Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jul 7;9(7):e101745.
doi: 10.1371/journal.pone.0101745. eCollection 2014.

A Self-Reported Screening Tool for Detecting Community-Dwelling Older Persons With Frailty Syndrome in the Absence of Mobility Disability: The FiND Questionnaire

Affiliations
Free PMC article

A Self-Reported Screening Tool for Detecting Community-Dwelling Older Persons With Frailty Syndrome in the Absence of Mobility Disability: The FiND Questionnaire

Matteo Cesari et al. PLoS One. .
Free PMC article

Abstract

Background: The "frailty syndrome" (a geriatric multidimensional condition characterized by decreased reserve and diminished resistance to stressors) represents a promising target of preventive interventions against disability in elders. Available screening tools for the identification of frailty in the absence of disability present major limitations. In particular, they have to be administered by a trained assessor, require special equipment, and/or do not discriminate between frail and disabled individuals. Aim of this study is to verify the agreement of a novel self-reported questionnaire (the "Frail Non-Disabled" [FiND] instrument) designed for detecting non-mobility disabled frail older persons with results from reference tools.

Methodology/principal findings: Data are from 45 community-dwelling individuals aged ≥60 years. Participants were asked to complete the FiND questionnaire separately exploring the frailty and disability domains. Then, a blinded assessor objectively measured the frailty status (using the phenotype proposed by Fried and colleagues) and mobility disability (using the 400-meter walk test). Cohen's kappa coefficients were calculated to determine the agreement between the FiND questionnaire with the reference instruments. Mean age of participants (women 62.2%) was 72.5 (standard deviation 8.2) years. Seven (15.6%) participants presented mobility disability as being unable to complete the 400-meter walk test. According to the frailty phenotype criteria, 25 (55.6%) participants were pre-frail or frail, and 13 (28.9%) were robust. Overall, a substantial agreement of the instrument with the reference tools (kappa = 0.748, quadratic weighted kappa = 0.836, both p values<0.001) was reported with only 7 (15.6%) participants incorrectly categorized. The agreement between results of the FiND disability domain and the 400-meter walk test was excellent (kappa = 0.920, p<0.001).

Conclusions/significance: The FiND questionnaire presents a very good capacity to correctly identify frail older persons without mobility disability living in the community. This screening tool may represent an opportunity for diffusing awareness about frailty and disability and supporting specific preventive campaigns.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Similar articles

See all similar articles

Cited by 15 articles

See all "Cited by" articles

References

    1. Morley JE, Vellas B, Abellan van Kan G, Anker SD, Bauer JM, et al. (2013) Frailty consensus: a call to action. J Am Med Dir Assoc 14: 392–397. - PMC - PubMed
    1. Vellas B, Cestac P, Morley JE (2012) Implementing frailty into clinical practice: we cannot wait. J Nutr Health Aging 16: 599–600. - PubMed
    1. Subra J, Gillette-Guyonnet S, Cesari M, Oustric S, Vellas B (2012) The integration of frailty into clinical practice: preliminary results from the gérontopôle. J Nutr Health Aging 16: 714–720. - PubMed
    1. Rodríguez-Mañas L, Féart C, Mann G, Viña J, Chatterji S, et al. (2012) Searching for an Operational Definition of Frailty: A Delphi Method Based Consensus Statement. The Frailty Operative Definition-Consensus Conference Project. J Gerontol A Biol Sci Med Sci 68: 62–67. - PMC - PubMed
    1. Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB, et al. (2004) Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc 52: 625–634. - PubMed

Publication types

Grant support

The MINDED project is funded as a Chair of Excellence of the Agence Nationale de Recherche assigned to Dr. Cesari. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Feedback