Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/128799
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Type: Journal article
Title: Factors influencing communication about frailty in primary care: a scoping review
Author: Lawless, M.
Archibald, M.
Ambagtsheer, R.
Kitson, A.
Citation: Patient Education and Counseling, 2020; 103(3):436-450
Publisher: Elsevier
Issue Date: 2020
ISSN: 0738-3991
1873-5134
Statement of
Responsibility: 
Michael T. Lawless, Mandy M. Archibald, Rachel C. Ambagtsheer, Alison L. Kitson
Abstract: Objective: To summarise the available evidence on the factors influencing communication about frailty in the primary care setting. Methods: We conducted a scoping review, searching five electronic databases (PubMed, Scopus, CINAHL, PsycINFO, and ProQuest) for studies addressing communication about frailty in primary care practice. Reference list and grey literature searching was conducted to identify additional articles. A narrative descriptive method was used to synthesise the findings. Results: The search identified 3185 articles and 37 were included in the review. We identified five categories of factors influencing communication about frailty at the consumer, healthcare provider, and system levels: (1) consumer perceptions, information needs, and communication preferences; (2) healthcare providers’ knowledge, capacities, and attitudes; (3) clinical communication skills and training; (4) availability of information and communication technologies; and (5) care coordination, collaboration, and case management. Conclusion: Findings offer considerations for the design and delivery of initiatives to improve communication about frailty in primary care both at the local clinical level and at the broader level of healthcare service delivery. Practice implications: Healthcare providers and systems require practical, evidence-informed guidance regarding the development of a systematic approach to the quality and timing of communication about frailty in healthcare encounters.
Keywords: Aged; frail elderly; frailty; health communication; primary health care; scoping review
Rights: © 2019 Elsevier B.V. All rights reserved.
RMID: 1000000731
DOI: 10.1016/j.pec.2019.09.014
Appears in Collections:Nursing publications

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