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The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty

Background: Standardized frailty assessments are needed for early identification and treatment. We aimed to develop a frailty scale using visual images, the Pictorial Fit-Frail Scale (PFFS), and to examine its feasibility and content validity. Methods: In Phase 1, a multidisciplinary team identifie...

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Main Authors: Theou, Olga, Andrew, Melissa, Ahip, Sally Suriani, Squires, Emma, McGarrigle, Lisa, Blodgett, Joanna M., Goldstein, Judah, Hominick, Kathryn, Godin, Judith, Hougan, Glen, Armstrong, Joshua J., Wallace, Lindsay, Shariff Ghazali, Sazlina, Moorhouse, Paige, Fay, Sherri, Visvanathan, Renuka, Rockwood, Kenneth
Format: Article
Language:English
Published: Canadian Geriatrics Society 2019
Online Access:http://psasir.upm.edu.my/id/eprint/15578/1/The%20Pictorial%20Fit-Frail%20Scale%20developing%20a%20visual%20scale%20to%20assess%20frailty.pdf
http://psasir.upm.edu.my/id/eprint/15578/
https://cgjonline.ca/index.php/cgj/article/view/357
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spelling my.upm.eprints.155782019-10-07T08:31:09Z http://psasir.upm.edu.my/id/eprint/15578/ The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty Theou, Olga Andrew, Melissa Ahip, Sally Suriani Squires, Emma McGarrigle, Lisa Blodgett, Joanna M. Goldstein, Judah Hominick, Kathryn Godin, Judith Hougan, Glen Armstrong, Joshua J. Wallace, Lindsay Shariff Ghazali, Sazlina Moorhouse, Paige Fay, Sherri Visvanathan, Renuka Rockwood, Kenneth Background: Standardized frailty assessments are needed for early identification and treatment. We aimed to develop a frailty scale using visual images, the Pictorial Fit-Frail Scale (PFFS), and to examine its feasibility and content validity. Methods: In Phase 1, a multidisciplinary team identified domains for measurement, operationalized impairment levels, and re-viewed visual languages for the scale. In Phase 2, feedback was sought from health professionals and the general public. In Phase 3, 366 participants completed preliminary testing on the revised draft, including 162 UK paramedics, and rated the scale on feasibility and usability. In Phase 4, following translation into Malay, the final prototype was tested in 95 participants in Peninsular Malaysia and Borneo. Results: The final scale incorporated 14 domains, each conceptualized with 3–6 response levels. All domains were rated as “understood well” by most participants (range 64–94%). Percentage agreement with positive statements regarding appearance, feasibility, and usefulness ranged from 66% to 95%. Overall feedback from health-care professionals supported its content validity. Conclusions: The PFFS is comprehensive, feasible, and appears generalizable across countries, and has face and content validity. Investigation into the reliability and predictive validity of the scale is currently underway. Canadian Geriatrics Society 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/15578/1/The%20Pictorial%20Fit-Frail%20Scale%20developing%20a%20visual%20scale%20to%20assess%20frailty.pdf Theou, Olga and Andrew, Melissa and Ahip, Sally Suriani and Squires, Emma and McGarrigle, Lisa and Blodgett, Joanna M. and Goldstein, Judah and Hominick, Kathryn and Godin, Judith and Hougan, Glen and Armstrong, Joshua J. and Wallace, Lindsay and Shariff Ghazali, Sazlina and Moorhouse, Paige and Fay, Sherri and Visvanathan, Renuka and Rockwood, Kenneth (2019) The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty. Canadian Geriatrics Journal, 22 (2). pp. 64-74. ISSN 1925-8348 https://cgjonline.ca/index.php/cgj/article/view/357 10.5770/cgj.22.357
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Standardized frailty assessments are needed for early identification and treatment. We aimed to develop a frailty scale using visual images, the Pictorial Fit-Frail Scale (PFFS), and to examine its feasibility and content validity. Methods: In Phase 1, a multidisciplinary team identified domains for measurement, operationalized impairment levels, and re-viewed visual languages for the scale. In Phase 2, feedback was sought from health professionals and the general public. In Phase 3, 366 participants completed preliminary testing on the revised draft, including 162 UK paramedics, and rated the scale on feasibility and usability. In Phase 4, following translation into Malay, the final prototype was tested in 95 participants in Peninsular Malaysia and Borneo. Results: The final scale incorporated 14 domains, each conceptualized with 3–6 response levels. All domains were rated as “understood well” by most participants (range 64–94%). Percentage agreement with positive statements regarding appearance, feasibility, and usefulness ranged from 66% to 95%. Overall feedback from health-care professionals supported its content validity. Conclusions: The PFFS is comprehensive, feasible, and appears generalizable across countries, and has face and content validity. Investigation into the reliability and predictive validity of the scale is currently underway.
format Article
author Theou, Olga
Andrew, Melissa
Ahip, Sally Suriani
Squires, Emma
McGarrigle, Lisa
Blodgett, Joanna M.
Goldstein, Judah
Hominick, Kathryn
Godin, Judith
Hougan, Glen
Armstrong, Joshua J.
Wallace, Lindsay
Shariff Ghazali, Sazlina
Moorhouse, Paige
Fay, Sherri
Visvanathan, Renuka
Rockwood, Kenneth
spellingShingle Theou, Olga
Andrew, Melissa
Ahip, Sally Suriani
Squires, Emma
McGarrigle, Lisa
Blodgett, Joanna M.
Goldstein, Judah
Hominick, Kathryn
Godin, Judith
Hougan, Glen
Armstrong, Joshua J.
Wallace, Lindsay
Shariff Ghazali, Sazlina
Moorhouse, Paige
Fay, Sherri
Visvanathan, Renuka
Rockwood, Kenneth
The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty
author_facet Theou, Olga
Andrew, Melissa
Ahip, Sally Suriani
Squires, Emma
McGarrigle, Lisa
Blodgett, Joanna M.
Goldstein, Judah
Hominick, Kathryn
Godin, Judith
Hougan, Glen
Armstrong, Joshua J.
Wallace, Lindsay
Shariff Ghazali, Sazlina
Moorhouse, Paige
Fay, Sherri
Visvanathan, Renuka
Rockwood, Kenneth
author_sort Theou, Olga
title The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty
title_short The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty
title_full The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty
title_fullStr The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty
title_full_unstemmed The Pictorial Fit-Frail Scale: developing a visual scale to assess frailty
title_sort pictorial fit-frail scale: developing a visual scale to assess frailty
publisher Canadian Geriatrics Society
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/15578/1/The%20Pictorial%20Fit-Frail%20Scale%20developing%20a%20visual%20scale%20to%20assess%20frailty.pdf
http://psasir.upm.edu.my/id/eprint/15578/
https://cgjonline.ca/index.php/cgj/article/view/357
_version_ 1648738072829886464
score 13.211869

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