PMID- 36142085
OWN - NLM
STAT- MEDLINE
DCOM- 20220926
LR  - 20230112
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 19
IP  - 18
DP  - 2022 Sep 19
TI  - Development and Validation of the Chinese Frailty Screening Scale: A Study among 
      Community-Dwelling Older Adults in Shanghai.
LID - 10.3390/ijerph191811811 [doi]
LID - 11811
AB  - BACKGROUND: Based on intrinsic capacity (IC) as defined by the World Health 
      Organization, an accelerated decline may be an important precursor of frailty 
      among older adults; however, there is a lack of validated instruments that both 
      screen for frailty and monitor IC. This study aims to develop a comprehensive and 
      acculturative frailty screening scale to determine healthy aging among older 
      Chinese adults. SETTING AND PARTICIPANTS: A cross-sectional and a cohort study 
      both based on community-dwelling older adults aged 65 and older. METHODS: This 
      study mainly consisted of two parts. First, the selection and revision of 20 
      items related to frailty based on a literature review, expert consultation, and 
      stakeholder analysis; second, a cross-sectional study was conducted to simplify 
      the scale and test the reliability and validity of the new frailty screening 
      tool. The fatigue, resistance, ambulation, illness, and loss of weight (FRAIL) 
      scale, the Tilburg frailty indictor (TFI), and a 49-item Frailty Index (FI) were 
      investigated as criteria. Additionally, a cohort study in Shanghai was conducted 
      to verify the predictive validity of the new screening scale. The disability 
      measured by the activity of daily living (ADL), instrumental activity of daily 
      living (IADL) and all-cause mortality were documented as outcomes. RESULTS: A 
      10-item Chinese frailty screening scale (CFSS-10) was successfully developed and 
      validated. It presented a Cronbach's alpha of 0.63 and an intraclass correlation 
      coefficient of 0.73, which indicated good reliability. Taking the other frailty 
      tools as criteria, Kappa values of 0.54-0.58 and an area under the curve of 
      0.87-0.91 showed good validity. The results of the log-binomial and Poisson 
      models showed a high score, which predicted a higher risk of disability and 
      all-cause mortality. An optimal cut-off point of 5 gave an excellent prediction 
      of one-year disability. CONCLUSIONS: The CFSS-10 has good validity and 
      reliability as a quick and acculturative frailty screening scale for 
      community-dwelling older adults in Shanghai. It may also supplement existing 
      frailty screening tools.
FAU - Ye, Bo
AU  - Ye B
AUID- ORCID: 0000-0002-4088-5734
AD  - Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China.
FAU - Wang, Yi
AU  - Wang Y
AD  - School of Public Health, Fudan University, Shanghai 200032, China.
FAU - Chen, Hao
AU  - Chen H
AD  - School of Public Health, Fudan University, Shanghai 200032, China.
FAU - Chen, Yingwei
AU  - Chen Y
AD  - School of Public Health, Fudan University, Shanghai 200032, China.
FAU - Yan, Huihui
AU  - Yan H
AD  - School of Public Health, Fudan University, Shanghai 200032, China.
FAU - Fu, Hua
AU  - Fu H
AD  - School of Public Health, Fudan University, Shanghai 200032, China.
AD  - Health Communication Institute, Fudan University, Shanghai 200032, China.
FAU - Bao, Zhijun
AU  - Bao Z
AD  - Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China.
AD  - Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital, 
      Shanghai 200040, China.
FAU - Gao, Junling
AU  - Gao J
AUID- ORCID: 0000-0002-0694-2010
AD  - School of Public Health, Fudan University, Shanghai 200032, China.
AD  - Collaborative Innovation Cooperative Unit, National Clinical Research Center for 
      Geriatric Diseases, Shanghai 200032, China.
AD  - Core Unit, Shanghai Clinical Research Center for Geriatric Diseases, Shanghai 
      200032, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220919
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Aged
MH  - China
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Frail Elderly
MH  - *Frailty/diagnosis
MH  - Geriatric Assessment/methods
MH  - Humans
MH  - Independent Living
MH  - Middle Aged
MH  - Psychometrics/methods
MH  - Reproducibility of Results
PMC - PMC9517433
OTO - NOTNLM
OT  - assessment tool
OT  - disability
OT  - frailty
OT  - healthy aging
OT  - older adults
COIS- The authors declare no conflict of interest.
EDAT- 2022/09/24 06:00
MHDA- 2022/09/28 06:00
PMCR- 2022/09/19
CRDT- 2022/09/23 01:21
PHST- 2022/07/25 00:00 [received]
PHST- 2022/09/15 00:00 [revised]
PHST- 2022/09/16 00:00 [accepted]
PHST- 2022/09/23 01:21 [entrez]
PHST- 2022/09/24 06:00 [pubmed]
PHST- 2022/09/28 06:00 [medline]
PHST- 2022/09/19 00:00 [pmc-release]
AID - ijerph191811811 [pii]
AID - ijerph-19-11811 [pii]
AID - 10.3390/ijerph191811811 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2022 Sep 19;19(18):11811. doi: 
      10.3390/ijerph191811811.