Yıl: 2023 Cilt: 5 Sayı: 1 Sayfa Aralığı: 52 - 58 Metin Dili: İngilizce DOI: 10.4274/ejgg.galenos.2022.2022-8-2 İndeks Tarihi: 30-05-2023

The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty

Öz:
Objective: Numerous easy-to-apply and reliable tools have been developed for frailty detection with realizing the obvious importance of it. We aimed to evaluate the reliability and validity of the PRISMA-7 questionnaire in the Turkish community-dwelling older population, incorporating the geriatrician perspective. Materials and Methods: Upon application of the exclusion criteria, a total of 97 older patients were enrolled. All participants underwent a comprehensive geriatric assessment. After the necessary permissions were obtained, the Turkish version of PRISMA-7 was properly translated into Turkish with a forward-backward translation approach. The adaptation was made complied with the guideline recommendations. A reference tool, the Turkish version of the clinical frailty scale (CFS), was used for validation. Results: Median (interquartile range) age of participants was 72 (10) years, and 61 (62.9%) were female. According to CFS, 17.5% (n=17) patients were in the frail group, and 82.4% (n=80) were in the Robust/Vulnerable group. When we evaluated the concordance of PRISMA-7 and CFS, there was a moderate concordance (Cohen’s kappa: 0.589, p<0.001). At its optimal cut-off for differentiating frail from non-frail patients (≥3), the PRISMA-7 questionnaire had a sensitivity of 94.1% and a specificity of 82.5% (area under the curve: 0.956, p<0.001). For PRISMA-7 inter-rater and retest reliabilities, Cohen’s kappas were 0.615, p=0.03 & 1.0, p<0.001, respectively.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet 2013;381:752-762.
  • 2. Hoogendijk EO, Afilalo J, Ensrud KE, Kowal P, Onder G, Fried LP. Frailty: implications for clinical practice and public health. Lancet 2019;394:1365-1375.
  • 3. Collard RM, Boter H, Schoevers RA, Oude Voshaar RC. Prevalence of frailty in community-dwelling older persons: a systematic review. J Am Geriatr Soc 2012;60:1487-1492.
  • 4. Cesari M, Prince M, Thiyagarajan JA, De Carvalho IA, Bernabei R, Chan P, Gutierrez-Robledo LM, Michel JP, Morley JE, Ong P, Rodriguez Manas L, Sinclair A, Won CW, Beard J, Vellas B. Frailty: An Emerging Public Health Priority. J Am Med Dir Assoc 2016;17:188-192.
  • 5. Commission E. The 2015 ageing report. Economic and budgetary projections for the 28 EU Member States (2013–2060). European Economy 2015;3:1-120.
  • 6. Faller JW, Pereira DDN, de Souza S, Nampo FK, Orlandi FS, Matumoto S. Instruments for the detection of frailty syndrome in older adults: A systematic review. PLoS One 2019;14:e0216166.
  • 7. Raîche M, Hébert R, Dubois MF. PRISMA-7: a case-finding tool to identify older adults with moderate to severe disabilities. Arch Gerontol Geriatr 2008;47:9-18.
  • 8. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 1984;34:939-944.
  • 9. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of Illness in The Aged. The Index of Adl: A Standardized Measure of Biological and Psychosocial Function. JAMA 1963;185:914-919.
  • 10. Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, Kizilarslanoglu MC, Sumer F, Kuyumcu ME, Yesil Y, Halil M, Cankurtaran M. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr 2015;61:344-350.
  • 11. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179-186.
  • 12. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.
  • 13. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002;18:737-757.
  • 14. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982-1983;17:37-49.
  • 15. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M; Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019;48:16-31.
  • 16. Johnson GV, Stoothoff WH. Tau phosphorylation in neuronal cell function and dysfunction. J Cell Sci 2004;117:5721-5729.
  • 17. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P; ISPOR Task Force for Translation and Cultural Adaptation. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 2005;8:94-104.
  • 18. Morley JE, Vellas B, van Kan GA, Anker SD, Bauer JM, Bernabei R, Cesari M, Chumlea WC, Doehner W, Evans J, Fried LP, Guralnik JM, Katz PR, Malmstrom TK, McCarter RJ, Gutierrez Robledo LM, Rockwood K, von Haehling S, Vandewoude MF, Walston J. Frailty consensus: a call to action. J Am Med Dir Assoc 2013;14:392-397.
  • 19. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitnitski A. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005;173:489-495.
  • 20. Özsürekci C, Balcı C, Kızılarslanoğlu MC, Çalışkan H, Tuna Doğrul R, Ayçiçek GŞ, Sümer F, Karabulut E, Yavuz BB, Cankurtaran M, Halil MG. An important problem in an aging country: identifying the frailty via 9 Point Clinical Frailty Scale. Acta Clin Belg 2020;75:200-204.
  • 21. Flack VF, Afifi A, Lachenbruch P, Schouten H. Sample size determinations for the two rater kappa statistic. Psychometrika 1988;53:321-325.
  • 22. Institute TS. The results of Address Based Population Registration System, 2020.
