Identifying and Managing Frailty: A Survey of UK Healthcare Professionals

Frost, Rachael; Robinson, Katie; Gordon, Adam; Caldeira de Melo, Ruth; Villas-Boas, Paulo J F; Azevedo, Paula S; Hinsliff-Smith, Kathryn; Gavin, James P

Abstract

Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage frailty in comparison with UK Fit for Frailty guidelines, their frailty training, their confidence in providing support and organizational pathways for this. An online mixed-methods survey was distributed to UK HCPs supporting older people through professional bodies, special interest groups, key contacts, and social media. From 137 responses, HCPs valued frailty assessment but used a mixture of tools that varied by profession. HCPs felt confident managing frailty and referred older people to a wide range of supportive services, but acknowledged a lack of formalized training opportunities, systems, and pathways for frailty management. Clearer pathways, more training, and stronger interprofessional communication, appropriate to each setting, may further support HCPs in frailty management.

Citation

Frost, R., Robinson, K., Gordon, A., Caldeira de Melo, R., Villas-Boas, P. J. F., Azevedo, P. S., Hinsliff-Smith, K., & Gavin, J. P. (2024). Identifying and Managing Frailty: A Survey of UK Healthcare Professionals. Journal of Applied Gerontology, 43(4), 402-412. https://doi.org/10.1177/07334648231206321

• Journal Article Type: Article
• Acceptance Date: Sep 19, 2023
• Online Publication Date: Oct 20, 2023
• Publication Date: 2024-04
• Deposit Date: Sep 28, 2023
• Publicly Available Date: Sep 28, 2023
• Journal: Journal of Applied Gerontology
• Print ISSN: 0733-4648
• Electronic ISSN: 1552-4523
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 43
• Issue: 4
• Pages: 402-412
• DOI: https://doi.org/10.1177/07334648231206321
• Keywords: Ageing; healthcare; geriatrics; older people; frailty; healthcare professionals; online survey
• Public URL: https://nottingham-repository.worktribe.com/output/25382474
• Publisher URL: https://journals.sagepub.com/doi/full/10.1177/07334648231206321