Web-based software applications for frailty assessment in older adults: a scoping review of current status with insights into future development

Chang, Riley; Low, Hilary; McDonald, Andrew; Park, Grace; Song, Xiaowei

doi:10.1186/s12877-021-02660-6

Cited by 15 publications

(16 citation statements)

References 52 publications

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“…Moreover, adoption is possible, especially with the online availability of the FI tool 22 . In a recent review of web‐based frailty tools, ours (Senior Health Calculator) was rated as the most user‐friendly 38 . In this paper, we also outlined general clinical recommendations (Table S1) to help non‐geriatric providers integrate the assessment findings into care plans.…”

Section: Discussionmentioning

confidence: 99%

“…22 In a recent review of web-based frailty tools, ours (Senior Health Calculator) was rated as the most user-friendly. 38 In this paper, we also outlined general clinical recommendations (Table S1) to help non-geriatric providers integrate the assessment findings into care plans. More complex intervention plans may be sought from interdisciplinary team members or geriatric consultation if such resources are available.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility of implementing a telephone‐based frailty assessment

Sison

Newmeyer

Arias

et al. 2022

J American Geriatrics Society

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Background: Despite the growing literature on the importance of identifying and managing frailty, its assessment has been limited in clinical settings. With the goal of integrating frailty assessment into routine clinical practice, this quality improvement project aimed to determine the feasibility, acceptability, and utility of administering a telephone-based frailty assessment. Methods: Between 9/2020 and 6/2021, we identified 169 established patients with serious illnesses in an academic primary care-geriatric clinic. Patients were contacted via telephone, and their current medical, functional, nutritional, cognitive, and mood statuses were assessed using validated screening tools.A deficit-accumulation frailty score was then calculated using an electronic medical record-based frailty index calculator and standardized documentation with recommendations was generated for providers. The primary outcome was feasibility, measured as the proportion of patients successfully assessed. Secondary outcomes included completion rates of each domain, administration time, providers' perception, and clinical utility of the assessment.Results: A total of 139 (82.2%) patients, mean age of 82 years, 63.3% frail were successfully assessed. Of the 139 assessments, medical and functional domains were completed for all, while nutrition, mood, and cognition were completed by 88.5% (n = 123), 68.3% (n = 95), and 59.7% (n = 83) of the time, respectively. Conducting the full assessment took an average (standard deviation) time of 26.1 (7.3) minutes. Without the cognitive and mood domain, assessment took an average of 15.7 (7.5) minutes. Patients' providers found the information from the assessment helpful in evaluating and managing their patients. Care plans of 51.8% and 65.0% of patients who had mobility and mind issues, respectively, addressed these domains within 30 days after the assessment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Feasibility of implementing a telephone‐based frailty assessment

Sison

Newmeyer

Arias

et al. 2022

J American Geriatrics Society

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“…Avaliações de saúde realizadas via internet, por exemplo, possuem um potencial benefício, no que diz respeito ao acesso a consultas, promovendo a detecção da fragilidade no indivíduo. Também viabilizam que seus cuidadores acessem dados de avaliação e compreendam melhor a situação de cada aspecto e suas mudanças, para o correto desenvolvimento de planos de cuidados otimizados, como estratégias de intervenção e cuidados de alta (CHANG et al, 2021).…”

Section: Avaliação Da Fragilidade Do Idoso Na Condição De Restrição D...unclassified

“…Em geral, aplicativos também podem estar disponíveis gratuitamente ou a baixo custo, mais tempo de eficiência, e permite cálculos que levam a resultados automáticos. Um contraponto a essa estratégia é a realização de pesquisas com públicos de baixa renda e escolaridade, nos quais se pressupõe uma reduzida fluência digital, bem como a dificuldade de acesso a aparelhos tecnológicos, como computadores e smartphones (CHANG et al, 2021).…”

Section: Avaliação Da Fragilidade Do Idoso Na Condição De Restrição D...unclassified

Aspectos Biológicos E Tecnológicos Do Processo De Envelhecimento Humano

ARAÚJO¹,

VIANA²,

SOUZA³

et al. 2022

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O envelhecimento da população mundial é um fenômeno que vem sendo amplamente estudado e debatido por vários setores da sociedade. Causas diversas podem estar associadas a ele, dentre elas, o avanço da medicina, a adoção de hábitos de vida mais saudáveis, menor número de filhos por famílias diminuindo o quantitativo de pessoas jovens, entre outros. Além disso, as pessoas nascidas entre as décadas de 40 e 60 -momento de explosão da natalidade -encontram-se, hoje, na fase da velhice.Nessa perspectiva, o processo de envelhecimento humano é dinâmico, progressivo e acarreta alterações físicas, psicológicas e sociais. Desta maneira, é vivenciado de modo singular pelos indivíduos (PAPALÉO NETO, 2016). Assim, cada pessoa representa uma história de vida, com base na qualidade dos vínculos que construiu, das oportunidades e o conhecimento ao qual teve acesso, de acordo com o contexto social e a cultura na qual foi inserida (FRUETT, 2015).Nesse sentido, conforme o referido autor, a velhice e as formas de representação que assume variam de acordo com o momento histórico, a cultura e o contexto. Logo, a pessoa sofre modificações com o passar do tempo e se subjetiva conforme os estímulos impostos pelo ambiente, como também, influencia tudo ao seu redor. Desse modo, faz-se importante refletir acerca dos problemas que perpassam esta população, dentre eles o idoso que pratica violência.

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“…In cases of frailty and sarcopenia in older adults, studies suggest that DHIs can aid in automating and enhancing diagnosis and intervention. Various studies have emphasized the use of smartphone applications and other DHIs for diagnosing and assessing frailty and sarcopenia [ 11 , 12 , 13 ]. These are simpler and more cost-effective alternatives to traditional face-to-face questionnaires and medical examinations.…”

mentioning

confidence: 99%