Multimorbidität und erfolgreiches Altern - 2011
Annette Peters, Angela Döring, KH Ladwig, Christa Meisinger, Birgit Linkohr, Christine Autenrieth, SE Baumeister, Jüergen Behr, Albrecht Bergner, Horst Bickel, Martin Bidlingmaier, Amit Dias, RT Emeny, Beate Fischer, Eva Grill, Lukas Gorzelniak, Holger Hänsch, S. Heidbreder, Margit Heier, Alexander Horsch, Dorothea Huber, RM Huber, Jörres Ra, Stefan Kääb, Stefan Karrasch, Inge Kirchberger, Günther Klug, Bárbara Elisa Kranz, Bernhard Kuch, María Elena Lacruz, Olga Lang, Andreas Mielck, Dennis Nowak, Siegfried Perz, Andrea L.C. Schneider, Holger Schulz, Martin Müller, Hildegard Seidl, Ralf Strobl, Barbara Thorand, Rupert Wende, Wolfgang Weidenhammer, Zimmermann Ak, Wichmann He, Rolf Holle
German translation, cross-cultural adaptation and diagnostic test accuracy of three frailty screening tools Tập 51 - Trang 282-292 - 2017
Tobias Braun, Christian Grüneberg, Christian Thiel
Routine screening for frailty could be used to timely identify older people with increased vulnerability und corresponding medical needs. The aim of this study was the translation and cross-cultural adaptation of the PRISMA-7 questionnaire, the FRAIL scale and the Groningen Frailty Indicator (GFI) into the German language as well as a preliminary analysis of the diagnostic test accuracy of these instruments used to screen for frailty. A diagnostic cross-sectional study was performed. The instrument translation into German followed a standardized process. Prefinal versions were clinically tested on older adults who gave structured in-depth feedback on the scales in order to compile a final revision of the German language scale versions. For the analysis of diagnostic test accuracy (criterion validity), PRISMA-7, FRAIL scale and GFI were considered the index tests. Two reference tests were applied to assess frailty, either based on Fried’s model of a Physical Frailty Phenotype or on the model of deficit accumulation, expressed in a Frailty Index. Prefinal versions of the German translations of each instrument were produced and completed by 52 older participants (mean age: 73 ± 6 years). Some minor issues concerning comprehensibility and semantics of the scales were identified and resolved. Using the Physical Frailty Phenotype (frailty prevalence: 4%) criteria as a reference standard, the accuracy of the instruments was excellent (area under the curve AUC >0.90). Taking the Frailty Index (frailty prevalence: 23%) as the reference standard, the accuracy was good (AUC between 0.73 and 0.88). German language versions of PRISMA-7, FRAIL scale and GFI have been established and preliminary results indicate sufficient diagnostic test accuracy that needs to be further established.