Exploring the efficiency of the Tilburg Frailty Indicator: a review.

Autor:	Gobbens RJ; Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands.; Zonnehuisgroep Amstelland, Amstelveen, the Netherlands.; Department of General Practice, University of Antwerp, Antwerp, Belgium., Schols JM; Department of Health Services Research and Department of Family Medicine, CAPHRI-Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands., van Assen MA; Department of Methodology and Statistics, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands.; Department of Sociology, Utrecht University, Utrecht, the Netherlands.
Jazyk:	angličtina
Zdroj:	Clinical interventions in aging [Clin Interv Aging] 2017 Oct 19; Vol. 12, pp. 1739-1752. Date of Electronic Publication: 2017 Oct 19 (Print Publication: 2017).
DOI:	10.2147/CIA.S130686
Abstrakt:	Due to rapidly aging human populations, frailty has become an essential concept, as it identifies older people who have higher risk of adverse outcomes, such as disability, institutionalization, lower quality of life, and premature death. The Tilburg Frailty Indicator (TFI) is a user-friendly questionnaire based on a multidimensional approach to frailty, assessing physical, psychologic, and social aspects of human functioning. This review aims to explore the efficiency of the TFI in assessing frailty as a means to carry out research into the antecedents and consequences of frailty, and its use both in daily practice and for future intervention studies. Using a multidimensional approach to frailty, in contexts where health care professionals or researchers may have no time to interview or examine the client, we recommend employing the TFI because there is robust evidence of its reliability and validity and it is easy and quick to administer. More studies are needed to establish whether the TFI is suitable for intervention studies not only in the community, but also for specific groups such as patients in the hospital or admitted to an emergency department. We conclude that it is important to not only determine the deficits that frail older people may have, but also to assess their balancing strengths and resources. In order to be able to meet the individual needs of frail older persons, traditional and often fragmented elderly care should be developed toward a more proactive elderly care, in which frail older persons and their informal network are in charge. Competing Interests: Disclosure The authors report no conflicts of interest in this work.
Databáze:	MEDLINE
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