Identifying the loss of functional independence of older people residing in the community: Validation of the PRISMA-7 instrument in Brazil

Saenger, Ana Luiza Flores; Caldas, Célia Pereira; Raı̂che, Michel; Motta, Luciana Branco da

doi:10.1016/j.archger.2017.09.008

Cited by 16 publications

(25 citation statements)

References 24 publications

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“…Comprehensive geriatric assessment, treatment and rehabilitation is associated with decreased mortality, less functional decline at discharge, reduced care needs and a higher probability of living at home [3,5,8,13,21]. Thus, to adequately prevent hospitalisation, we need to study ambulatory older people with an adequate instrument to prevent delay of functional decline [29].…”

Section: Introductionmentioning

confidence: 99%

“…The Program on Research for Integrating Services for the Maintenance of Autonomy (PRISMA) was developed in Canada in 2005 [29]. The PRISMA model includes the PRISMA-7 questionnaire, validated to screen for frailty, which allows services to be adapted to clients' needs [29,30]. PRISMA-7 identifies risk factors for functional decline through seven dichotomous items [29,31].…”

Section: Introductionmentioning

confidence: 99%

“…The PRISMA model includes the PRISMA-7 questionnaire, validated to screen for frailty, which allows services to be adapted to clients' needs [29,30]. PRISMA-7 identifies risk factors for functional decline through seven dichotomous items [29,31].…”

Section: Introductionmentioning

confidence: 99%

“…In the Canadian study, PRISMA-7 had 78% sensitivity and 75% specificity with a cut-off point of three or more positive answers for identification of functional decline in older patients, and 61% sensitivity and 91% specificity with a cut-off point of four or more positive answers [30]. Due to the good performance of PRISMA-7 in comparison with other frailty assessment instruments, the Royal College of General Practitioners and the British Geriatrics Society recommend PRISMA-7 for frailty identification [29,31].…”

Section: Introductionmentioning

confidence: 99%

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Cross-cultural adaptation and validation of the PRISMA-7 scale for European Portuguese

Santiago¹,

Silva²,

Velho³

et al. 2020

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Background. Frailty is an age-associated biological syndrome and a predictor of multimorbidity outcomes, whose early recognition allows for the identification of those older patients at risk. The PRISMA-7 scale allows for the identification of frail older people. Objectives. To make a cross-cultural adaptation and validation of the PRISMA-7 to the European spoken Portuguese language. Material and methods. Cross-cultural adaptation by translation of the PRISMA-7 scale into European Portuguese, debriefing and back-translation to English. Application for intra-observer reliability assessment and validation by simultaneous and concurrent application of the Katz scale. Results. Cronbach's alpha coefficient was of 0.420 and 0.409 after a re-test. Spearman's Rank Order Correlation of 0.969 in the re-test operation in a sample of 64 older people (35 female). More than 3 affirmative answers were found for older people (p < 0.001), for a higher number of self-reported drugs taken, (p = 0.001), self-reported years of education (p = 0.001), higher values for those with less years of studies were found in the validation of the translated PRISMA-7 scale, in a purposive sample of 127 older people, 72 (56.7%) female. No differences were found between gender (p = 0.414) and for number of self-reported diseases (p = 0.258). A Spearman correlation of ρ = 0.477 (p < 0.001) between the total of the two scales was found. Discussion. This comprehensive tool enables health care providers to discuss and architect more effective and efficient measures for these patients' care, regardless of gender, socio-demographic factors, number of self-reported drugs taken and diseases. Conclusions. The PRISMA-7 scale is now recommended to identify frail older people in the Portuguese community.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cross-cultural adaptation and validation of the PRISMA-7 scale for European Portuguese

Santiago¹,

Silva²,

Velho³

et al. 2020

fmpcr

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“…In order to capture the different domains of ADL function loss, previous studies have shown that the physical function loss of ADL was hierarchical in nature [14][15][16]23] and can be formed as a pattern which would be helpful for monitoring ADL disability progression across episodes of care and predicting long-term care use among older adults who match the hierarchical loss pattern [15,24,25].…”

Section: Hierarchy In Functional Decline Of Adlsmentioning

confidence: 99%

The Bidirectional Relationship Between Cognitive Function and Loss Hierarchy of Activities of Daily Living Among Older Adults with Disabilities in China: A Cross-Lagged Analysis

Sun

Jiang

Lü

et al. 2020

Preprint

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Background The Chinese population is experiencing rapid aging, limitations in activities of daily living and decline in cognitive function among the oldest-old group causes tremendous economic, family and social burden. Examining their relationship is critically relevant for policymakers. The present study aimed to determine the bidirectional relationship between cognitive function and the loss hierarchy of activities of daily living among older adults in China. Methods Data were derived from a sample of 469 older adults who participated in both the 2010 and 2013 waves of a Longitudinal Study on Family Caregivers for Frail Older Adults. Cognitive function was assessed using the Chinese version of the Short Portable Mental Status Questionnaire and activities of daily living were measured by self-reports of having difficulty or needing help with basic daily activities. A cross-lagged analysis was adopted. Results In general, the results showed cognitive function in 2010 was a significant predictor of middle loss activities of daily living (dressing, moving, bathing and toileting) in 2013, and late loss activities of daily living (feeding and hygiene) in 2013. The loss hierarchy of activities of daily living among older adults was not shown to be significant as a risk factor of cognitive function in 2013. Conclusions The findings expanded understanding of the relationship between cognitive function and the loss hierarchy of activities of daily living as well as provided evidence for clinicians and service planners for anticipating the subsequent care and service needs of the elderly and their families.

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Current Situation of Frailty Screening Tools for Older Adults

2019

The Journal of nutrition, health and aging

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Identifying the loss of functional independence of older people residing in the community: Validation of the PRISMA-7 instrument in Brazil

Cited by 16 publications

References 24 publications

Cross-cultural adaptation and validation of the PRISMA-7 scale for European Portuguese

Cross-cultural adaptation and validation of the PRISMA-7 scale for European Portuguese

The Bidirectional Relationship Between Cognitive Function and Loss Hierarchy of Activities of Daily Living Among Older Adults with Disabilities in China: A Cross-Lagged Analysis

Current Situation of Frailty Screening Tools for Older Adults

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