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Original Articles
Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis
Ji Hye Shin, Gyeong A Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon
Res Community Public Health Nurs. 2024;35(1):1-9.   Published online February 29, 2024
DOI: https://doi.org/10.12799/rcphn.2023.00381
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  • 27 Download
AbstractAbstract PDF
Purpose
Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty.
Methods
We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model.
Results
Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (Depression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001).
Conclusions
We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.
Effects of Multifactorial and Follow-up Programs Applying a Capacity Building Strategy: Focusing on Older Adults Living in a Urban-rural Complex Area
Song Yi Han, Young Ko, Hee Ryang Kim, Ji Youn Kim
J Korean Acad Community Health Nurs. 2019;30(2):243-255.   Published online June 30, 2019
DOI: https://doi.org/10.12799/jkachn.2019.30.2.243
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  • 7 Download
AbstractAbstract PDF
PURPOSE
The purpose of this study is to examine effects of a multifactorial program for preventing the frailty of older adults and effects of a follow-up program applying a capacity building strategy.
METHODS
A quasi-experimental pretest-posttest design was used for the nonequivalent control group. The follow-up group (n=75) and non-follow-up group (n=68) received the same multifactorial program comprising muscle strength exercise, cognitive training, and psychosocial programs for 12 weeks. After completion of multifactorial program, the follow-up group took follow-up programs applying the capacity building strategy for following 12 weeks. The data of physical function, cognitive function, and psychological function, and self-rated health were collected from both groups three times: before intervention, after intervention, and 12 weeks after intervention. The data were analyzed using χ2 test and t-test.
RESULTS
In comparison with the non-follow-up group, the scores of Timed Up & Go Test, and physical activities energy expenditure were significantly improved in the follow-up group.
CONCLUSION
These results indicate that a multifactorial program with follow-up adapting the strategies of capacity building for the older adults group is feasible to prevent the physical frailty in community.
Effects of a Stim up Mat Walking Exercise Program on Balance, Gait Function and Joint Motion Range of the Frail Elderly
Gyeong Ran Kim, Mi Sook Song
J Korean Acad Community Health Nurs. 2019;30(1):47-56.   Published online March 31, 2019
DOI: https://doi.org/10.12799/jkachn.2019.30.1.47
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  • 9 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
This study was performed to evaluate effects of a stim-up matt walking exercise program on balance and gait of the frail elderly.
METHODS
A total of 37 elderly people recruited from S city were randomly assigned to the experimental group (n=22) and control group (n=15). The stim-up matt walking exercise program was offered twice a week for 8 weeks. Data were analyzed by SPSS 21.0.
RESULTS
The dynamic balance ability Timed Up and Go test of the experimental group was significantly faster than that of the control group (t=21.72, p<.001). The static balance ability open-eye standing test (t=44.15, p<.001) and close-eye standing test (t=9.01, p=.005) also showed increase in effects of the experimental group. In the walking ability, gait cycle (t=2.48, p=.018), cadence (t=−2.21, p=.034) and gait speed (t=−2.78, p=.009), positive effects were on. However, no statistically significant differences were found in stride length and double support. At the ankle joint range left ankle plantar flexion (t=3.92, p<.001) and left ankle dorsal flexion (t=4.51, p<.001) were higher in the experimental group than in the control group, and also right ankle plantar flexion (t=2.79, p=.008) and right ankle dorsal flexion (t=2.92, p=.006) increased in the experimental group.
CONCLUSION
The significance of this study is that the stim-up matt walking exercise program for the frail elderly proves to be useful for improving balance and walking.

Citations

Citations to this article as recorded by  
  • Differences in the Gait Pattern and Muscle Activity of the Lower Extremities during Forward and Backward Walking on Sand
    Chae-Won Kwon, Seong Ho Yun, Jung-Won Kwon
    The Journal of Korean Physical Therapy.2022; 34(1): 45.     CrossRef
Co-occurrence Network Analysis of Keywords in Geriatric Frailty
Young Ji Kim, Soong Nang Jang, Jung Lim Lee
J Korean Acad Community Health Nurs. 2018;29(4):429-439.   Published online December 31, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.4.429
  • 1,043 View
  • 7 Download
  • 3 Citations
AbstractAbstract PDF
PURPOSE
The aim of this study is to identify core keyword of frailty research in the past 35 years to understand the structure of knowledge of frailty.
METHODS
10,367 frailty articles published between 1981 and April 2016 were retrieved from Web of Science. Keywords from these articles were extracted using Bibexcel and social network analysis was conducted with the occurrence network using NetMiner program.
RESULTS
The top five keywords with a high frequency of occurrence include ‘disability’, ‘nursing home’, ‘sarcopenia’, ‘exercise’, and ‘dementia’. Keywords were classified by subheadings of MeSH and the majority of them were included under the healthcare and physical dimensions. The degree centralities of the keywords were arranged in the order of ‘long term care’ (0.55), ‘gait’ (0.42), ‘physical activity’ (0.42), ‘quality of life’ (0.42), and ‘physical performance’ (0.38). The betweenness centralities of the keywords were listed in the order of depression’ (0.32), ‘quality of life’ (0.28), ‘home care’ (0.28), ‘geriatric assessment’ (0.28), and ‘fall’ (0.27). The cluster analysis shows that the frailty research field is divided into seven clusters: aging, sarcopenia, inflammation, mortality, frailty index, older people, and physical activity.
CONCLUSION
After reviewing previous research in the 35 years, it has been found that only physical frailty and frailty related to medicine have been emphasized. Further research in psychological, cognitive, social, and environmental frailty is needed to understand frailty in a multifaceted and integrative manner.

