Content validation of the Tilburg Frailty Indicator from the perspective of frail elderly. A qualitative explorative study

Jane Andreasen; Hans Lund; Mette Aadahl; Robbert J J Gobbens; Erik E Sorensen

doi:10.1016/j.archger.2015.08.017

Content validation of the Tilburg Frailty Indicator from the perspective of frail elderly. A qualitative explorative study

Jane Andreasen, Hans Lund, Mette Aadahl, Robbert J J Gobbens, Erik E Sorensen

Department of Public Health

12 Citations (Scopus)

Abstract

The Tilburg Frailty Indicator is a questionnaire with a bio-psycho-social approach, which measures frailty by 15 questions. A questionnaire about frailty should be in alignment with experiences of frail elderly themselves as a target population is an important source of knowledge in content validation. Aim: To validate the Tilburg Frailty Indicator on content in relation to the physical, psychological and social domain by exploring the experience of daily life of community dwelling frail elderly. Methods: The design was a qualitative content validation study. The participants were acutely admitted frail elderly discharged to home and interviewed one week after discharge. A deductive content analysis, with categories structured in advance, was performed. Results: A total of 422 meaning units were extracted from the transcriptions; 131 units related to the physical domain, 106 units to the psychological domain and 185 units to the social domain. 56 units were not linked into the existing structure of the questionnaire. 14 of 15 questions were confirmed from a target population perspective. The four issues pain, sleep quality, spirituality and meaningful activities that seem to be important elements for frail elderly were not directly covered by the questionnaire. Discussion: It seems likely that the majority of important items related to frailty are covered in the questionnaire. The findings add to the scientific body of knowledge in relation to the validity of the questionnaire. Future research should investigate the importance of the four issues pain, sleep quality, spirituality and meaningful activities in relation to the screening of frailty.

Original language	English
Journal	Archives of Gerontology and Geriatrics
Volume	61
Issue number	3
Pages (from-to)	392-9
Number of pages	8
ISSN	0167-4943
DOIs	https://doi.org/10.1016/j.archger.2015.08.017
Publication status	Published - Nov 2015

Keywords

Activities of Daily Living
Aged
Frail Elderly
Health Status
Hospitalization
Humans
Interviews as Topic
Mental Disorders
Pain
Patient Discharge
Physical Examination
Psychometrics
Qualitative Research
Quality of Life
Reproducibility of Results
Spirituality
Surveys and Questionnaires

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10.1016/j.archger.2015.08.017

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title = "Content validation of the Tilburg Frailty Indicator from the perspective of frail elderly. A qualitative explorative study",

abstract = "The Tilburg Frailty Indicator is a questionnaire with a bio-psycho-social approach, which measures frailty by 15 questions. A questionnaire about frailty should be in alignment with experiences of frail elderly themselves as a target population is an important source of knowledge in content validation. Aim: To validate the Tilburg Frailty Indicator on content in relation to the physical, psychological and social domain by exploring the experience of daily life of community dwelling frail elderly. Methods: The design was a qualitative content validation study. The participants were acutely admitted frail elderly discharged to home and interviewed one week after discharge. A deductive content analysis, with categories structured in advance, was performed. Results: A total of 422 meaning units were extracted from the transcriptions; 131 units related to the physical domain, 106 units to the psychological domain and 185 units to the social domain. 56 units were not linked into the existing structure of the questionnaire. 14 of 15 questions were confirmed from a target population perspective. The four issues pain, sleep quality, spirituality and meaningful activities that seem to be important elements for frail elderly were not directly covered by the questionnaire. Discussion: It seems likely that the majority of important items related to frailty are covered in the questionnaire. The findings add to the scientific body of knowledge in relation to the validity of the questionnaire. Future research should investigate the importance of the four issues pain, sleep quality, spirituality and meaningful activities in relation to the screening of frailty.",

keywords = "Activities of Daily Living, Aged, Frail Elderly, Health Status, Hospitalization, Humans, Interviews as Topic, Mental Disorders, Pain, Patient Discharge, Physical Examination, Psychometrics, Qualitative Research, Quality of Life, Reproducibility of Results, Spirituality, Surveys and Questionnaires",

author = "Jane Andreasen and Hans Lund and Mette Aadahl and Gobbens, {Robbert J J} and Sorensen, {Erik E}",

year = "2015",

month = nov,

doi = "10.1016/j.archger.2015.08.017",

language = "English",

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pages = "392--9",

journal = "Archives of Gerontology and Geriatrics",

issn = "0167-4943",

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AU - Andreasen, Jane

AU - Lund, Hans

AU - Aadahl, Mette

AU - Gobbens, Robbert J J

AU - Sorensen, Erik E

PY - 2015/11

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AB - The Tilburg Frailty Indicator is a questionnaire with a bio-psycho-social approach, which measures frailty by 15 questions. A questionnaire about frailty should be in alignment with experiences of frail elderly themselves as a target population is an important source of knowledge in content validation. Aim: To validate the Tilburg Frailty Indicator on content in relation to the physical, psychological and social domain by exploring the experience of daily life of community dwelling frail elderly. Methods: The design was a qualitative content validation study. The participants were acutely admitted frail elderly discharged to home and interviewed one week after discharge. A deductive content analysis, with categories structured in advance, was performed. Results: A total of 422 meaning units were extracted from the transcriptions; 131 units related to the physical domain, 106 units to the psychological domain and 185 units to the social domain. 56 units were not linked into the existing structure of the questionnaire. 14 of 15 questions were confirmed from a target population perspective. The four issues pain, sleep quality, spirituality and meaningful activities that seem to be important elements for frail elderly were not directly covered by the questionnaire. Discussion: It seems likely that the majority of important items related to frailty are covered in the questionnaire. The findings add to the scientific body of knowledge in relation to the validity of the questionnaire. Future research should investigate the importance of the four issues pain, sleep quality, spirituality and meaningful activities in relation to the screening of frailty.

KW - Activities of Daily Living

KW - Aged

KW - Frail Elderly

KW - Health Status

KW - Hospitalization

KW - Humans

KW - Interviews as Topic

KW - Mental Disorders

KW - Pain

KW - Patient Discharge

KW - Physical Examination

KW - Psychometrics

KW - Qualitative Research

KW - Quality of Life

KW - Reproducibility of Results

KW - Spirituality

KW - Surveys and Questionnaires

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DO - 10.1016/j.archger.2015.08.017

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C2 - 26323651

SN - 0167-4943

VL - 61

SP - 392

EP - 399

JO - Archives of Gerontology and Geriatrics

JF - Archives of Gerontology and Geriatrics

IS - 3

ER -

Content validation of the Tilburg Frailty Indicator from the perspective of frail elderly. A qualitative explorative study

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Keywords

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