9OJOL4F5zrvcFZ-bHty_rG9ZGbjeApAX_NdD1Ml6yNacj2An7YLf88UXN92sGw</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Gobbens, Robbert J.</creator><creator>Luijkx, Katrien G.</creator><creator>Wijnen-Sponselee, Maria T.</creator><creator>Schols, Jos M.</creator><general>Mosby, Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Toward a conceptual definition of frail community dwelling older people</title><author>Gobbens, Robbert J. ; Luijkx, Katrien G. ; Wijnen-Sponselee, Maria T. ; Schols, Jos M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-966210ed35c79e4dfb3a98b7e8a97d0bec6a5b91535df977db5d1257911453813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Community</topic><topic>Community living</topic><topic>Comorbidity</topic><topic>Consensus</topic><topic>Definitions</topic><topic>Disability</topic><topic>Frail</topic><topic>Frail Elderly</topic><topic>Frailty</topic><topic>Geriatric Assessment - methods</topic><topic>Homebound Persons</topic><topic>Humans</topic><topic>Models, Nursing</topic><topic>Multidimensional approach</topic><topic>Nursing</topic><topic>Nursing Assessment - methods</topic><topic>Nursing Evaluation Research</topic><topic>Older people</topic><topic>Research Design</topic><topic>Studies</topic><topic>Vulnerable Populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gobbens, Robbert J.</creatorcontrib><creatorcontrib>Luijkx, Katrien G.</creatorcontrib><creatorcontrib>Wijnen-Sponselee, Maria T.</creatorcontrib><creatorcontrib>Schols, Jos M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Nursing outlook</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gobbens, Robbert J.</au><au>Luijkx, Katrien G.</au><au>Wijnen-Sponselee, Maria T.</au><au>Schols, Jos M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Toward a conceptual definition of frail community dwelling older people</atitle><jtitle>Nursing outlook</jtitle><addtitle>Nurs Outlook</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>58</volume><issue>2</issue><spage>76</spage><epage>86</epage><pages>76-86</pages><issn>0029-6554</issn><eissn>1528-3968</eissn><abstract>In order to be able to identify frail community-dwelling older people, a reliable and valid definition of the concept of frailty is necessary. 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subjects | Aged Community Community living Comorbidity Consensus Definitions Disability Frail Frail Elderly Frailty Geriatric Assessment - methods Homebound Persons Humans Models, Nursing Multidimensional approach Nursing Nursing Assessment - methods Nursing Evaluation Research Older people Research Design Studies Vulnerable Populations |
title | Toward a conceptual definition of frail community dwelling older people |
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