Centre for Policy on Ageing
 

 

Understanding frailty
 — meanings and beliefs about screening and prevention across key stakeholder groups in Europe
Author(s)Rachel L Shaw, Holly Gwyther, Carol Holland
Journal titleAgeing and Society, vol 38, no 6, June 2018
PublisherCambridge University Press, June 2018
Pagespp 1223-1252
Sourcehttps://doi.org/10.1017/S0144686X17001283
KeywordsIll health ; Preventative medicine ; European Union ; Screening ; Qualitative Studies ; Italy ; Poland ; United Kingdom.
AnnotationInnovative methods to manage frailty are critical to managing the needs of an ageing population. Evidence suggests there are opportunities to reverse or prevent frailty through early intervention. However, little is known about older adults', families' and practitioners' beliefs about the malleability of frailty. This qualitative study forms part of research within the European Innovation Partnership for Active and Healthy Ageing (EIP-AHA). It examined European stakeholders' accounts of the acceptability and feasibility of frailty screening and prevention to inform future intervention development. Semi-structured focus groups and individual interviews were conducted in three European Union (EU) countries (Italy, Poland and the United Kingdom) with key stakeholders - frail and non-frail older adults, family care-givers, and health and social care professionals. Thematic analysis identified four themes: synchronicity between the physical and the psychological in frailty, living with frailty in the social world, the need for a new kind of care, and screening for and preventing frailty. Findings emphasised the need for a holistic approach to frailty care and early intervention. Integrated care services and advocacy were important in the organisation of care. Central to all stakeholders was the significance of the psychological and social alongside the physical elements of frailty and frailty prevention. Support and care for older adults and their family care-givers needs to be accessible and co-ordinated. Interventions to prevent frailty must encompass a social dimension to help older adults maintain a sense of self while building physical and psychological resilience. (RH).
Accession NumberCPA-180601206 A
ClassmarkCH: LK2: WFC: 3V: 3DP: 76V: 7AE: 8

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