Publication
Title
CFAI-Plus : adding cognitive frailty as a new domain to the comprehensive frailty assessment instrument
Author
Abstract
Objectives Cognitive frailty is characterized by the presence of cognitive impairment in exclusion of dementia. In line with other frailty domains, cognitive frailty is associated with negative outcomes. The Comprehensive Frailty Assessment Instrument (CFAI) measures 4 domains of frailty, namely physical, psychological, social, and environmental frailty. The absence of cognitive frailty is a limitation. Method An expert panel selected 6 questions from the Informant Questionnaire on Cognitive Decline that were, together with the CFAI and the Montreal cognitive assessment administered to 355 older community dwelling adults (mean age = 77). Results After multivariate analysis, 2 questions were excluded. All the questions from the original CFAI were implemented in a principal component analysis together with the 4 cognitive questions, showing that the 4 cognitive questions all load on 1 factor, representing the cognitive domain of frailty. By adding the cognitive domain to the CFAI, the reliability of the adapted CFAI (CFAI‐Plus), remains good (Cronbach's alpha: .767). Conclusions This study showed that cognitive frailty can be added to the CFAI without affecting its good psychometric properties. In the future, the CFAI‐Plus needs to be validated in an independent cohort, and the interaction with the other frailty domains needs to be studied.
Language
English
Source (journal)
International journal of geriatric psychiatry: a journal of the psychiatry of late life and allied sciences. - Chichester
International journal of geriatric psychiatry: a journal of the psychiatry of late life and allied sciences. - Chichester
Publication
Chichester : 2018
ISSN
0885-6230
Volume/pages
33 :7 (2018) , p. 941-947
ISI
000434968700011
Pubmed ID
29637620
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Project info
D-SCOPE: Detection - Support and Care of Older People in their Environment.
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 16.04.2018
Last edited 20.09.2021
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