Understanding consumer perceptions of frailty screening to inform knowledge translation and health service improvements

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dc.contributor.authorArchibald, M.M.
dc.contributor.authorLawless, M.T.
dc.contributor.authorAmbagtsheer, R.C.
dc.contributor.authorKitson, A.L.
dc.date.issued2021
dc.descriptionPublished electronically October 2020
dc.description.abstractBACKGROUND AND OBJECTIVES: despite growing support for the clinical application of frailty, including regular frailty screening for older adults, little is known about how older adults perceive frailty screening. The purpose of this study was to examine older adults' perspectives on frailty screening to inform knowledge translation and service improvements for older adults with frailty. RESEARCH DESIGN: interpretive descriptive qualitative design. PARTICIPANTS: a total of 39 non-frail (18%), pre-frail (33%) and frail or very frail (49%) South Australian older adults aged 62-99 years, sampled from community, assisted living and residential aged care settings. METHODS: seven focus groups were conducted and analysed by two independent investigators using inductive thematic analysis. RESULTS: three themes were identified. First, older adults question the necessity and logic of an objective frailty measure. Second, older adults believe any efforts at frailty screening need to culminate in an action. Third, older adults emphasise that frailty screening needs to be conducted sensitively given negative perceptions of the term frailty and the potential adverse effects of frailty labelling. DISCUSSION AND IMPLICATIONS: previous screening experiences and underlying beliefs about the nature of frailty as inevitable shaped openness to, and acceptance of, frailty screening. Findings correspond with previous research illuminating the lack of public awareness of frailty and the nascent stage of frailty screening implementation. Incorporating consumer perspectives, along with perspectives of other stakeholder groups when considering implementing frailty screening, is likely to impact uptake and optimise suitability-important considerations in person-centred care provision.
dc.description.statementofresponsibilityMandy M. Archibald, Michael T. Lawless, Rachel C. Ambagtsheer, Alison L. Kitson
dc.identifier.citationAge and Ageing, 2021; 50(1):227-232
dc.identifier.doi10.1093/ageing/afaa187
dc.identifier.issn0002-0729
dc.identifier.issn1468-2834
dc.identifier.orcidKitson, A.L. [0000-0003-3053-8381]
dc.identifier.urihttps://hdl.handle.net/2440/138926
dc.language.isoen
dc.publisherOxford University Press (OUP)
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1102208
dc.rights© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
dc.source.urihttps://doi.org/10.1093/ageing/afaa187
dc.subjectconsumer perspectives
dc.subjecthealthy ageing
dc.subjectgeriatric assessment
dc.subjectknowledge translation
dc.subjectqualitative research
dc.subject.meshHumans
dc.subject.meshMass Screening
dc.subject.meshGeriatric Assessment
dc.subject.meshPerception
dc.subject.meshAged
dc.subject.meshFrail Elderly
dc.subject.meshAustralia
dc.subject.meshFrailty
dc.subject.meshTranslational Research, Biomedical
dc.titleUnderstanding consumer perceptions of frailty screening to inform knowledge translation and health service improvements
dc.typeJournal article
pubs.publication-statusPublished

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