  • 23. Eyigor S, Kutsal YG, Duran E, Huner B, Paker N, Durmus B, Sahin N, Civelek GM, Gokkaya K, Doğan A, Günaydın R, Toraman F, Cakir T, Evcik D, Aydeniz A, Yildirim AG, Borman P, Okumus M, Ceceli E; Turkish Society of Physical Medicine and Rehabilitation, Geriatric Rehabilitation Working Group. Frailty prevalence and related factors in the older adult-FrailTURK Project. Age (Dordr) 2015;37:9791.
  • 24. Yaman H, Ünal Z. The validation of the PRISMA-7 questionnaire in community-dwelling elderly people living in Antalya, Turkey. Electron Physician 2018;10:7266-7272.
  • 25. Dent E, Lien C, Lim WS, Wong WC, Wong CH, Ng TP, Woo J, Dong B, de la Vega S, Hua Poi PJ, Kamaruzzaman SBB, Won C, Chen LK, Rockwood K, Arai H, Rodriguez-Mañas L, Cao L, Cesari M, Chan P, Leung E, Landi F, Fried LP, Morley JE, Vellas B, Flicker L. The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty. J Am Med Dir Assoc 2017;18:564-575.
  • 26. Excellence NIfC. Multimorbidity: clinical assessment and management. United Kingdom: NICE. 2016.
  • 27. Salminen M, Viljanen A, Eloranta S, Viikari P, Wuorela M, Vahlberg T, Isoaho R, Kivelä SL, Korhonen P, Irjala K, Löppönen M, Viikari L. Frailty and mortality: an 18-year follow-up study among Finnish community-dwelling older people. Aging Clin Exp Res 2020;32:2013-2019.
  • 28. Hoogendijk EO, van der Horst HE, Deeg DJ, Frijters DH, Prins BA, Jansen AP, Nijpels G, van Hout HP. The identification of frail older adults in primary care: comparing the accuracy of five simple instruments. Age Ageing 2013;42:262-265.
  • 29. Hoffmann S, Wiben A, Kruse M, Jacobsen KK, Lembeck MA, Holm EA. Predictive validity of PRISMA-7 as a screening instrument for frailty in a hospital setting. BMJ Open 2020;10:e038768.
APA OKYAR BAŞ A, Ceylan S, Güner M, Koca M, Dogu B, Halil M, Balcı C (2023). The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. , 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
Chicago OKYAR BAŞ Arzu,Ceylan Serdar,Güner Merve,Koca Meltem,Dogu Burcu Balam,Halil Meltem,Balcı Cafer The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. (2023): 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
MLA OKYAR BAŞ Arzu,Ceylan Serdar,Güner Merve,Koca Meltem,Dogu Burcu Balam,Halil Meltem,Balcı Cafer The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. , 2023, ss.52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
AMA OKYAR BAŞ A,Ceylan S,Güner M,Koca M,Dogu B,Halil M,Balcı C The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. . 2023; 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
Vancouver OKYAR BAŞ A,Ceylan S,Güner M,Koca M,Dogu B,Halil M,Balcı C The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. . 2023; 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
IEEE OKYAR BAŞ A,Ceylan S,Güner M,Koca M,Dogu B,Halil M,Balcı C "The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty." , ss.52 - 58, 2023. 10.4274/ejgg.galenos.2022.2022-8-2
ISNAD OKYAR BAŞ, Arzu vd. "The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty". (2023), 52-58. https://doi.org/10.4274/ejgg.galenos.2022.2022-8-2
APA OKYAR BAŞ A, Ceylan S, Güner M, Koca M, Dogu B, Halil M, Balcı C (2023). The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. European journal of geriatrics and gerontology (Online), 5(1), 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
Chicago OKYAR BAŞ Arzu,Ceylan Serdar,Güner Merve,Koca Meltem,Dogu Burcu Balam,Halil Meltem,Balcı Cafer The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. European journal of geriatrics and gerontology (Online) 5, no.1 (2023): 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
MLA OKYAR BAŞ Arzu,Ceylan Serdar,Güner Merve,Koca Meltem,Dogu Burcu Balam,Halil Meltem,Balcı Cafer The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. European journal of geriatrics and gerontology (Online), vol.5, no.1, 2023, ss.52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
AMA OKYAR BAŞ A,Ceylan S,Güner M,Koca M,Dogu B,Halil M,Balcı C The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. European journal of geriatrics and gerontology (Online). 2023; 5(1): 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
Vancouver OKYAR BAŞ A,Ceylan S,Güner M,Koca M,Dogu B,Halil M,Balcı C The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty. European journal of geriatrics and gerontology (Online). 2023; 5(1): 52 - 58. 10.4274/ejgg.galenos.2022.2022-8-2
IEEE OKYAR BAŞ A,Ceylan S,Güner M,Koca M,Dogu B,Halil M,Balcı C "The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty." European journal of geriatrics and gerontology (Online), 5, ss.52 - 58, 2023. 10.4274/ejgg.galenos.2022.2022-8-2
ISNAD OKYAR BAŞ, Arzu vd. "The Validation of the Turkish Version of the PRISMA-7 Questionnaire; A Case-finding Instrument for Detecting Older Adults Living with Frailty". European journal of geriatrics and gerontology (Online) 5/1 (2023), 52-58. https://doi.org/10.4274/ejgg.galenos.2022.2022-8-2