Translating Frailty Assessment Methodologies and Research-based Evidence to Clinical Education and Practice

O'Shea, Mary; McGarrigle, Christine; Lang, Deirdre; Hoey, Carmel; Whitty, Helen; O’Shea, Diarmuid; Kenny, Rose Anne

doi:10.1080/08959420.2020.1777825

Cited by 5 publications

(18 citation statements)

References 33 publications

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“…Following title and abstract screening and full‐text review, 10 studies, all published between 2018 to 2021, were included (Figure 1). These studies reported on the effectiveness of nine frailty training programs (Table 2) conducted in five Western countries 19–27 . Quality assessment was moderate with a mean of 5.9/8 for cross‐sectional studies and 8/11 for qualitative studies (Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…Three trained Emergency Department staff 22,26,27 and one reported on primary health care professional education 24 . The remaining three programs were for multidisciplinary staff working or planning to work with older patients 20,21,23 …”

Section: Resultsmentioning

confidence: 99%

“…Most programs included aspects of active learning and use of clinical information to engage participants. Kostani et al 24 and Donoghue et al 23 discussed using focus groups to assess educational needs prior to commencing more didactic learning, as well as interactive workshops allowing practical training on frailty assessment. Three other studies noted dedicated training on specific frailty assessment tools, such as the clinical frailty scale 26 or a comprehensive geriatric assessment tool 21,27 .…”

Section: Resultsmentioning

confidence: 99%

“…Potentially, this may cloud results with the broader education facilitating transfer of frailty knowledge. It should be noted that the frailty‐specific programs accounted for the majority of participants, and demonstrated some of the strongest evidence for program efficacy 20,23,24 . In 2013, a consensus group consisting of delegates from six major international, European, and US societies proposed a call to action for frailty screening, assessment and management 43 .…”

Section: Discussionmentioning

confidence: 99%

“…Most frailty training was embedded in broader geriatric training programs, with only three studies describing programs that solely addressed frailty. 20,23,24 The majority of 20 involved extended training, shadowing of expert clinicians and case discussions. A period of supervised practice was also included in the program described by McKelvie et al 21 and both programs which targeted medical students included concurrent clinical exposure to frailty cases.…”

Section: Program Structure and Contentmentioning

confidence: 99%

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A systematic review of frailty education programs for health care professionals

et al. 2022

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To identify and examine the reported effectiveness of education programs for health professionals on frailty.Methods: A systematic review was conducted of articles published up to June 2021, examining the evaluation of frailty training or education programs targeting health professionals/students. The participant demographics, program content and structure, effectiveness assessment methodology and outcomes, as well as participant feedback, were recorded with narrative synthesis of results.Results: There were nine programs that have evaluated training of health professionals in frailty. These programs varied with respect to intensity, duration, and delivery modality, and targeted a range of health professionals and students. The programs were well-received and found to be effective in increasing frailty knowledge and self-perceived competence in frailty assessment. Common features of successful programs included having multidisciplinary participants, delivering a clinically tailored program and using flexible teaching modalities. Of note, many programs assessed self-perceived efficacy rather than objective changes in patient outcomes. Conclusions: Despite increasing attention on frailty in clinical practice, this systematic review found that there continues to be limited reporting of frailty training programs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Program Structure and Contentmentioning

confidence: 99%

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A systematic review of frailty education programs for health care professionals

et al. 2022

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The role of speech-language pathologists in frailty: An Australian qualitative study of perceptions, practices, and opportunities

Cummings,

Murray,

Lawless

2024

International Journal of Speech-Language Pathology

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‘I think we could probably do more’: an interview study to explore community pharmacists’ experiences and perspectives of frailty and optimising medicines use in frail older adults

Faulkner,

Hughes,

Barry

2024

Age and Ageing

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Background Community pharmacists potentially have an important role to play in identification of frailty and delivery of interventions to optimise medicines use for frail older adults. However, little is known about their knowledge or views about this role. Aim To explore community pharmacists’ knowledge of frailty and assessment, experiences and contact with frail older adults, and perceptions of their role in optimising medicines use for this population. Methods Semi-structured interviews conducted between March and December 2020 with 15 community pharmacists in Northern Ireland. Interviews were transcribed verbatim and analysed thematically. Results Three broad themes were generated from the data. The first, ‘awareness and understanding of frailty’, highlighted gaps in community pharmacists’ knowledge regarding presentation and identification of frailty and their reluctance to broach potentially challenging conversations with frail older patients. Within the second theme, ‘problem-solving and supporting medication use’, community pharmacists felt a large part of their role was to resolve medicines-related issues for frail older adults through collaboration with other primary healthcare professionals but feedback on the outcome was often not provided upon issue resolution. The third theme, ‘seizing opportunities in primary care to enhance pharmaceutical care provision for frail older adults’, identified areas for further development of the community pharmacist role. Conclusions This study has provided an understanding of the views and experiences of community pharmacists about frailty. Community pharmacists’ knowledge deficits about frailty must be addressed and their communication skills enhanced so they may confidently initiate conversations about frailty and medicines use with older adults.

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Translating Frailty Assessment Methodologies and Research-based Evidence to Clinical Education and Practice

Cited by 5 publications

References 33 publications

A systematic review of frailty education programs for health care professionals

A systematic review of frailty education programs for health care professionals

The role of speech-language pathologists in frailty: An Australian qualitative study of perceptions, practices, and opportunities

‘I think we could probably do more’: an interview study to explore community pharmacists’ experiences and perspectives of frailty and optimising medicines use in frail older adults

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