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Article

Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults

1
Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal
2
Centre of 20th Century Interdisciplinary Studies, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal
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Health Sciences Research Unit, Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal
4
Alfena Hospital—Trofa Health Group, Health Sciences Research Unit, Nursing, Nursing School of Coimbra, 3000-232 Coimbra, Portugal
*
Author to whom correspondence should be addressed.
Academic Editors: Haewon Byeon and Jaewon Nah
Int. J. Environ. Res. Public Health 2021, 18(4), 1394; https://doi.org/10.3390/ijerph18041394
Received: 28 December 2020 / Revised: 26 January 2021 / Accepted: 26 January 2021 / Published: 3 February 2021
(This article belongs to the Special Issue Prevention and Management of Frailty)
Early detection of frailty may prevent or delay adverse health outcomes in community-dwelling older adults. In Portugal, there are currently no valid multidimensional frailty screening tools. SUNFRAIL is a user-friendly multidimensional tool for frailty screening that can be used in primary care. Aims: (i) to determine the validity and reliability of the European Portuguese version of the SUNFRAIL tool for use in community-dwelling older adults; (ii) to assess the screening capacity of this version of SUNFRAIL using Fried’s phenotypic model criteria for frailty as a reference test. Methods: Cross-sectional pilot study in a convenience sample of 128 community-dwelling older adults. Objective and subjective data were collected. Internal consistency, concurrent validity, sensitivity, and specificity (ROC curve analysis) were examined. Results: Internal consistency was low. Significant moderate to strong correlations were found between different domains and the total score. The differences between robust, pre-frail, and frail older adults were significant. SUNFRAIL was also correlated with multimorbidity. Sensitivity and specificity were satisfactory. Conclusions: The European Portuguese version of the SUNFRAIL tool is a promising frailty screening tool for community-dwelling older adults to be routinely used in clinical practice. However, more consistent results on its validity and reliability are needed to be used nationwide. View Full-Text
Keywords: SUNFRAIL; psychometric properties; screening tool; frailty; older adults SUNFRAIL; psychometric properties; screening tool; frailty; older adults
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MDPI and ACS Style

Cardoso, A.F.; Bobrowicz-Campos, E.; Teixeira-Santos, L.; Cardoso, D.; Couto, F.; Apóstolo, J. Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults. Int. J. Environ. Res. Public Health 2021, 18, 1394. https://doi.org/10.3390/ijerph18041394

AMA Style

Cardoso AF, Bobrowicz-Campos E, Teixeira-Santos L, Cardoso D, Couto F, Apóstolo J. Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults. International Journal of Environmental Research and Public Health. 2021; 18(4):1394. https://doi.org/10.3390/ijerph18041394

Chicago/Turabian Style

Cardoso, Ana F., Elzbieta Bobrowicz-Campos, Luísa Teixeira-Santos, Daniela Cardoso, Filipa Couto, and João Apóstolo. 2021. "Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults" International Journal of Environmental Research and Public Health 18, no. 4: 1394. https://doi.org/10.3390/ijerph18041394

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