RT Journal Article
SR Electronic
T1 Multidimensional instruments with an integral approach to identify frailty in community-dwelling people: protocol for a systematic psychometric review
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e033160
DO 10.1136/bmjopen-2019-033160
VO 9
IS 12
A1 Zamora-Sánchez, Juan José
A1 Gea-Caballero, Vicente
A1 Julián-Rochina, Iván
A1 Jódar-Fernández, Lina
A1 Lumillo-Gutiérrez, Iris
A1 Sastre-Rus, Meritxell
A1 Urpí-Fernández, Ana-María
A1 Zabaleta-del-Olmo, Edurne
YR 2019
UL http://bmjopen.bmj.com/content/9/12/e033160.abstract
AB Introduction An increasing number of investigations highlight the complex nature of frailty; therefore, the use of multidimensional assessment instruments could be useful in clinical decision-making. Frail people are found mainly in the community setting which is why this is the ideal environment for early screening and intervention. For this purpose, it is necessary to have valid, time-effective and easy-to-use frailty assessment instruments. The aim of this review is to critically appraise, compare and summarise the quality of the measurement properties of all multidimensional instruments with an integral approach to identify frailty in community-dwelling people.Methods and analysis Medline, Psychological Information Database (PsycINFO) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) will be searched from their inception dates. We will also conduct searches in databases of grey literature. No limits will be applied for language. A highly sensitive validated search filter will be used for finding studies on measurement properties. An additional search including the names of the instruments found in the initial search will also be undertaken. Studies aiming at the development of a measurement instrument, the evaluation of one or more measurement properties or the evaluation of its interpretability will be included. The instrument should have an integral approach (physical, psychological and social) and it should measure all three domains. The context of use should be a community setting. Two reviewers independently will screen the references and assess the risk of bias by consensus-based standards for the selection of health measurement instruments checklist. To assess the overall evidence for the measurement properties of the identified instruments, the results of the different studies, adjusted for their methodological quality, will be combined.Ethics and dissemination Ethical approval and patient consent are not required as this is a psychometric review based on published studies. The results of this review will be disseminated at conferences and published in an international peer-reviewed journal.PROSPERO registration number CRD42019120212.