Department of Medicine, Division of Geriatric Medicine, University of Ottawa, Ottawa, ON K1Y 4E9, Canada.
Department of Medicine, Division of Geriatric Medicine, Queens University, Kingston, ON K7L 3N6, Canada.
Age Ageing. 2022 Feb 2;51(2). doi: 10.1093/ageing/afab258.
Frailty is a robust predictor of adverse outcomes in older people. Practice guidelines recommend routine screening for frailty; however, this does not occur regularly. The Clinical Frailty Scale (CFS) is a validated, feasible instrument that can be used in a variety of clinical settings and is associated with many adverse outcomes. Our objective was to develop and evaluate an online training module to guide frailty assessment using the CFS.
A multidisciplinary team of clinical experts developed an evidence-based, theory-grounded online training module for users who wished to perform frailty assessment using the CFS. The module was prospectively evaluated for user satisfaction, effectiveness and feasibility using a standardised questionnaire. Qualitative feedback was analysed with thematic analysis.
Version 1 of the CFS module was used 627 times from 21 October 2019 to 24 March 2020. Satisfaction, effectiveness and feasibility of the module were positively rated (≥4/5 on a 5-point Likert scale n = 582 [93%], n = 507, [81%], n = 575, [91%], respectively). Qualitative feedback highlighted ease of use, likelihood of users to share the module with others and opportunities to increase multimedia content.
An online tutorial, designed using evidence and theory to guide frailty assessment using the CFS, was positively rated by users. The module's content and structure was rated effective and feasible, and users were satisfied with, and likely to share, the module. Research evaluating the module's impact on the accuracy of frailty assessment is required.
衰弱是老年人不良预后的一个强有力的预测指标。实践指南建议对衰弱进行常规筛查；然而，这种情况并没有经常发生。临床衰弱量表（CFS）是一种经过验证的、可行的工具，可以在多种临床环境中使用，并且与许多不良预后相关。我们的目的是开发和评估一个在线培训模块，以指导使用 CFS 进行衰弱评估。
一个由临床专家组成的多学科团队开发了一个基于证据和理论的在线培训模块，供希望使用 CFS 进行衰弱评估的用户使用。该模块使用标准化问卷前瞻性评估用户满意度、效果和可行性。使用主题分析对定性反馈进行分析。
2019 年 10 月 21 日至 2020 年 3 月 24 日，CFS 模块的第 1 版共使用了 627 次。模块的满意度、效果和可行性得到了积极评价（≥5 分制的 4/5，n=582 [93%]，n=507，[81%]，n=575，[91%]）。定性反馈强调了易用性、用户与他人分享模块的可能性以及增加多媒体内容的机会。
使用证据和理论设计的在线教程，指导使用 CFS 进行衰弱评估，受到了用户的好评。模块的内容和结构被评为有效和可行，用户对模块感到满意，并可能与他人分享。需要研究评估该模块对衰弱评估准确性的影响。
