Comparison of Three Frailty Screening Tools

NCT04835090 | Unknown

• 1 other identifier: 200836
• Study Type: observational
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

The financial health care and social impact of the frailty of the elderly is an important issue for preventive health care in various countries around the world. The Taiwan government launched the long-term care 10-year plan version 2.0 in 2017 and expanded service target with older people with frailty as a service need. There is no consensus on the definition of frailty. However, there are many existing frailty screening instruments. It is very important to choose accurate and simple and rapid tools for screening to reduce the extra medical costs caused by negative outcomes of frailty. The primary purpose of this study is to understand the transition changes of the elderly in the community during the six months of frail state (robust, pre-frail, frail), and examine the validity of the frailty, physical function (handgrip strength, walking speed) to predict negative outcomes (falls, institutionalization/hospitalization), and will be compared with the results of three frailty screening tools. The secondary purpose is to compare the feasibility (screening time, screening completion rate, equipment and space) of the three tools for the frailty screening of the elderly in the community.

Conditions

Frailty

Keywords

frailty; transition; psychometric attributes; feasibility; screening; community-dwelling; elderly

Outcome Measures

Primary Outcomes (5)

• Change in Frailty Phenotype (FP)

  The FP measurement tool consists five items (yes/no) which includes handgrip strength measured via a dynamometer (in kilograms), self-reported weight loss, self-reported exhaustion, 5 meter usual gait speed (in seconds), and physical activity level measured by the Taiwan International Physical Activity Questionnaire Short Form (Taiwanese version of the IPAQ), which was used to calculate calorie consumption. The number of criteria (a 6-level ordinal variable ranging from 0 to 5) is categorized into a 3-level variable depicting robust (none of the criteria), pre-frail (one or two criteria) and frail (three or more criteria).

  This will be measured at baseline, three months and six months.

• Change in Study of Osteoporotic Fractures (SOF)

  The SOF consists three items (yes/no) which includes weight loss (unintentional); inability to rise from a chair 5 times without the use of arms; and reduced energy level. Frail status was defined as robust (none of components), prefrail (one component), and frail (two or more components).

  This will be measured at baseline, three months and six months.

• Change in Kihon Checklist (KCL)

  The KCL consists of 25 items (yes/no) divided into seven domains: physical strength, nutrition, eating, socialization, memory, mood; each domain is rated on a pass (0)/fail (1) basis, and the sum of all indices ranges from 0 (no frailty) to 25 (severe frailty); a higher score indicates worse functioning. Frailty status was defined as robust (0-3 scores), prefrail (4-7 scores), and frail (8 scores or more ).

  This will be measured at baseline, three months and six months.

• Change in Handgrip Strength

  handgrip strength measured via a dynamometer (in kilograms)

  This will be measured at baseline, three months and six months.

• Change in Gait Speed

  5 meter usual gait speed (in seconds)

  This will be measured at baseline, three months and six months.

Secondary Outcomes (4)

• Screening Time

  This will be measured at baseline.

• Screening Completion

  This will be measured at baseline.

• Change in Number of Hospitalization

  This will be measured at three months and six months.

• Change in Number of Falls

  This will be measured at three months and six months.

Interventions

screening test OTHER

using three screening tools

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Community-dwelling elderly aged 65 or older referral by the personnel in outpatient department in a hospital, community care centers, activity centers, health centers, C tiers of community care service system, health stations, love angel stations, long-term care centers, and community development associations.

You may qualify if:

• Age of 65 years and older with community-dwelling in Taoyuan and Hsinchu city, Miaoli county
• Communicate with Mandarin, Taiwanese, or Hakka
• Agreement to participant the frailty screening three times within half a year after explanation, and have signed an informed consent.

You may not qualify if:

• Living in a hospital or nursing home.
• Dementia.
• Bedridden or terminal illness.
• Taking drugs for Alzheimer's disease or antidepressant drugs.
• Stroke or upper or lower limb surgery in the past three months.

Sponsors & Collaborators

• National Taipei University of Nursing and Health Sciences: lead
• Wei Gong Memorial Hospital: collaborator

Study Sites (1)

Wei Gong Memorial Hospital

Toufen Township, 35159, Taiwan

RECRUITING

Related Publications (6)

• Abbasi M, Khera S, Dabravolskaj J, Garrison M, King S. Identification of Frailty in Primary Care: Feasibility and Acceptability of Recommended Case Finding Tools Within a Primary Care Integrated Seniors' Program. Gerontol Geriatr Med. 2019 May 15;5:2333721419848153. doi: 10.1177/2333721419848153. eCollection 2019 Jan-Dec.

  PMID: 31192278 BACKGROUND

• Ambagtsheer RC, Thompson MQ, Archibald MM, Casey MG, Schultz TJ. Diagnostic test accuracy of self-reported screening instruments in identifying frailty in community-dwelling older people: A systematic review. Geriatr Gerontol Int. 2020 Jan;20(1):14-24. doi: 10.1111/ggi.13810. Epub 2019 Nov 14.

  PMID: 31729157 BACKGROUND

• Fukutomi E, Okumiya K, Wada T, Sakamoto R, Ishimoto Y, Kimura Y, Kasahara Y, Chen WL, Imai H, Fujisawa M, Otuka K, Matsubayashi K. Importance of cognitive assessment as part of the "Kihon Checklist" developed by the Japanese Ministry of Health, Labor and Welfare for prediction of frailty at a 2-year follow up. Geriatr Gerontol Int. 2013 Jul;13(3):654-62. doi: 10.1111/j.1447-0594.2012.00959.x. Epub 2012 Nov 22.

  PMID: 23170783 BACKGROUND

• Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146.

  PMID: 11253156 BACKGROUND

• Kiely DK, Cupples LA, Lipsitz LA. Validation and comparison of two frailty indexes: The MOBILIZE Boston Study. J Am Geriatr Soc. 2009 Sep;57(9):1532-9. doi: 10.1111/j.1532-5415.2009.02394.x. Epub 2009 Jul 21.

  PMID: 19682112 BACKGROUND

• Sutton JL, Gould RL, Daley S, Coulson MC, Ward EV, Butler AM, Nunn SP, Howard RJ. Psychometric properties of multicomponent tools designed to assess frailty in older adults: A systematic review. BMC Geriatr. 2016 Feb 29;16:55. doi: 10.1186/s12877-016-0225-2.

  PMID: 26927924 BACKGROUND

MeSH Terms

Conditions

Frailty

Interventions

Mass Screening

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis; Health Surveys; Surveys and Questionnaires; Data Collection; Epidemiologic Methods; Investigative Techniques; Diagnostic Services; Preventive Health Services; Health Services; Health Care Facilities Workforce and Services; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health; Public Health Practice

Study Officials

• Hung-Ru Lin, PhD

  National Taipei University of Nursing and Health Sciences

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hung-Ru Lin, PhD

CONTACT

886-2-28227101; hungru@ntunhs.edu.tw

Meei-Horng Yang, MSN

CONTACT

+886-37-676811; celinayang2014@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, School of Nursing & Dean of Academic Affairs

Study Record Dates

• First Submitted: February 22, 2021
• First Posted: April 8, 2021
• Study Start: March 2, 2021
• Primary Completion: September 1, 2021
• Study Completion: November 1, 2021
• Last Updated: April 8, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)