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Cross-Cultural Adaptation and Validation of the FRAIL Scale to Assess Frailty in Mexican Adults

Published:August 24, 2016DOI:https://doi.org/10.1016/j.jamda.2016.07.008

      Abstract

      Objectives

      The objectives of this study were to cross-culturally adapt and validate the FRAIL scale in Mexican community-dwelling adults.

      Design

      Cross-sectional analysis of a prospective cohort.

      Setting

      The FraDysMex study, a 2-round evaluation of community-dwelling adults from 2 municipalities in Mexico City.

      Participants

      Participants were 606 men and women living in the designated area in Mexico City.

      Measurements

      Interviewers obtained data regarding demographics, comorbidities, mental status, nutritional status, dependency in activities of daily living, quality of life, mobility, balance, and strength. The FRAIL scale translated to Spanish and the Fried criteria were applied to screen frailty.

      Results

      The Mexican Spanish version of the FRAIL scale showed internal consistency (4 of 5 items in the scale correlated to the scale's total score, rho = 0.41–0.74), external consistency (interrater correlation CCI = 0.82), known-group validity based on age (9.6% of frailty in persons ≥50 years × 3.2% in persons <50 years, P = .001), convergent validity with the Fried criteria (CCI = 0.63), and the scale was also correlated with other measures related to frailty (such as age, quality of life, self-rated health status, cognition, dependency, nutritional status, depression, and physical performance).

      Conclusion

      The FRAIL scale was successfully adapted to Mexican Spanish and validated in community-dwelling Mexican adults.

      Keywords

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