Detecting frail, older adults and identifying their strengths:results of a mixed-methods study

Background: The debate on frailty in later life focuses primarily on deficits and their associations with adverse (health) outcomes. In addition to deficits, it may also be important to consider the abilities and resources of older adults. This study was designed to gain insights into the lived experiences of frailty among older adults to determine which strengths can balance the deficits that affect frailty. Methods: Data from 121 potentially frail community-dwelling older adults in Flemish-speaking Region of Belgium and Brussels were collected using a mixed-methods approach. Quantitative dat... Mehr ...

Verfasser: Dury, Sarah
Dierckx, Eva
van der Vorst, Anne
van der Elst, Michael
Fret, Bram
Duppen, Daan
Hoeyberghs, Lieve
De Roeck, Ellen
Lambotte, Deborah
Smetcoren, An-Sofie
Schols, Jos
Kempen, Gertrudis
Zijlstra, G. A. Rixt
De Lepeleire, Jan
Schoenmakers, Birgitte
Verte, Dominique
De Witte, Nico
Kardol, Tinie
De Deyn, Peter Paul
Engelborghs, Sebastiaan
De Donder, Liesbeth
Dokumenttyp: Artikel
Erscheinungsdatum: 2018
Reihe/Periodikum: Dury , S , Dierckx , E , van der Vorst , A , van der Elst , M , Fret , B , Duppen , D , Hoeyberghs , L , De Roeck , E , Lambotte , D , Smetcoren , A-S , Schols , J , Kempen , G , Zijlstra , G A R , De Lepeleire , J , Schoenmakers , B , Verte , D , De Witte , N , Kardol , T , De Deyn , P P , Engelborghs , S & De Donder , L 2018 , ' Detecting frail, older adults and identifying their strengths : results of a mixed-methods study ' , BMC Public Health , vol. 18 , 191 . https://doi.org/10.1186/s12889-018-5088-3
Schlagwörter: Frail elderly / Caregivers / Social participation / Health literacy / Independent living / Quality of life / Belgium / Surveys and questionnaires / Residence characteristics / QUALITY-OF-LIFE / ADVERSE OUTCOMES / PEOPLE / CARE / HEALTH / RISK / HOME / MANAGEMENT / MORTALITY / Humans / Frail Elderly/psychology / Male / Frailty/diagnosis / Socioeconomic Factors / Aged / 80 and over / Female / Cross-Sectional Studies / Qualitative Research
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26586856
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://cris.maastrichtuniversity.nl/en/publications/d4931641-724c-4f19-8022-d43bc9bcdbad

Background: The debate on frailty in later life focuses primarily on deficits and their associations with adverse (health) outcomes. In addition to deficits, it may also be important to consider the abilities and resources of older adults. This study was designed to gain insights into the lived experiences of frailty among older adults to determine which strengths can balance the deficits that affect frailty. Methods: Data from 121 potentially frail community-dwelling older adults in Flemish-speaking Region of Belgium and Brussels were collected using a mixed-methods approach. Quantitative data were collected using the Comprehensive Frailty Assessment Instrument (CFAI), Montreal Cognitive Assessment (MoCA), and numeric rating scales (NRS) for quality of life (QoL), care and support, meaning in life, and mastery. Bivariate analyses, paired samples t-tests and means were performed. Qualitative data on experiences of frailty, frailty balance, QoL, care and support, meaning in life, and mastery were collected using semi-structured interviews. Interviews were subjected to thematic content analysis. Results: The "no to mild frailty" group had higher QoL, care and support, meaning in life, and mastery scores than the "severe frailty" group. Nevertheless, qualitative results indicate that, despite being classified as frail, many older adults experienced high levels of QoL, care and support, meaning in life, and mastery. Respondents mentioned multiple balancing factors for frailty, comprising individual-level circumstances (e.g., personality traits, coping strategies, resilience), environmental influences (e.g., caregivers, neighborhood, social participation), and macro-level features (e.g., health literacy, adequate financial compensation). Respondents also highlighted that life changes affected their frailty balance, including changes in health, finances, personal relationships, and living situation. Conclusion: The findings indicate that frailty among older individuals can be considered as a dynamic state and, ...