Frailty Assessment in Patients Utilizing a Free Clinic

Hadenfeldt, Cindy Jean; Darabaris, Marie; Aufdenkamp, Marilee

doi:10.1353/hpu.2017.0124

Cited by 5 publications

(7 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a cross-sectional study among homeless adults (N=38) between 40 to 64 years of age, 47% were frail and 16% were very frail (Hadenfeldt, Darabaris, & Aufdenkamp, 2017). Psychological, social, and environmental factors influenced health and the majority of the participants met the criteria for either being frail or very frail (Hadenfeldt et al, 2017). In the sample, 60% had difficulty with one or more physical activities and one fourth were unhappy and depressed (Hadenfeldt et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Psychological, social, and environmental factors influenced health and the majority of the participants met the criteria for either being frail or very frail (Hadenfeldt et al, 2017). In the sample, 60% had difficulty with one or more physical activities and one fourth were unhappy and depressed (Hadenfeldt et al, 2017). Due to the prevalence of frailty, interventions need to be developed and implemented (Hadenfeldt et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…In the sample, 60% had difficulty with one or more physical activities and one fourth were unhappy and depressed (Hadenfeldt et al, 2017). Due to the prevalence of frailty, interventions need to be developed and implemented (Hadenfeldt et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Correlates of physical, psychological, and social frailty among formerly incarcerated, homeless women

Salem

Brecht

Faucette

et al. 2019

Health Care for Women International

View full text Add to dashboard Cite

Frailty is a deficit accumulation in physical, psychological and social domains. Correlates of frailty were explored among formerly incarcerated, homeless women (N=130, M age = 38.9). Significant correlates of physical frailty were age, years homeless, prior violence, witnessing less violence, drug dependence, PTSD symptoms and tangible support. Significant correlates of psychological frailty were age, years homeless, witnessed violence, jail time, divorced less, drug use/dependence, prison time, methamphetamine use, and bodily pain. Significant correlates of social frailty were drug use, emotional regulation, and daily alcohol use. Reentry interventions are needed for formerly incarcerated, homeless women who experience physical, psychological and social frailty.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Correlates of physical, psychological, and social frailty among formerly incarcerated, homeless women

Salem

Brecht

Faucette

et al. 2019

Health Care for Women International

View full text Add to dashboard Cite

show abstract

“…To our knowledge, this is the first UK-based study examining frailty and geriatric conditions among PEH and the first anywhere to do so within a CGA-type evaluation. The studies of frailty and geriatric conditions in homeless populations in the USA reported comparable prevalence data (Salem et al, 2013(Salem et al, , 2014Hadenfeldt et al, 2017;Salem et al, 2019). Other studies also report high rates of multimorbidity associated with homelessness, but direct comparison of number of LTCs is difficult because of different classification and assessment methods (Queen et al, 2017;Bowen et al, 2019).…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

“…Frailty is a health state related to ageing, characterised by loss of in-built reserves across multiple body systems and associated with vulnerability to adverse outcomes (Fried et al, 2001;British Geriatrics Society, 2015). Four studies assessed frailty among PEH in the USA using a variety of definitions, finding more than half of participants were frail (Salem et al, 2013(Salem et al, , 2014Hadenfeldt et al, 2017;Salem et al, 2019), and studies in the USA and Ireland reported premature onset of geriatric conditions such as cognitive and functional impairments (Brown et al, 2012(Brown et al, , 2017Ni Cheallaigh and Sears, 2018). In the UK, people living in hostels often have very complex health and social care needs (Shulman et al, 2018;Manthorpe et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel

Rogans-Watson

Shulman

Lewer

et al. 2020

HCS

View full text Add to dashboard Cite

Purpose The purpose of this paper is to assess frailty, geriatric conditions and multimorbidity in people experiencing homelessness (PEH) using holistic evaluations based on comprehensive geriatric assessment (CGA) and draw comparisons with general population survey data. Design/methodology/approach Cross-sectional observational study conducted in a London-based hostel for single PEH over 30 years old in March–April 2019. The participants and key workers completed health-related questionnaires, and geriatric conditions were identified using standardised assessments. Frailty was defined according to five criteria in Fried’s phenotype model and multimorbidity as the presence of two or more long-term conditions (LTCs). Comparisons with the general population were made using data from the English Longitudinal Study of Ageing and the Health Survey for England. Findings A total of 33 people participated with a mean age of 55.7 years (range 38–74). Frailty was identified in 55% and pre-frailty in 39%. Participants met an average of 2.6/5 frailty criteria, comparable to 89-year-olds in the general population. The most common geriatric conditions were: falls (in 61%), visual impairment (61%), low grip strength (61%), mobility impairment (52%) and cognitive impairment (45%). All participants had multimorbidity. The average of 7.2 LTCs (range 2–14) per study participant far exceeds the average for even the oldest people in the general population. Originality/value To the best of authors’ knowledge, this is the first UK-based study measuring frailty and geriatric conditions in PEH and the first anywhere to do so within a CGA-type evaluation. It also demonstrates the feasibility of conducting holistic evaluations in this setting, which may be used clinically to improve the health outcomes for PEH.

show abstract

A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm feasibility cohort study.

et al. 2023

View full text Add to dashboard Cite

Background: People who are homeless are more likely to experience poor mental health and addiction as well as suffering from non-communicable diseases. There is evidence of frailty and accelerated physical ageing among people experiencing homelessness. Appropriate physical rehabilitation and nutritional supplementation strategies can stabilise or reverse frailty and general physical decline, but it is not known how this type of intervention would work in practice in this population. Aim: To evaluate the feasibility and preliminary efficacy of a low threshold physical rehabilitation intervention with protein supplementation to target physical functioning and frailty in people with problematic substance use who are experiencing homelessness. Methods: The intervention will consist of a 12-week low threshold rehabilitation programme with protein supplementation. Participants will be service users of the Ballyfermot Advance Project, a day services centre for people with addiction issues and experiencing homelessness. Primary outcomes will be feasibility including numbers recruited, retention of participants and number of repeat visits. Any adverse events will be recorded. Secondary outcomes will be strength and muscular mass, physical performance and lower extremity physical function, pain, frailty and nutritional status. Discussion: An immediate impact may be simply a distraction from difficult circumstances and potentially an improvement of physical health of participants, which can be a conduit for the emergence of other positive behaviours and recovery. Longer term, this study will generate preliminary data on which to inform the design of a definitive randomised controlled trial of physical rehabilitation and protein supplementation, if indicated. Ethics and dissemination: Ethical approval was granted by the Faculty of Health Sciences Research Ethics Committee in TCD. Study findings will be disseminated through publication into an international peer-reviewed journal and presented at national and international conferences.

show abstract

Frailty Assessment in Patients Utilizing a Free Clinic

Abstract: Physical indicators of frailty were present in 60% of the sample. Psychological, social, and environmental factors affecting health were identified. Sixty-three percent of the participants scored frail or very frail on the CFAI. A larger study is needed to confirm these findings.

Cited by 5 publications

References 6 publications

Correlates of physical, psychological, and social frailty among formerly incarcerated, homeless women

Correlates of physical, psychological, and social frailty among formerly incarcerated, homeless women

Premature frailty, geriatric conditions and multimorbidity among people experiencing homelessness: a cross-sectional observational study in a London hostel

A study to explore the role of a low threshold, fitness focussed physical rehabilitation intervention with protein supplementation to target physical function and frailty in people with problematic substance use and homelessness: protocol for a single-arm feasibility cohort study.

Contact Info

Product

Resources

About