Artigo em revista científica Q1
Stakeholders’ views and experiences of care and interventions for addressing frailty and pre-frailty: A meta-synthesis of qualitative evidence
D’Avanzo, Barbara (D’Avanzo, Barbara); Rachel Shaw (Rachel Shaw); Silvia Riva (Silvia Riva); Apóstolo, João (Apóstolo, João); Elzbieta Bobrowicz-Campos (Bobrowicz-Campos, E.); Donata Kurpas (Donata Kurpas); Maria Bujnowska (Maria Bujnowska); Holland, Carol (Holland, Carol); et al.
Título Revista
PLOS ONE
Ano (publicação definitiva)
2017
Língua
Inglês
País
Estados Unidos da América
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Abstract/Resumo
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.
Agradecimentos/Acknowledgements
This work was supported by theConsumers, Health, Agriculture and Food Executive Agency (CHAFEA) of the European Commission, under the European Union Health Programme (2014-2020). The survey forms part of a larger study, FOCUS [Grant number 664367].
Palavras-chave
older adults,frailty,stakeholders,qualitative evidence,meta-synthesis
  • Ciências da Saúde - Ciências Médicas
  • Psicologia - Ciências Sociais

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