Pilot implementation of the mod‐REFS frailty screening tool in an Australian home care provider to improve client health and well‐being.
Objective: Frailty refers to increased vulnerability and decreased resilience with associated increased risk of adverse health outcomes. Frailty mostly affects older adults; hence, early identification is necessary to prevent further decline. To help optimise health and well‐being, we aimed to imple...
| Publicado en: | Australasian Journal on Ageing Vol. 44; no. 2; pp. 1 - 11 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186251339&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186251339 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14406381 GTC jtl: Australasian Journal on Ageing issn: 14406381 maglogo: Y pubinfo: dt: Jun2025 vid: 44 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 186251339 186251339 186251339 10.1111/ajag.70056 186251339 ppf: 1 ppct: 10 formats: tig: atl: Pilot implementation of the mod‐REFS frailty screening tool in an Australian home care provider to improve client health and well‐being. aug: au: Saleem, Ahsan Elder, Kylie Smedley, Pamela Ogrin, Rajna Lowthian, Judy A. affil: Bolton Clarke Research Institute, Melbourne Victoria,, Australia sug: subj: Frailty Syndrome Diagnosis Frailty Syndrome Psychosocial Factors Frail Elderly Geriatric Assessment Methods Home Health Care Australia Health Screening Program Evaluation Health Services for Older Persons Implementation Science Health Personnel Quality Improvement Gerontologic Care Human Male Female Aged Aged, 80 and Over Pilot Studies Predictive Value of Tests Queensland Victoria Australia Interprofessional Relations Nursing Care Plans Cognition Disorders Depression Health Literacy Scales Surveys Psychological Well-Being Aged: 65+ years Aged, 80 & over Male Female ab: Objective: Frailty refers to increased vulnerability and decreased resilience with associated increased risk of adverse health outcomes. Frailty mostly affects older adults; hence, early identification is necessary to prevent further decline. To help optimise health and well‐being, we aimed to implement a holistic frailty screening tool, the modified Reported Edmonton Frail Scale (mod‐REFS) within an Australian aged and community home care provider. Methods: The Implementation Framework for Aged Care guided implementation and evaluation, including co‐design with key stakeholders. Clinical (nurses and allied health) and non‐clinical (personal care workers) home care staff administered the mod‐REFS in a pilot. Evaluation of feasibility, acceptability and fidelity of the tool was undertaken using administrative data alongside a staff survey. Results: Between July and October 2023, the mod‐REFS was completed for 218 clients from Queensland and Victoria, with almost two‐thirds (n = 142, 65%) identified as either prefrail (n = 57, 26%) or frail (n = 85, 39%). A greater percentage were prefrail and frail in Victoria than in Queensland. The staff survey (n = 27) identified that the mod‐REFS was considered helpful by most (n = 15, 55%); quick, easy to use, concise, very practical; and able to identify frailty levels and other important issues such as depression. Most staff (n = 23, 85%) required no training to use the tool. Conclusions: Implementing the mod‐REFS to identify prefrailty or frailty was feasible and acceptable when administered by a range of home care staff. Implementation requires input from all stakeholders. Early identification and intervention could prevent deterioration and improve well‐being of those receiving home care services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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