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Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence

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Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty : A meta-synthesis of qualitative evidence. / D'Avanzo, Barbara; Shaw, Rachel; Riva, Silvia; Apostolo, Joao; Bobrowicz-Campos, Elzbieta; Kurpas, Donata; Bujnowska, Maria; Holland, Carol.

In: PLoS ONE, Vol. 12, No. 7, e0180127, 19.07.2017.

Research output: Contribution to journalJournal articlepeer-review

Harvard

D'Avanzo, B, Shaw, R, Riva, S, Apostolo, J, Bobrowicz-Campos, E, Kurpas, D, Bujnowska, M & Holland, C 2017, 'Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence', PLoS ONE, vol. 12, no. 7, e0180127. https://doi.org/10.1371/journal.pone.0180127

APA

D'Avanzo, B., Shaw, R., Riva, S., Apostolo, J., Bobrowicz-Campos, E., Kurpas, D., Bujnowska, M., & Holland, C. (2017). Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence. PLoS ONE, 12(7), [e0180127]. https://doi.org/10.1371/journal.pone.0180127

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Author

D'Avanzo, Barbara ; Shaw, Rachel ; Riva, Silvia ; Apostolo, Joao ; Bobrowicz-Campos, Elzbieta ; Kurpas, Donata ; Bujnowska, Maria ; Holland, Carol. / Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty : A meta-synthesis of qualitative evidence. In: PLoS ONE. 2017 ; Vol. 12, No. 7.

Bibtex

@article{7b1d0f9b350b48c2a40060c720ee304e,
title = "Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence",
abstract = "Frailty is a common condition in older age and is a public health concern which requires integrated care and involves different stakeholders. This meta-synthesis focuses on experiences, understanding, and attitudes towards screening, care, intervention and prevention for frailty across frail and healthy older persons, caregivers, health and social care practitioners. Studies published since 2001 were identified through search of electronic databases; 81 eligible papers were identified and read in full, and 45 papers were finally included and synthesized. The synthesis was conducted with a meta-ethnographic approach. We identified four key themes: Uncertainty about malleability of frailty; Strategies to prevent or to respond to frailty; Capacity to care and person and family-centred service provision; Power and choice. A bottom-up approach which emphasises and works in synchrony with frail older people's and their families' values, goals, resources and optimisation strategies is necessary. A greater employment of psychological skills, enhancing communication abilities and tools to overcome disempowering attitudes should inform care organisation, resulting in more efficient and satisfactory use of services. Public health communication about prevention and management of frailty should be founded on a paradigm of resilience, balanced acceptance, and coping. Addressing stakeholders' views about the preventability of frailty was seen as a salient need.",
keywords = "Adaptation, Psychological, Aged, Aged, 80 and over, Caregivers, Frail Elderly, Health Knowledge, Attitudes, Practice, Humans, Qualitative Research, Journal Article, Meta-Analysis",
author = "Barbara D'Avanzo and Rachel Shaw and Silvia Riva and Joao Apostolo and Elzbieta Bobrowicz-Campos and Donata Kurpas and Maria Bujnowska and Carol Holland",
year = "2017",
month = jul,
day = "19",
doi = "10.1371/journal.pone.0180127",
language = "English",
volume = "12",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "7",

}

RIS

TY - JOUR

T1 - Stakeholders' views and experiences of care and interventions for addressing frailty and pre-frailty

T2 - A meta-synthesis of qualitative evidence

AU - D'Avanzo, Barbara

AU - Shaw, Rachel

AU - Riva, Silvia

AU - Apostolo, Joao

AU - Bobrowicz-Campos, Elzbieta

AU - Kurpas, Donata

AU - Bujnowska, Maria

AU - Holland, Carol

PY - 2017/7/19

Y1 - 2017/7/19

N2 - Frailty is a common condition in older age and is a public health concern which requires integrated care and involves different stakeholders. This meta-synthesis focuses on experiences, understanding, and attitudes towards screening, care, intervention and prevention for frailty across frail and healthy older persons, caregivers, health and social care practitioners. Studies published since 2001 were identified through search of electronic databases; 81 eligible papers were identified and read in full, and 45 papers were finally included and synthesized. The synthesis was conducted with a meta-ethnographic approach. We identified four key themes: Uncertainty about malleability of frailty; Strategies to prevent or to respond to frailty; Capacity to care and person and family-centred service provision; Power and choice. A bottom-up approach which emphasises and works in synchrony with frail older people's and their families' values, goals, resources and optimisation strategies is necessary. A greater employment of psychological skills, enhancing communication abilities and tools to overcome disempowering attitudes should inform care organisation, resulting in more efficient and satisfactory use of services. Public health communication about prevention and management of frailty should be founded on a paradigm of resilience, balanced acceptance, and coping. Addressing stakeholders' views about the preventability of frailty was seen as a salient need.

AB - Frailty is a common condition in older age and is a public health concern which requires integrated care and involves different stakeholders. This meta-synthesis focuses on experiences, understanding, and attitudes towards screening, care, intervention and prevention for frailty across frail and healthy older persons, caregivers, health and social care practitioners. Studies published since 2001 were identified through search of electronic databases; 81 eligible papers were identified and read in full, and 45 papers were finally included and synthesized. The synthesis was conducted with a meta-ethnographic approach. We identified four key themes: Uncertainty about malleability of frailty; Strategies to prevent or to respond to frailty; Capacity to care and person and family-centred service provision; Power and choice. A bottom-up approach which emphasises and works in synchrony with frail older people's and their families' values, goals, resources and optimisation strategies is necessary. A greater employment of psychological skills, enhancing communication abilities and tools to overcome disempowering attitudes should inform care organisation, resulting in more efficient and satisfactory use of services. Public health communication about prevention and management of frailty should be founded on a paradigm of resilience, balanced acceptance, and coping. Addressing stakeholders' views about the preventability of frailty was seen as a salient need.

KW - Adaptation, Psychological

KW - Aged

KW - Aged, 80 and over

KW - Caregivers

KW - Frail Elderly

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - Qualitative Research

KW - Journal Article

KW - Meta-Analysis

U2 - 10.1371/journal.pone.0180127

DO - 10.1371/journal.pone.0180127

M3 - Journal article

C2 - 28723916

VL - 12

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 7

M1 - e0180127

ER -