Predictive validity of the Brazilian version of the Tilburg Frailty Indicator for adverse health outcomes in older adults

Santiago, Lívia Maria; Gobbens, Robbert; Assen, Marcel A.L.M. van; Carmo, Cléber Nascimento do; Ferreira, Daniele Bittencourt; Mattos, Inês Echenique

doi:10.1016/j.archger.2018.02.013

Cited by 26 publications

(34 citation statements)

References 41 publications

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“…Higher scores mean a higher level of frailty or, alternatively, scores ≥ 5 points indicate the presence of the condition (Gobbens et al, 2010a). Previous research suggests that the TFI is a valid and reliable instrument for measuring of frailty (Gobbens et al, 2010b;Santiago et al, 2013;2018;Sutton et al, 2016). In the present study the reliability (Cronbach's alpha) of the TFI was 0.74.…”

Section: Frailtysupporting

confidence: 47%

“…Frailty is an important issue in the discussions about aging due to its impact on the health of older adults, since it is recognized as a predictor of health adverse outcomes such as falls, hospitalization, increased use of health services, functional dependency and death (Fried et al, 2001;Santiago et al, 2018). In recent years, experts have been striving to reach consensus on the best operational definition of this condition and thus identify the appropriate way to diagnose it.…”

Section: Introductionmentioning

confidence: 99%

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A comparison between physical and biopsychosocial measures of frailty: Prevalence and associated factors in Brazilian older adults

Santiago

Gobbens

Mattos

et al. 2019

Archives of Gerontology and Geriatrics

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Section: Frailtysupporting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

A comparison between physical and biopsychosocial measures of frailty: Prevalence and associated factors in Brazilian older adults

Santiago

Gobbens

Mattos

et al. 2019

Archives of Gerontology and Geriatrics

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“…17 In a sample of 963 Brazilian people, aged 60 years and older, the TFI predicted both hospitalization and falls. 35 Mulasso et al showed that the physical and psychological domains of the TFI were significant predictors of falls among 192 communitydwelling older people; 36 the TFI was a stronger predictor of falls when compared with the One Leg Standing (OLS) test 37 and the Timed Up and Go (TUG) test. 38 The predictive validity of total frailty and physical frailty for disability, healthcare utilization, and falls was also confirmed by the AUCs.…”

Section: Discussionmentioning

confidence: 99%

<p>The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity</p>

Gobbens¹,

Boersma²,

Uchmanowicz³

et al. 2020

CIA

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Objective: 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. Methods: The validity of the TFI was determined in a sample of 180 Dutch communitydwelling 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. Results: 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 cutoff point 5 for total frailty ensured the best values for sensitivity and specificity. Conclusion: 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.

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“…2 Frailty is closely associated with adverse health outcomes such as loss in functional capacity, falls, hospitalization, and death. 3,4 Various instruments which aimed to detect frailty such as the Cardiovascular Health Study Phenotype Model and Study of Osteoporotic Fracture Criteria for Frailty focus on physical assessment of the patients. 5 However, psychological and social domains of frailty seem to be very important and yet understudied.…”

Section: Introductionmentioning

confidence: 99%

<p>Turkish version of the Tilburg Frailty Indicator</p>

Topçu¹,

Tufan²,

Kılıç³

2019

CIA

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Background: Recently frailty has drawn significant interest as an important predictor of several clinically relevant outcomes. There is no widely accepted instrument for the assessment of frailty and most of the current ones evaluate only physical features. The Tilburg Frailty Indicator (TFI) is a valid and reliable instrument which enables multidimensional assessment of frailty. We aimed to adapt and evaluate the Turkish version of the TFI. Methods: We translated and culturally adapted the English version of the TFI into Turkish using standard guidelines. We enrolled consecutive patients who were 70 years old or older and were admitted to our outpatient geriatrics clinic. We used Cronbach's alpha values to evaluate the internal consistency and also assessed inter-observer and test-retest variability using intraclass correlation coefficient (ICC). Results: The Cronbach's alpha reliability coefficients of the instrument ranged from 0.65 to 0.72 and item-total correlation ranged between-0.05 and 0.57. There was a good agreement between two assessments (ICC=0.99) and between two observers (ICC=0.99). Conclusion: We have shown the reliability of the Turkish version of the TFI as a tool to evaluate frailty in a multidimensional manner among the Turkish outpatient population.

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Predictive validity of the Brazilian version of the Tilburg Frailty Indicator for adverse health outcomes in older adults

Cited by 26 publications

References 41 publications

A comparison between physical and biopsychosocial measures of frailty: Prevalence and associated factors in Brazilian older adults

A comparison between physical and biopsychosocial measures of frailty: Prevalence and associated factors in Brazilian older adults

<p>The Tilburg Frailty Indicator (TFI): New Evidence for Its Validity</p>

<p>Turkish version of the Tilburg Frailty Indicator</p>

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