Translation, Adaptation and Validation of Rapid Geriatric Assessment to the Brazilian Context

Orlandi, Fabiana de Souza; Lanzotti, Rafaela Brochine; Duarte, Juliana Gomes; Mansur, Henrique; Zazzetta, Marisa Silvana; Pavarini, Sofía Cristina Iost; Cominetti, Márcia Regina; Matumoto, Sílvia

doi:10.1007/s12603-018-1078-5

Cited by 13 publications

(8 citation statements)

References 27 publications

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“…Diversos instrumentos disponíveis na literatura para a avaliação da fragilidade apresentaram satisfatória homogeneidade e reprodutibilidade, sendo utilizados em estudos de grandes escalas. Como exemplo, cita-se os instrumentos Frailty Index, PRISMA-7, CHS Index e FRAIL 4,[24][25][26] .…”

Section: Discussionunclassified

Tradução, adaptação cultural e validação do Frail Non-Disabled Questionnaire para o contexto brasileiro

Lanzotti

2021

Rev. bras. geriatr. gerontol.

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Resumo Objetivo Traduzir, adaptar e validar o Frail Non-Disabled Questionnaire (FiND) para o contexto brasileiro. Método Foram seguidas as etapas preconizadas para instrumentos da área da saúde: tradução inicial, síntese das traduções, retrotradução, revisão por um comitê de especialistas, pré-teste e avaliação das propriedades psicométricas da escala. Todos os preceitos éticos foram seguidos. Resultados A tradução e a retrotradução foram realizadas por dois tradutores independentes e qualificados. A revisão por especialistas demonstrou sua validade de conteúdo. No pré-teste, o FiND foi de fácil compreensão e aplicação. Na avaliação das propriedades psicométricas, o instrumento demonstrou valores satisfatórios de confiabilidade e reprodutibilidade. A validade de critério concorrente foi verificada, encontrando correlação positiva com significância estatística entre o escore do FiND e do Fenótipo de Fragilidade de Fried, e valores satisfatórios de sensibilidade, especificidade, valores preditivos positivo e negativo, e acurácia. A validade de construto convergente foi analisada, indicando correlação positiva estatisticamente significante entre o escore do FiND e os sintomas depressivos, e correlações negativas com o estado nutricional, cognitivo, e com os domínios do componente físico da qualidade de vida. A validade discriminante foi analisada por meio da comparação das médias do FiND entre os grupos: robusto, não frágil e frágil, com e sem sintomas depressivos, com melhor e com pior percepção de qualidade de vida, e com estado nutricional adequado, sob risco de desnutrição e com estado de desnutrição, as quais mostraram-se estatisticamente significantes. Conclusão O FiND encontra-se traduzido, adaptado e validado para o contexto brasileiro.

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Section: Discussionunclassified

Tradução, adaptação cultural e validação do Frail Non-Disabled Questionnaire para o contexto brasileiro

Lanzotti

2021

Rev. bras. geriatr. gerontol.

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“…In addition, another study confirmed that exercise intervention proved to be safe and effective for reversing functional and cognitive decline among hospitalized older adults [118]. Concerning spinal sarcopenic patients with diabetes and obesity, studies recommend using the Rapid Geriatric Assessment tool and starting secondary prevention as soon as possible [119][120][121][122]. Overall, exercise training appears to ameliorate mitochondria-associated problems and improve spinal sarcopenia.…”

Section: Aerobic Trainingmentioning

confidence: 98%

Novel Insights into the Pathogenesis of Spinal Sarcopenia and Related Therapeutic Approaches: A Narrative Review

Kuo

Lin

Lee

et al. 2020

IJMS

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Spinal sarcopenia is a complex and multifactorial disorder associated with a loss of strength, increased frailty, and increased risks of fractures and falls. In addition, spinal sarcopenia has been associated with lumbar spine disorders and osteoporosis, which renders making decisions on treatment modalities difficult. Patients with spinal sarcopenia typically exhibit lower cumulative survival, a higher risk of in-hospital complications, prolonged hospital stays, higher postoperative costs, and higher rates of blood transfusion after thoracolumbar spine surgery. Several studies have focused on the relationships between spinal sarcopenia, appendicular muscle mass, and bone-related problems—such as osteoporotic fractures and low bone mineral density—and malnutrition and vitamin D deficiency. Although several techniques are available for measuring sarcopenia, each of them has its advantages and shortcomings. For treating spinal sarcopenia, nutrition, physical therapy, and medication have been proven to be effective; regenerative therapeutic options seem to be promising owing to their repair and regeneration potential. Therefore, in this narrative review, we summarize the characteristics, detection methodologies, and treatment options for spinal sarcopenia, as well as its role in spinal disorders.

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“…In 2018 the Australian Government launched additional initiatives aimed at keeping older people well at home and engaged in the community, whilst reducing the need for hospital admission and delaying admission to residential aged care [18][19][20][21]. These initiatives built on strategies implemented since 2011 and have been reviewed again in the national health care reform agreement and 2020-2025 addendum [14,22]. In order to support the CHSP and subsequent initiatives, The National Screening and Assessment (NSAF) was implemented in Australia in 2018 and consisted of two types of home-based assessments [23].…”

Section: Ageing Population In Australia and The Implicationsmentioning

confidence: 99%

Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial

Boak

Blackberry

Rasekaba

2021

MPs

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Background: Community-dwelling older clients are becoming increasingly complex. Detecting this complexity in clinical practice is limited, with greater reliance on community nurses’ clinical judgment and skills. The lack of a consistent approach to complexity impacts the level of care and support for older clients to remain in their homes for longer. Objective: To examine the effectiveness of the Patient Complexity Instrument (PCI) in addition to nurses’ clinical judgment to enhance detection of complexity, and subsequent older clients’ resource allocation compared to usual nursing assessment. Design: A pragmatic randomized controlled trial will be conducted within a community nursing service in regional Victoria, Australia. Clients 65 years and over referred to the service who are eligible for Commonwealth Home Support Programme (CHSP) funding will be randomized into Control group: usual nursing assessment or Intervention group: usual nursing assessment plus the PCI. Nurse participants are Registered Nurses currently employed in the community nursing service. Results: This study will explore whether introducing the PCI in a community nursing service enhances detection of complexity and client care resource allocation compared to nurses’ clinical judgment based on usual nursing assessment. Conclusion: This protocol outlines the study to enhance the detection of complexity by nurses delivering care for community-dwelling older people in the regional Australian context. The findings will inform the use of a standardized tool to detect complexity among community-dwelling older Australians.

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Translation, Adaptation and Validation of Rapid Geriatric Assessment to the Brazilian Context

Cited by 13 publications

References 27 publications

Tradução, adaptação cultural e validação do Frail Non-Disabled Questionnaire para o contexto brasileiro

Tradução, adaptação cultural e validação do Frail Non-Disabled Questionnaire para o contexto brasileiro

Novel Insights into the Pathogenesis of Spinal Sarcopenia and Related Therapeutic Approaches: A Narrative Review

Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial

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