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D’Avanzo, Barbara, Rachel Shaw, Silvia Riva, Apóstolo, João, Bobrowicz-Campos, E., Donata Kurpas...Holland, Carol (2017). Stakeholders’ views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence. PLOS ONE. 12 (7), e0180127

D. Barbara et al.,  "Stakeholders’ views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence", in PLOS ONE, vol. 12, no. 7, pp. e0180127, 2017

@article{barbara2017_1714133548115,
	author = "D’Avanzo, Barbara and Rachel Shaw and Silvia Riva and Apóstolo, João and Bobrowicz-Campos, E. and Donata Kurpas and Maria Bujnowska and Holland, Carol",
	title = "Stakeholders’ views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence",
	journal = "PLOS ONE",
	year = "2017",
	volume = "12",
	number = "7",
	doi = "10.1371/journal.pone.0180127",
	pages = "e0180127",
	url = "https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0180127&type=printable"
}

TY  - JOUR
TI  - Stakeholders’ views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence
T2  - PLOS ONE
VL  - 12
IS  - 7
AU  - D’Avanzo, Barbara
AU  - Rachel Shaw
AU  - Silvia Riva
AU  - Apóstolo, João
AU  - Bobrowicz-Campos, E.
AU  - Donata Kurpas
AU  - Maria Bujnowska
AU  - Holland, Carol
PY  - 2017
SP  - e0180127
SN  - 1932-6203
DO  - 10.1371/journal.pone.0180127
UR  - https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0180127&type=printable
AB  - Frailty is a common condition in older age and is a public health concern which requires integrated care and involves different stakeholders. This meta-synthesis focuses on experiences, understanding, and attitudes towards screening, care, intervention and prevention for frailty across frail and healthy older persons, caregivers, health and social care practitioners. Studies published since 2001 were identified through search of electronic databases; 81 eligible papers were identified and read in full, and 45 papers were finally included and synthesized. The synthesis was conducted with a meta-ethnographic approach. We identified four key themes: Uncertainty about malleability of frailty; Strategies to prevent or to respond to frailty; Capacity to care and person and family-centred service provision; Power and choice. A bottom-up approach which emphasises and works in synchrony with frail older people’s and their families’ values, goals, resources and optimisation strategies is necessary. A greater employment of psychological skills, enhancing communication abilities and tools to overcome disempowering attitudes should inform care organisation, resulting in more efficient and satisfactory use of services. Public health communication about prevention and management of frailty should be founded on a paradigm of resilience, balanced acceptance, and coping. Addressing stakeholders’ views about the preventability of frailty was seen as a salient need.
ER  -