Cross-cultural adaptation and reliability testing of the Tilburg Frailty Indicator for optimizing care of Polish patients with frailty syndrome

Clin Interv Aging. 2014 Jun 25:9:997-1001. doi: 10.2147/CIA.S64853. eCollection 2014.

Abstract

Background: Frail older people are at high risk of developing adverse outcomes, such as disability, mortality, hospitalization, and institutionalization. Previous research suggests that the Tilburg Frailty Indicator (TFI) is a valid and reliable instrument for measuring frailty. The aim of this study was to adapt and to test the reliability of the Polish version of the TFI.

Method: A standard guideline was used for translation and cultural adaptation of the English version of the TFI into Polish. The study included 100 Polish patients (mean age 68.2±6.5 years), among them 42 men and 58 women. Cronbach's alpha was used for analysis of the internal consistency of the TFI.

Results: The mean total TFI score was 6.7±3.1. Forty patients scored ≥5, which corresponded to being frail. Cronbach's alpha reliability coefficients of the instrument ranged from 0.68 to 0.72 and item-total correlation ranged from 0.12 to 0.52.

Conclusion: The TFI is valid and reproducible for assessment of frailty syndrome among a Polish population. The Polish adaptation of the TFI proved a useful and fast tool for assessing frailty.

Keywords: aging; internal consistency; older individuals; validity.

Publication types

  • Clinical Trial
  • Validation Study

MeSH terms

  • Aged
  • Aging
  • Culturally Competent Care / standards
  • Disability Evaluation*
  • Female
  • Frail Elderly*
  • Geriatric Assessment / methods*
  • Humans
  • Male
  • Middle Aged
  • Poland
  • Psychometrics / methods*
  • Psychometrics / standards
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*
  • Translating