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Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe

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Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe. / Shaw, Rachel L.; Gwyther, Holly; Holland, Carol et al.
In: Ageing and Society, Vol. 38, No. 6, 06.2018, p. 1223-1252.

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Harvard

Shaw, RL, Gwyther, H, Holland, C, Bujnowska, M, Kurpas, D, Cano, A, Marcucci, M, Riva, S & D'Avanzo, B 2018, 'Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe', Ageing and Society, vol. 38, no. 6, pp. 1223-1252. https://doi.org/10.1017/S0144686X17000745

APA

Shaw, R. L., Gwyther, H., Holland, C., Bujnowska, M., Kurpas, D., Cano, A., Marcucci, M., Riva, S., & D'Avanzo, B. (2018). Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe. Ageing and Society, 38(6), 1223-1252. https://doi.org/10.1017/S0144686X17000745

Vancouver

Shaw RL, Gwyther H, Holland C, Bujnowska M, Kurpas D, Cano A et al. Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe. Ageing and Society. 2018 Jun;38(6):1223-1252. Epub 2017 Oct 11. doi: 10.1017/S0144686X17000745

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Bibtex

@article{0960cdce988447558a0a5411f23ca008,
title = "Understanding frailty: meanings and beliefs about screening and prevention across key stakeholder groups in Europe",
abstract = "Copyright {\textcopyright} Cambridge University Press 2017 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Innovative 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{\textquoteright}, families{\textquoteright} and practitioners{\textquoteright} beliefs about the malleability of frailty. This study examined European stakeholders{\textquoteright} 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 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.",
keywords = "European Innovation Partnership on Active and Healthy Ageing (EIP-AHA), European Union, ageing, frailty, qualitative research, thematic analysis",
author = "Shaw, {Rachel L.} and Holly Gwyther and Carol Holland and Maria Bujnowska and Donata Kurpas and Antonio Cano and Maura Marcucci and Silvia Riva and Barbara D'Avanzo",
year = "2018",
month = jun,
doi = "10.1017/S0144686X17000745",
language = "English",
volume = "38",
pages = "1223--1252",
journal = "Ageing and Society",
issn = "0144-686X",
publisher = "Cambridge University Press",
number = "6",

}

RIS

TY - JOUR

T1 - Understanding frailty

T2 - meanings and beliefs about screening and prevention across key stakeholder groups in Europe

AU - Shaw, Rachel L.

AU - Gwyther, Holly

AU - Holland, Carol

AU - Bujnowska, Maria

AU - Kurpas, Donata

AU - Cano, Antonio

AU - Marcucci, Maura

AU - Riva, Silvia

AU - D'Avanzo, Barbara

PY - 2018/6

Y1 - 2018/6

N2 - Copyright © Cambridge University Press 2017 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Innovative 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 study 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 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.

AB - Copyright © Cambridge University Press 2017 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. Innovative 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 study 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 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.

KW - European Innovation Partnership on Active and Healthy Ageing (EIP-AHA)

KW - European Union

KW - ageing

KW - frailty

KW - qualitative research

KW - thematic analysis

U2 - 10.1017/S0144686X17000745

DO - 10.1017/S0144686X17000745

M3 - Journal article

VL - 38

SP - 1223

EP - 1252

JO - Ageing and Society

JF - Ageing and Society

SN - 0144-686X

IS - 6

ER -