Evaluative Frailty Index for Physical Activity (EFIP): A Reliable and Valid Instrument to Measure Changes in Level of Frailty

被引:29
|
作者
de Vries, Nienke M. [1 ]
Staal, J. Bart [2 ]
Rikkert, Marcel G. M. Olde [3 ]
Nijhuis-van der Sanden, Maria W. G. [2 ]
机构
[1] Radboud Univ Nijmegen, Med Ctr, Sci Inst Qual Healthcare IQ Healthcare, NL-6500 HB Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, IQ Healthcare, NL-6500 HB Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Geriatr, NL-6500 HB Nijmegen, Netherlands
来源
PHYSICAL THERAPY | 2013年 / 93卷 / 04期
关键词
DWELLING OLDER-ADULTS; RELATIVE FITNESS; EXERCISE; HEALTH; MOBILITY; OUTCOMES; COMORBIDITY; POPULATION; DISABILITY; LIFE;
D O I
10.2522/ptj.20120127
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background. Physical activity is assumed to be important in the prevention and treatment of frailty. It is unclear, however, to what extent frailty can be influenced because instruments designed to assess frailty have not been validated as evaluative outcome instruments in clinical practice. Objectives. The aims of this study were: (1) to develop a frailty index (ie, the Evaluative Frailty Index for Physical Activity [EFIP]) based on the method of deficit accumulation and (2) to test the clinimetric properties of the EFIP. Design. The content of the EFIP was determined using a written Delphi procedure. Intrarater reliability, interrater reliability, and construct validity were determined in an observational study (n=24). Method. Intrarater reliability and interrater reliability were calculated using Cohen kappa and intraclass correlation coefficients (ICCs). Construct validity was determined by correlating the score on the EFIP with those on the Timed "Up & Go" Test (TUG), the Performance-Oriented Mobility Assessment (POMA), and the Cumulative Illness Rating Scale for Geriatrics (CIRS-G). Results. Fifty items were included in the EFIP. Interrater reliability (Cohen kappa=0.72, ICC=.96) and intrarater reliability (Cohen kappa=0.77 and 0.80, ICC=.93 and .98) were good. As expected, a fair to moderate correlation with the TUG, POMA, and CIRS-G was found (.61, -.70, and .66, respectively). Limitations. Reliability and validity of the EFIP have been tested in a small sample. These and other clinimetric properties, such as responsiveness, will be assessed or reassessed in a larger study population. Conclusion. The EFIP is a reliable and valid instrument to evaluate the effect of physical activity on frailty in research and in clinical practice.
引用
收藏
页码:551 / 561
页数:11
相关论文
共 29 条
  • [11] Functional rating index - A new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions - Point of view
    Cherkin, D
    SPINE, 2001, 26 (01) : 87 - 87
  • [12] The Impact of Frailty on Changes in Physical Function and Disease Activity Among Adults With Rheumatoid Arthritis
    Andrews, James S.
    Trupin, Laura
    Wysham, Katherine D.
    Hough, Catherine L.
    Yelin, Edward H.
    Katz, Patricia P.
    ACR OPEN RHEUMATOLOGY, 2019, 1 (06) : 366 - 372
  • [13] Low physical activity is the strongest factor associated with frailty phenotype and frailty index: data from baseline phase of Birjand Longitudinal Aging Study (BLAS)
    Sobhani, Ameneh
    Sharifi, Farshad
    Fadayevatan, Reza
    Kamrani, Ahmad Ali Akbari
    Moodi, Mitra
    Khorashadizadeh, Masoumeh
    Kazemi, Toba
    Khodabakhshi, Huriye
    Fakhrzadeh, Hossein
    Arzaghi, Masoud
    Badrkhahan, Seyedeh Zahra
    Hosseini, Raziye Sadat
    Monji, Hadi
    Nikkhah, Amirabbas
    BMC GERIATRICS, 2022, 22 (01)
  • [14] Low physical activity is the strongest factor associated with frailty phenotype and frailty index: data from baseline phase of Birjand Longitudinal Aging Study (BLAS)
    Ameneh Sobhani
    Farshad Sharifi
    Reza Fadayevatan
    Ahmad Ali Akbari Kamrani
    Mitra Moodi
    Masoumeh Khorashadizadeh
    Toba Kazemi
    Huriye Khodabakhshi
    Hossein Fakhrzadeh
    Masoud Arzaghi
    Seyedeh Zahra Badrkhahan
    Raziye Sadat Hosseini
    Hadi Monji
    Amirabbas Nikkhah
    BMC Geriatrics, 22
  • [15] THE BILAG INDEX - A RELIABLE AND VALID INSTRUMENT FOR MEASURING CLINICAL-DISEASE ACTIVITY IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    HAY, EM
    BACON, PA
    GORDON, C
    ISENBERG, DA
    MADDISON, P
    SNAITH, ML
    SYMMONS, DPM
    VINER, N
    ZOMA, A
    QUARTERLY JOURNAL OF MEDICINE, 1993, 86 (07): : 447 - 458
  • [16] Changes in physical activity during the year after the Great East Japan Earthquake and future frailty in older survivors
    Tsubota-Utsugi, Megumi
    Sasaki, Ryohei
    Suzuki, Ruriko
    Tanno, Kozo
    Kuno, Junji
    Shimoda, Haruki
    Sakata, Kiyomi
    GERIATRICS & GERONTOLOGY INTERNATIONAL, 2024, 24 (06) : 563 - 570
  • [18] Using Consumer-Grade Physical Activity Trackers to Measure Frailty Transitions in Older Critical Care Survivors: Exploratory Observational Study
    Kim, Ben
    Hunt, Miranda
    Muscedere, John
    Maslove, David M.
    Lee, Joon
    JMIR AGING, 2021, 4 (01)
  • [19] Motor Performance and Physical Activity as Predictors of Prospective Falls in Community-Dwelling Older Adults by Frailty Level: Application of Wearable Technology
    Mohler, M. Jane
    Wendel, Christopher S.
    Taylor-Piliae, Ruth E.
    Toosizadeh, Nima
    Najafi, Bijan
    GERONTOLOGY, 2016, 62 (06) : 654 - 664
  • [20] THE IMPACT OF FRAILTY ON EARLY CHANGES IN PHYSICAL ACTIVITY AFTER TRANSCATHETER TRICUSPID VALVE REPAIR: AN ANALYSIS OF WEARABLE ACTIVITY MONITORING IN THE CLASP TR EARLY FEASIBILITY STUDY
    Green, Philip
    Chung, Christine
    Murphy, Shannon
    Al-Ghusain, Ahmad
    Mollenkopf, Sarah
    Feldman, Ted
    Davidson, Charles
    Eleid, Mackram
    Kipperman, Robert
    Smith, Robert, II
    Lim, Scott
    Zahr, Firas
    Gray, William A.
    Greenbaum, Adam
    Leon, Martin
    Kodali, Susheel K.
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2020, 75 (11) : 1208 - 1208