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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 3/2018

09.08.2017 | Originalien

German translation, cross-cultural adaptation and diagnostic test accuracy of three frailty screening tools

PRISMA-7, FRAIL scale and Groningen Frailty Indicator

verfasst von: Tobias Braun, Christian Grüneberg, Christian Thiel

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 3/2018

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Abstract

Background

Routine screening for frailty could be used to timely identify older people with increased vulnerability und corresponding medical needs.

Objective

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.

Methods

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.

Results

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).

Conclusion

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.
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Metadaten
Titel
German translation, cross-cultural adaptation and diagnostic test accuracy of three frailty screening tools
PRISMA-7, FRAIL scale and Groningen Frailty Indicator
verfasst von
Tobias Braun
Christian Grüneberg
Christian Thiel
Publikationsdatum
09.08.2017
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 3/2018
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-017-1295-2

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