Understanding Frailty Screening: a Domain Mapping Exercise

  • Jill K. Van Damme University of Waterloo
  • Kassandra Lemmon University of Waterloo
  • Mark Oremus University of Waterloo
  • Elena Neiterman University of Waterloo
  • Paul Stolee University of Waterloo
Keywords: Frailty, Screening Tools, Domain Mapping, Psychosocial

Abstract

Background

Many definitions and operationalisations of frailty exclude psychosocial factors, such as social isolation and mental health, despite considerable evidence of the links between frailty and these factors. This study aimed to investigate the health domains covered by frailty screening tools.

Methods

A systematic search of the literature was conducted in ac­cordance with PRISMA guidelines. MEDLINE, CINAHL, EMBASE, and PsycInfo were searched from inception to December 31, 2018. Data related to the domains of each screening tool were extracted and mapped onto a framework based on the biopsychosocial model of Lehmans et al. (2009) and Wade & Halligans (2017).

Results

Sixty-seven frailty screening tools were captured in 79 arti­cles. All screening tools assessed biological factors, 73% assessed psychological factors, 52% assessed social factors, and 78% assessed contextual factors. Under half (43%) of the tools evaluated all four domains, 33% evaluated three of four domains, 12% reported two of four domains, and 13% reported one domain (biological).

Conclusion

This review found considerable variation in the assessment domains covered by frailty screening tools. Frailty is a broad construct, and frailty screening tools need to cover a wide var­iety of domains to enhance screening and outcomes assessment.

Author Biographies

Jill K. Van Damme, University of Waterloo

School of Public Health and Health Systems

Kassandra Lemmon, University of Waterloo

School of Public Health and Health Systems

Mark Oremus, University of Waterloo

School of Public Health and Health Systems

Elena Neiterman, University of Waterloo

School of Public Health and Health Systems

Paul Stolee, University of Waterloo

School of Public Health and Health Systems

Published
2021-05-11
How to Cite
Van Damme, J. K., Lemmon, K., Oremus, M., Neiterman, E., & Stolee, P. (2021). Understanding Frailty Screening: a Domain Mapping Exercise. Canadian Geriatrics Journal, 24(2), 154-161. https://doi.org/10.5770/cgj.24.401
Section
Reviews