Exploring the efficiency of the Tilburg Frailty Indicator: a review

Robbert J. J. Gobbens*, Jos M. G. A. Schols, Marcel A. L. M. van Assen

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

38 Citations (Web of Science)

Abstract

Due to rapidly aging human populations, frailty has become an essential concept, as it identifies older people who have higher risk of adverse outcomes, such as disability, institutionalization, lower quality of life, and premature death. The Tilburg Frailty Indicator (TFI) is a user-friendly questionnaire based on a multidimensional approach to frailty, assessing physical, psychologic, and social aspects of human functioning. This review aims to explore the efficiency of the TFI in assessing frailty as a means to carry out research into the antecedents and consequences of frailty, and its use both in daily practice and for future intervention studies. Using a multidimensional approach to frailty, in contexts where health care professionals or researchers may have no time to interview or examine the client, we recommend employing the TFI because there is robust evidence of its reliability and validity and it is easy and quick to administer. More studies are needed to establish whether the TFI is suitable for intervention studies not only in the community, but also for specific groups such as patients in the hospital or admitted to an emergency department. We conclude that it is important to not only determine the deficits that frail older people may have, but also to assess their balancing strengths and resources. In order to be able to meet the individual needs of frail older persons, traditional and often fragmented elderly care should be developed toward a more proactive elderly care, in which frail older persons and their informal network are in charge.

Original languageEnglish
Pages (from-to)1739-1752
Number of pages14
JournalClinical Interventions in Aging
Volume12
DOIs
Publication statusPublished - 2017

Keywords

  • frailty
  • Tilburg Frailty Indicator
  • measurement instruments
  • psychometric properties
  • elderly care
  • DWELLING OLDER-PEOPLE
  • QUALITY-OF-LIFE
  • AGING-IN-PLACE
  • INTEGRAL CONCEPTUAL-MODEL
  • HEALTH-CARE UTILIZATION
  • PSYCHOMETRIC PROPERTIES
  • PREDICTIVE-VALIDITY
  • FUNCTIONAL DECLINE
  • ADVERSE OUTCOMES
  • PHYSICALLY FRAIL

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