Citations

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  • A content analysis of research on technology use for teaching mathematics to students with disabilities: word networks and topic modeling
    Mikyung Shin, Min Wook Ok, Sam Choo, Gahangir Hossain, Diane P. Bryant, Eunyoung Kang
    International Journal of STEM Education.2023;[Epub]     CrossRef
  • Artificial intelligence in customer relationship management: literature review and future research directions
    Cristina Ledro, Anna Nosella, Andrea Vinelli
    Journal of Business & Industrial Marketing.2022; 37(13): 48.     CrossRef
  • Mining the sociome for Health Informatics: Analysis of therapeutic lifestyle adherence of diabetic patients in Twitter
    Gael Pérez-Rodríguez, Martín Pérez-Pérez, Florentino Fdez-Riverola, Anália Lourenço
    Future Generation Computer Systems.2020; 110: 214.     CrossRef
Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh
J Korean Acad Community Health Nurs. 2018;29(3):335-348.   Published online September 30, 2018
DOI: https://doi.org/10.12799/jkachn.2018.29.3.335
  • 1,156 View
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  • 1 Citations
AbstractAbstract PDF
PURPOSE
This study has been conducted to develop and examine a health promotion empowerment program using a lay health leader for frail elderly.
METHODS
The research was organized in a nonequivalent control group pre-post test design. Data collection was performed from August 18 to October 8, 2015. The subjects included 76 frail elders aged over 65 registered in home visiting services (Experimental group=39, Control group=37). A health promotion empowerment program using a resident volunteer as a lay health leader was run for 8 weeks. Health factors (health promotion behavior, perceived health status and frailty) and empowerment factors (empowerment, social participation) were assessed. The data were analyzed by using the SPSS/WIN 18.0 program.
RESULTS
After the program, health promotion behavior, perceived health status and social participation increased in the experimental group more significantly than in the control group, but frailty decreased in the experimental group greater than in the control group.
CONCLUSION
The health promotion empowerment program using a resident volunteer as a lay health leader was effective. Therefore, the health promotion empowerment program needs to be expanded to other frail elders. Also, a health leader should be recommended as a public health resource and systematically managed.

Citations

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  • Development and evaluation of the information and communication technology-based Loneliness Alleviation Program for community-dwelling older adults: A pilot study and randomized controlled trial
    Jung Ae-Ri, Lee Kowoon, Park Eun-A
    Geriatric Nursing.2023; 53: 204.     CrossRef
The Evaluation of Feasibility and Predictive Validity of Comprehensive Korean Frailty Instrument: Using the 2008 and 2011 Living Profiles of Older People Survey in Korea
Eun Mi Oh, Gwi Ryung Son Hong
J Korean Acad Community Health Nurs. 2017;28(2):206-215.   Published online June 30, 2017
DOI: https://doi.org/10.12799/jkachn.2017.28.2.206
  • 801 View
  • 10 Download
  • 3 Citations
AbstractAbstract PDF
PURPOSE
This study aimed to verify the predictive validity of Comprehensive Korean Frailty Instrument (CKFI) among older adults.
METHODS
A secondary analysis of data from a prospective cohort study was conducted. Frailty was determined in older adults (N=9,188) according to the data in 2008 and the effects of frailty on adverse outcomes (such as institutionalization and death) were evaluated according to the data in 2011. The Cardiovascular Health Study (CHS) index was used to compare with the predictive validity of CKFI.
RESULTS
The prevalence of frailty was 26.3%. With the CKFI, the frail group had a higher risk of negative health outcomes compared to the robust and pre-frail groups after three years. The two of the highest risks identified using the CKFI and CHS index were institutionalization (5.522 times higher) and mortality (3.210 times higher). For both instruments, the survival analysis revealed that the risk of death increased as the degree of frailty increased.
CONCLUSION
The CKFI consisting of self-report items and multidimensional aspects of frailty can be used as a simple instrument for assessing the frailty of older adults residing in a local community in Korea.

