Frailty identification and management among Brazilian healthcare professionals: a survey

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorUniversity College London-
Autor(es): dc.contributorUniversity of Southampton-
Autor(es): dc.contributorUniversity of Nottingham-
Autor(es): dc.contributorFaculty of Medicine of Jundiaí-
Autor(es): dc.contributorDe Montfort University-
Autor(es): dc.contributorNIHR Applied Research Collaboration – East Midlands (ARC-EM)-
Autor(es): dc.creatorAzevedo, Paula Schmidt-
Autor(es): dc.creatorde Melo, Ruth Caldeira-
Autor(es): dc.creatorde Souza, Juli Thomaz-
Autor(es): dc.creatorFrost, Rachael-
Autor(es): dc.creatorGavin, James P.-
Autor(es): dc.creatorRobinson, Katie-
Autor(es): dc.creatorBoas, Paulo José Fortes Villas-
Autor(es): dc.creatorMinicucci, Marcos Ferreira-
Autor(es): dc.creatorAprahamian, Ivan-
Autor(es): dc.creatorWachholz, Patrick Alexander-
Autor(es): dc.creatorHinslif-Smith, Kathryn-
Autor(es): dc.creatorGordon, Adam Lee-
Data de aceite: dc.date.accessioned2025-08-21T19:10:37Z-
Data de disponibilização: dc.date.available2025-08-21T19:10:37Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1186/s12877-024-05020-2-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/301572-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/301572-
Descrição: dc.descriptionBackground: National and international guidelines on frailty assessment and management recommend frailty screening in older people. This study aimed to determine how Brazilian healthcare professionals (HCPs) identify and manage frailty in practice. Methods: An anonymous online survey on the assessment and management of frailty was circulated virtually through HCPs across Brazil. Results: Most of the respondants used non-specific criteria such as gait speed (45%), handgrip strength (37.6%), and comprehensive geriatric assessment (33.2%). The use of frailty-specific criteria was lower than 50%. The most frequently used criteria were the Frailty Index (19.1%), Frailty Phenotype (13.2%), and FRAIL (12.5%). Only 43.5% felt confident, and 40% had a plan to manage frailty. In the multivariate-adjusted models, training was the most crucial factor associated with assessing frailty, confidence, and having a management plan (p < 0.001 for all). Those with fewer years of experience were more likely to evaluate frailty (p = 0.009). Being a doctor increased the chance of using a specific tool; the opposite was true for dietitians (p = 0.03). Those who assisted more older people had a higher likelihood of having a plan (p = 0.011). Conclusion: Frailty assessment was heterogeneous among healthcare professions groups, predominantly using non-specific criteria. Training contributed to frailty assessment, use of specific criteria, confidence, and having a management plan. This data informs the need for standardized screening criteria and management plans for frailty, in association with increasing training at the national level for all the HCPs who assist older people.-
Descrição: dc.descriptionCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)-
Descrição: dc.descriptionBotucatu Medical School São Paulo State University (Unesp), District of Rubião Junior, no number, SP-
Descrição: dc.descriptionSchool of Arts Sciences and Humanities University of São Paulo-
Descrição: dc.descriptionResearch Department of Primary Care and Population Health University College London-
Descrição: dc.descriptionSchool of Health Sciences University of Southampton-
Descrição: dc.descriptionAcademic Unit of Injury Recovery and Inflammation Sciences (IRIS) University of Nottingham-
Descrição: dc.descriptionFaculty of Medicine of Jundiaí-
Descrição: dc.descriptionLeicester School of Nursing and Midwifery Faculty of Health and Life Sciences De Montfort University-
Descrição: dc.descriptionNIHR Applied Research Collaboration – East Midlands (ARC-EM)-
Descrição: dc.descriptionBotucatu Medical School São Paulo State University (Unesp), District of Rubião Junior, no number, SP-
Descrição: dc.descriptionCAPES: (Finance Code 001)-
Descrição: dc.descriptionCAPES: CAPES-PRINT-UNESP-
Idioma: dc.languageen-
Relação: dc.relationBMC Geriatrics-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBrazil-
Palavras-chave: dc.subjectFrailty-
Palavras-chave: dc.subjectFrailty criteria-
Palavras-chave: dc.subjectHealthcare professionals-
Palavras-chave: dc.subjectOlder people-
Palavras-chave: dc.subjectSurvey-
Título: dc.titleFrailty identification and management among Brazilian healthcare professionals: a survey-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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