The Tilburg frailty indicator: a psychometric systematic review

The Tilburg Frailty Indicator (TFI) is one of the most prominent multidimensional frailty assessment instruments. This review aimed to critically appraise and summarise its measurement properties. Methods Reports were eligible if they included results of studies aimed at developing the TFI or evalua...

Descripción completa

Detalles Bibliográficos
Autores: Zamora-Sánchez, Juan José, Urpí Fernández, Ana María, Sastre Rus, Meritxell, Lumillo Gutiérrez, Iris, Gea-Caballero, Vicente, Jódar-Fernández, Lina, Julián-Rochina, Iván, Zabaleta-del-Olmo, Edurne
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2022
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/186175
Acceso en línea:https://hdl.handle.net/2445/186175
Access Level:acceso abierto
Palabra clave:Envelliment
Fragilitat
Psicometria
Aging
Brittleness
Psychometrics
id ES_f1ade29c19eac1f019e073e5d6bba5bc
oai_identifier_str oai:diposit.ub.edu:2445/186175
network_acronym_str ES
network_name_str España
repository_id_str
spelling The Tilburg frailty indicator: a psychometric systematic reviewZamora-Sánchez, Juan JoséUrpí Fernández, Ana MaríaSastre Rus, MeritxellLumillo Gutiérrez, IrisGea-Caballero, VicenteJódar-Fernández, LinaJulián-Rochina, IvánZabaleta-del-Olmo, EdurneEnvellimentFragilitatPsicometriaAgingBrittlenessPsychometricsThe Tilburg Frailty Indicator (TFI) is one of the most prominent multidimensional frailty assessment instruments. This review aimed to critically appraise and summarise its measurement properties. Methods Reports were eligible if they included results of studies aimed at developing the TFI or evaluating its measurement properties. We performed a literature search in MEDLINE, CINAHL, and PsycINFO databases from their inception until September 17, 2020. We also searched grey literature databases. We assessed the methodological quality of the included studies using the 'COSMIN Risk of Bias'. The measurement properties were evaluated using specific criteria. We graded the quality of the evidence using a GRADE approach. Results Fifty-five studies were included. We found moderate sufficient evidence for TFI content validity, although it is still insufficient for the comprehensiveness of its items. TFI construct validity was based on sufficient evidence from a single study of its structural validity as well as multiple hypothesis-testing for construct validity studies with inconsistent results. We did not find any studies that assessed cross-cultural validity. The TFI showed high sufficient concurrent validity with the comprehensive geriatric assessment. We identified several studies assessing its predictive validity for adverse frailty-related outcomes, although most of the evidence from these studies was insufficient. We did not find any studies that assessed the responsiveness of TFI scores. Conclusions The TFI is a simple measurement instrument that may be helpful in the assessment of frailty. However, more studies are needed to strengthen its usefulness as a clinical decision-making tool.Elsevier Masson2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/186175Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a:Ageing Research Reviews, 2022, vol. 76, p. 101588cc-by-nc-nd (c) Elsevier Masson, 2022https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1861752026-05-27T06:46:51Z
dc.title.none.fl_str_mv The Tilburg frailty indicator: a psychometric systematic review
title The Tilburg frailty indicator: a psychometric systematic review
spellingShingle The Tilburg frailty indicator: a psychometric systematic review
Zamora-Sánchez, Juan José
Envelliment
Fragilitat
Psicometria
Aging
Brittleness
Psychometrics
title_short The Tilburg frailty indicator: a psychometric systematic review
title_full The Tilburg frailty indicator: a psychometric systematic review
title_fullStr The Tilburg frailty indicator: a psychometric systematic review
title_full_unstemmed The Tilburg frailty indicator: a psychometric systematic review
title_sort The Tilburg frailty indicator: a psychometric systematic review
dc.creator.none.fl_str_mv Zamora-Sánchez, Juan José
Urpí Fernández, Ana María
Sastre Rus, Meritxell
Lumillo Gutiérrez, Iris
Gea-Caballero, Vicente
Jódar-Fernández, Lina
Julián-Rochina, Iván
Zabaleta-del-Olmo, Edurne
author Zamora-Sánchez, Juan José
author_facet Zamora-Sánchez, Juan José
Urpí Fernández, Ana María
Sastre Rus, Meritxell
Lumillo Gutiérrez, Iris
Gea-Caballero, Vicente
Jódar-Fernández, Lina
Julián-Rochina, Iván
Zabaleta-del-Olmo, Edurne
author_role author
author2 Urpí Fernández, Ana María
Sastre Rus, Meritxell
Lumillo Gutiérrez, Iris
Gea-Caballero, Vicente
Jódar-Fernández, Lina
Julián-Rochina, Iván
Zabaleta-del-Olmo, Edurne
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Envelliment
Fragilitat
Psicometria
Aging
Brittleness
Psychometrics
topic Envelliment
Fragilitat
Psicometria
Aging
Brittleness
Psychometrics
description The Tilburg Frailty Indicator (TFI) is one of the most prominent multidimensional frailty assessment instruments. This review aimed to critically appraise and summarise its measurement properties. Methods Reports were eligible if they included results of studies aimed at developing the TFI or evaluating its measurement properties. We performed a literature search in MEDLINE, CINAHL, and PsycINFO databases from their inception until September 17, 2020. We also searched grey literature databases. We assessed the methodological quality of the included studies using the 'COSMIN Risk of Bias'. The measurement properties were evaluated using specific criteria. We graded the quality of the evidence using a GRADE approach. Results Fifty-five studies were included. We found moderate sufficient evidence for TFI content validity, although it is still insufficient for the comprehensiveness of its items. TFI construct validity was based on sufficient evidence from a single study of its structural validity as well as multiple hypothesis-testing for construct validity studies with inconsistent results. We did not find any studies that assessed cross-cultural validity. The TFI showed high sufficient concurrent validity with the comprehensive geriatric assessment. We identified several studies assessing its predictive validity for adverse frailty-related outcomes, although most of the evidence from these studies was insufficient. We did not find any studies that assessed the responsiveness of TFI scores. Conclusions The TFI is a simple measurement instrument that may be helpful in the assessment of frailty. However, more studies are needed to strengthen its usefulness as a clinical decision-making tool.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/186175
url https://hdl.handle.net/2445/186175
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a:
Ageing Research Reviews, 2022, vol. 76, p. 101588
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Elsevier Masson, 2022
https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Elsevier Masson, 2022
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier Masson
publisher.none.fl_str_mv Elsevier Masson
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869424179235782656
score 15,300719