Older people’s perspectives on frailty screening in primary care settings – a citizens’ jury study

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dc.contributor.authorBraunack-Mayer, A.
dc.contributor.authorStreet, J.M.
dc.contributor.authorReader, C.
dc.contributor.authorO’Brien, L.M.
dc.contributor.authorDent, E.
dc.contributor.authorFabrianesi, B.
dc.contributor.authorChudecka, A.
dc.contributor.authorVisvanathan, R.
dc.contributor.authorBeilby, J.
dc.contributor.authorLawless, M.
dc.contributor.authorAmbagtsheer, R.C.
dc.date.issued2024
dc.description.abstractBackground As the world’s population ages, there is a growing concern with frailty, marked by reduced strength and greater vulnerability to stress. Overcoming obstacles like reluctance towards screening methods in this process is crucial for identifying and addressing frailty at an early stage. Understanding older people’s perspectives can help adapt screening procedures in primary healthcare settings. Methods A citizens’ jury, comprising 14 purposively selected members reflecting community diversity, was conducted in South Australia to explore older adults’ opinions on how and when frailty screenings occur within primary care settings. Participants engaged in discussions and deliberations informed by expert testimonies and evidence-based resources. This deliberative inclusive research method supported jurors to understand the evidence and contribute informed insights into health policy. Results The jury systematically addressed several key concerns, including the major issues surrounding frailty screening, its benefits and potential harms, and measures to prevent screening bias and misdiagnosis. The outcome was 17 recommendations within the themes of screening age and frequency, consent, access and setting, communication and public awareness, and resources and cost. Conclusions The study highlights the value of including older adults in the decision-making about health interventions aimed at them. The method proved effective in capturing a spectrum of community values and preferences, offering actionable recommendations for refining health screening policies to better address the needs and expectations of older adults.
dc.description.statementofresponsibilityAnnette Braunack-Mayer, Jackie M. Street, Caitlin Reader, Lesley M. O, Brien, Elsa Dent, Belinda Fabrianesi, Agnieszka Chudecka, Renuka Visvanathan, Justin Beilby, Michael Lawless, and Rachel C Ambagtsheer
dc.identifier.citationBMC Primary Care, 2024; 25(1):407-1-407-11
dc.identifier.doi10.1186/s12875-024-02626-8
dc.identifier.issn1471-2296
dc.identifier.issn1471-2296
dc.identifier.orcidStreet, J.M. [0000-0002-1033-4341]
dc.identifier.orcidDent, E. [0000-0002-4006-3992]
dc.identifier.orcidVisvanathan, R. [0000-0002-1303-9479]
dc.identifier.urihttps://hdl.handle.net/2440/146128
dc.language.isoen
dc.publisherBMC
dc.rights© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creati vecommons.org/licenses/by-nc-nd/4.0/.
dc.source.urihttps://doi.org/10.1186/s12875-024-02626-8
dc.subjectCitizens’ jury; Frailty screening; Older adults; Preventative health services; Primary care
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshFemale
dc.subject.meshFrail Elderly
dc.subject.meshFrailty
dc.subject.meshGeriatric Assessment
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshMass Screening
dc.subject.meshMiddle Aged
dc.subject.meshPrimary Health Care
dc.subject.meshSouth Australia
dc.titleOlder people’s perspectives on frailty screening in primary care settings – a citizens’ jury study
dc.typeJournal article
pubs.publication-statusPublished

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