Cross-sectoral inter-rater reliability of the clinical frailty scale – a Danish translation and validation study

BMC Geriatrics

Jørgen T. Lauridsen¹  Claire Gudex²  Anders Fournaise³  Jesper Ryg⁴  Karen Andersen-Ranberg⁵  Søren Kabell Nissen⁶  Mikkel Brabrand⁷  Christian H. Nickel⁸ 

[1] Department of Business and Economics, University of Southern Denmark, 5230, Odense, Denmark;Department of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark;Open Patient data Explorative Network (OPEN), Region of Southern Denmark, 5000, Odense, Denmark;Department of Cross-sectoral Collaboration, Region of Southern Denmark, 7100, Vejle, Denmark;Department of Geriatric Medicine, Odense University Hospital, 5000, Odense, Denmark;Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, 5000, Odense, Denmark;Department of Geriatric Medicine, Odense University Hospital, 5000, Odense, Denmark;Department of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark;Department of Geriatric Medicine, Odense University Hospital, 5000, Odense, Denmark;Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, 5000, Odense, Denmark;Department of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark;Institute of Regional Health Research, Centre South West Jutland, University of Southern Denmark, 6700, Esbjerg, Denmark;Department of Emergency Medicine, Hospital of South West Jutland, 5700, Esbjerg, Denmark;Institute of Regional Health Research, Centre South West Jutland, University of Southern Denmark, 6700, Esbjerg, Denmark;Department of Emergency Medicine, Hospital of South West Jutland, 5700, Esbjerg, Denmark;Department of Clinical Research, University of Southern Denmark, 5000, Odense, Denmark;Institute of Regional Health Research, Centre South West Jutland, University of Southern Denmark, 6700, Esbjerg, Denmark;Emergency Department, University Hospital Basel, University of Basel, 4031, Basel, Switzerland;

关键词: Cross-sectoral collaboration;    Continuity of care;    ISPOR translation;    Validation;    Geriatrics;    Clinical frailty scale;    MESH-terms;    Reliability;    Interobserver;    Frailty;    Older people;    EMBASE: Interrater reliability;   

DOI  :  10.1186/s12877-020-01850-y

来源: Springer

【 摘 要 】

BackgroundFocus on frailty status has become increasingly important when determining care plans within and across health care sectors. A standardized frailty measure applicable for both primary and secondary health care sectors is needed to provide a common reference point. The aim of this study was to translate the Clinical Frailty Scale (CFS) into Danish (CFS-DK) and test inter-rater reliability for key health care professionals in the primary and secondary sectors using the CFS-DK.MethodsThe Clinical Frailty Scale was translated into Danish using the ISPOR principles for translation and cultural adaptation that included forward and back translation, review by the original developer, and cognitive debriefing. For the validation exercise, 40 participants were asked to rate 15 clinical case vignettes using the CFS-DK. The raters were distributed across several health care professions: primary care physicians (n = 10), community nurses (n = 10), hospital doctors from internal medicine (n = 10) and intensive care (n = 10). Inter-rater reliability was assessed using intraclass correlation coefficients (ICC), and sensitivity analysis was performed using multilevel random effects linear regression.ResultsThe Clinical Frailty Scale was translated and culturally adapted into Danish and is presented in this paper in its final form. Inter-rater reliability in the four professional groups ranged from ICC 0.81 to 0.90. Sensitivity analysis showed no significant impact of professional group or length of clinical experience. The health care professionals considered the CFS-DK to be relevant for their own area of work and for cross-sectoral collaboration.ConclusionThe Clinical Frailty Scale was translated and culturally adapted into Danish. The inter-rater reliability was high in all four groups of health care professionals involved in cross-sectoral collaborations. However, the use of case vignettes may reduce the generalizability of the reliability findings to real-life settings. The CFS has the potential to serve as a common reference tool when treating and rehabilitating older patients.

【 授权许可】

CC BY