Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
3.5
2.4
Journals
Healthcare
Special Issues
Frailty in Community-Dwelling Older People: Second Edition
share announcement

Frailty in Community-Dwelling Older People: Second Edition

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Community Care".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 2618

Special Issue Editor

Prof. Dr. Robbert Gobbens

E-Mail Website1 Website2
Guest Editor
Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, 1081 HV Amsterdam, The Netherlands
Interests: nursing; quality of life; gerontology; patient education; geriatric; nursing instrument development; geriatric assessment; geriatric psychiatry; medication adherence; aging research; elderly; questionnaire design
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

With a growing geriatric population worldwide, frailty is becoming an increasingly important topic because it is often closely related to aging. To address the challenges resulting from the aging population, services and policies are increasingly focused on independently living in the community rather than relying on institutions, e.g., nursing homes. This fits the wishes of many older people, who prefer to stay in their own homes for as long as possible.

However, frail older people living independently in the community have a high risk of adverse outcomes such as lower quality of life and disability and an increase in healthcare utilization (e.g., hospitalization and institutionalization) and mortality. Therefore, it is important to identify frail community-dwelling older people as early as possible and to implement interventions that can prevent or delay poor outcomes. Therefore, it is important that we gain more knowledge about the assessment of frailty, determinants of frailty, the associations between frailty and adverse outcomes, perspectives of healthcare professionals on frailty (e.g., general practitioners and nurses, ), and, most importantly, how to prevent frailty or poor outcomes. For example, we still lack knowledge on which interventions can prevent physical, psychological, and social frailty.

This Special Issue of Healthcare seeks commentaries, original research, short reports, and reviews on frailty in community-dwelling older people. Both contributions based on quantitative and qualitative research can be submitted.

Prof. Dr. Robbert Gobbens
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • frailty
  • community-dwelling older people
  • primary care
  • prevention
  • disability
  • quality of life
  • healthcare utilization
  • mortality
  • measurement
  • determinants

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • e-Book format: Special Issues with more than 10 articles can be published as dedicated e-books, ensuring wide and rapid dissemination.

Further information on MDPI's Special Issue polices can be found here.

Related Special Issue

Published Papers (2 papers)

Download All Papers
Order results
Result details
Show export options expand_more Show export options expand_less
Select all
Export citation of selected articles as:

Research

Jump to: Review

13 pages, 285 KiB  
Article
Predicting Outcomes in Frail Older Community-Dwellers in Western Australia: Results from the Community Assessment of Risk Screening and Treatment Strategies (CARTS) Programme
by Roger M. Clarnette, Ivan Kostov, Jill P. Ryan, Anton Svendrovski, D. William Molloy and Rónán O’Caoimh
Healthcare 2024, 12(13), 1339; https://doi.org/10.3390/healthcare12131339 - 5 Jul 2024
Cited by 1 | Viewed by 688
Abstract
Understanding risk factors for frailty, functional decline and incidence of adverse healthcare outcomes amongst community-dwelling older adults is important to plan population-level health and social care services. We examined variables associated with one-year risk of institutionalisation, hospitalisation and death among patients assessed in [...] Read more.
Understanding risk factors for frailty, functional decline and incidence of adverse healthcare outcomes amongst community-dwelling older adults is important to plan population-level health and social care services. We examined variables associated with one-year risk of institutionalisation, hospitalisation and death among patients assessed in their own home by a community-based Aged Care Assessment Team (ACAT) in Western Australia. Frailty and risk were measured using the Clinical Frailty Scale (CFS) and Risk Instrument for Screening in the Community (RISC), respectively. Predictive accuracy was measured from the area under the curve (AUC). Data from 417 patients, median 82 ± 10 years, were included. At 12-month follow-up, 22.5% (n = 94) were institutionalised, 44.6% (n = 186) were hospitalised at least once and 9.8% (n = 41) had died. Frailty was common, median CFS score 6/9 ± 1, and significantly associated with institutionalisation (p = 0.001), hospitalisation (p = 0.007) and death (p < 0.001). Impaired activities of daily living (ADL) measured on the RISC had moderate correlation with admission to long-term care (r = 0.51) and significantly predicted institutionalisation (p < 0.001) and death (p = 0.01). The RISC had the highest accuracy for institutionalisation (AUC 0.76). The CFS and RISC had fair to good accuracy for mortality (AUC of 0.69 and 0.74, respectively), but neither accurately predicted hospitalisation. Home assessment of community-dwelling older patients by an ACAT in Western Australia revealed high levels of frailty, ADL impairment and incident adverse outcomes, suggesting that anticipatory care planning is imperative for these patients. Full article
(This article belongs to the Special Issue Frailty in Community-Dwelling Older People: Second Edition)

Review

Jump to: Research

14 pages, 1919 KiB  
Review
What If the Clinical and Older Adults’ Perspectives about Frailty Converge? A Call for a Mixed Conceptual Model of Frailty: A Traditional Literature Review
by Asya Hani Khalil and Robbert J. J. Gobbens
Healthcare 2023, 11(24), 3174; https://doi.org/10.3390/healthcare11243174 - 15 Dec 2023
Viewed by 1399
Abstract
Existing frailty models have enhanced research and practice; however, none of the models accounts for the perspective of older adults upon defining and operationalizing frailty. We aim to propose a mixed conceptual model that builds on the integral model while accounting for older [...] Read more.
Existing frailty models have enhanced research and practice; however, none of the models accounts for the perspective of older adults upon defining and operationalizing frailty. We aim to propose a mixed conceptual model that builds on the integral model while accounting for older adults’ perceptions and lived experiences of frailty. We conducted a traditional literature review to address frailty attributes, risk factors, consequences, perceptions, and lived experiences of older adults with frailty. Frailty attributes are vulnerability/susceptibility, aging, dynamic, complex, physical, psychological, and social. Frailty perceptions and lived experience themes/subthemes are refusing frailty labeling, being labeled “by others” as compared to “self-labeling”, from the perception of being frail towards acting as being frail, positive self-image, skepticism about frailty screening, communicating the term “frail”, and negative and positive impacts and experiences of frailty. Frailty risk factors are classified into socio-demographic, biological, physical, psychological/cognitive, behavioral, and situational/environmental factors. The consequences of frailty affect the individual, the caregiver/family, the healthcare sector, and society. The mixed conceptual model of frailty consists of interacting risk factors, interacting attributes surrounded by the older adult’s perception and lived experience, and interacting consequences at multiple levels. The mixed conceptual model provides a lens to qualify frailty in addition to quantifying it. Full article
(This article belongs to the Special Issue Frailty in Community-Dwelling Older People: Second Edition)
►▼ Show Figures

Figure 1

Show export options expand_more Show export options expand_less
Select all
Export citation of selected articles as:
 
Displaying articles 1-2
Back to TopTop