Braunack-Mayer, A.Street, J.M.Reader, C.O’Brien, L.M.Dent, E.Fabrianesi, B.Chudecka, A.Visvanathan, R.Beilby, J.Lawless, M.Ambagtsheer, R.C.2025-07-182025-07-182024BMC Primary Care, 2024; 25(1):407-1-407-111471-22961471-2296https://hdl.handle.net/2440/146128Background 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.en© 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/.Citizens’ jury; Frailty screening; Older adults; Preventative health services; Primary careAgedAged, 80 and overFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansMaleMass ScreeningMiddle AgedPrimary Health CareSouth AustraliaJournal article10.1186/s12875-024-02626-8723158Street, J.M. [0000-0002-1033-4341]Dent, E. [0000-0002-4006-3992]Visvanathan, R. [0000-0002-1303-9479]