Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal.
Centre of 20th Century Interdisciplinary Studies, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal.
Int J Environ Res Public Health. 2021 Feb 3;18(4):1394. doi: 10.3390/ijerph18041394.
Early detection of frailty may prevent or delay adverse health outcomes in community-dwelling older adults. In Portugal, there are currently no valid multidimensional frailty screening tools. SUNFRAIL is a user-friendly multidimensional tool for frailty screening that can be used in primary care.
(i) to determine the validity and reliability of the European Portuguese version of the SUNFRAIL tool for use in community-dwelling older adults; (ii) to assess the screening capacity of this version of SUNFRAIL using Fried's phenotypic model criteria for frailty as a reference test.
Cross-sectional pilot study in a convenience sample of 128 community-dwelling older adults. Objective and subjective data were collected. Internal consistency, concurrent validity, sensitivity, and specificity (ROC curve analysis) were examined.
Internal consistency was low. Significant moderate to strong correlations were found between different domains and the total score. The differences between robust, pre-frail, and frail older adults were significant. SUNFRAIL was also correlated with multimorbidity. Sensitivity and specificity were satisfactory.
The European Portuguese version of the SUNFRAIL tool is a promising frailty screening tool for community-dwelling older adults to be routinely used in clinical practice. However, more consistent results on its validity and reliability are needed to be used nationwide.
（i）确定适用于社区居住的老年人的 SUNFRAIL 工具的欧洲葡萄牙语版本的有效性和可靠性; （ii）使用 Fried 的表型脆弱性标准作为参考测试来评估该版本的 SUNFRAIL 的筛选能力。
在方便的 128 名社区居住的老年人中进行横断面试点研究。收集客观和主观数据。检查内部一致性，同时效度，敏感性和特异性（ROC 曲线分析）。
内部一致性较低。不同领域和总分之间存在显著的中度至强相关性。强壮，脆弱前和脆弱的老年人之间存在显著差异。SUNFRAIL 也与多种疾病相关。敏感性和特异性令人满意。
适用于社区居住的老年人的 SUNFRAIL 工具的欧洲葡萄牙语版本是一种有前途的脆弱性筛查工具，可在临床实践中常规使用。但是，需要更多一致的有效性和可靠性结果才能在全国范围内使用。