Citations

Citations to this article as recorded by  
  • Frailty assessment using routine clinical data: An integrative review
    Arum Lim, JiYeon Choi, Hyunju Ji, Hyangkyu Lee
    Archives of Gerontology and Geriatrics.2022; 99: 104612.     CrossRef
  • Impact of Frailty, Depression, and Loneliness on Ego-Integrity in Community-Dwelling Elderly
    Seon Ju Song, Sung Hee Ko, Ji Young Kim, Hyun Kyung Kim
    STRESS.2022; 30(3): 139.     CrossRef
  • Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
    Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
    Korean Journal of Health Education and Promotion.2018; 35(2): 89.     CrossRef
Effects of Frailty on Health-related Quality of Life of Rural Community-dwelling Elderly: Mediating and Moderating Effects of Fall-Related Efficacy and Social Support
Kyung Won Choi, Gyeong Suk Jeon
J Korean Acad Community Health Nurs. 2016;27(4):380-387.   Published online December 31, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.4.380
  • 789 View
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  • 6 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly.
METHODS
A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support.
RESULTS
Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support.
CONCLUSION
The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.

Citations

Citations to this article as recorded by  
  • Multilevel Analysis of Factors Affecting Health-Related Quality of Life of the Elderly
    Hyunjung Moon, Sunkyung Cha
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(3): 391.     CrossRef
  • Frailty and Quality of Life among Older Adults in Communities: The Mediation Effects of Daily Physical Activity and Healthy Life Self-Efficacy
    Chia-Hui Lin, Chieh-Yu Liu, Chun-Ching Huang, Jiin-Ru Rong
    Geriatrics.2022; 7(6): 125.     CrossRef
  • The Effects of COVID-19 Risk Perception in Women in Their 20s and 30s on Preventive Efficiency and Beauty Health Care Behaviors
    Chae-Won Lim, Ju-Youn Kim
    Journal of the Korean Society of Cosmetology.2021; 27(6): 1461.     CrossRef
  • Effects of a Person-Centered Nursing Intervention for Frailty among Prefrail Community-Dwelling Older Adults
    Jiyeon Ha, Yeon-Hwan Park
    International Journal of Environmental Research and Public Health.2020; 17(18): 6660.     CrossRef
  • Understanding and Prevention of Fall-related Injuries in Older Adults in South Korea: A Systematic Review
    Ki-taek Lim, Ji-eun Lee, Ha-eun Park, Su-young Park, Woochol Joseph Choi
    Physical Therapy Korea.2019; 26(2): 34.     CrossRef
  • Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types
    Young Bum Kim, Seung-Hee Lee
    Journal of Korean Academy of Community Health Nursing.2018; 29(3): 310.     CrossRef
The Effect of Subjective Xerostomia and Salivary pH in Salivary Glands Stimulated by Laughter Therapy in Frail Elderly Women
Sun Young Lim, Kyem Ju Lee, Su Jin Kim
J Korean Acad Community Health Nurs. 2016;27(1):72-80.   Published online March 31, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.1.72
  • 682 View
  • 4 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study was to identify the effect of subjective xerostomia and salivary pH in salivary glands stimulated by laughter therapy in frail elderly women.
METHODS
The research used a one-group pretest-posttest design. Data were collected from July 2, 2015 to September 30, 2015. A sample of 41 frail female elderly patients was recruited at A Nursing Home in K City, Korea. We measured xerostomia and salivary pH using a questionnaire and BCP test paper (pH 5.6~7.2). Laughter therapy was given once a week for four weeks (3 items). Data were analyzed through descriptive statistics, independent t-test, ANOVA, paired t-test and Cronbach's using the SPSS 18.0 program.
RESULTS
There were significant differences in salivary pH according to oral health (t=-2.06, p<.05). There were significant differences in xerostomia (t=4.41, p<.001) and salivary pH (t=-7.94, p<.001) after salivary glands stimulated by laughter therapy.
CONCLUSION
Salivary glands stimulated by laughter therapy improved xerostomia and salivary pH of the frail elderly. Therefore, salivary glands stimulated by laughter therapy may be useful in promoting and maintaining oral health among the frail elderly in the rapidly increasing population of old people.

Citations

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  • Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
    Mi Sook Song, Sunjoo Boo
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 319.     CrossRef
The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly
In Sook Lee, Kwang Ok Lee
J Korean Acad Community Health Nurs. 2016;27(1):51-59.   Published online March 31, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.1.51
  • 584 View
  • 7 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program.
METHODS
As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, χ2-test, ANOVA and Scheffé test were used.
RESULTS
After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups.
CONCLUSION
The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.

Citations

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  • Effects of Calcium/Vitamin D Intake and Taekkyeon Exercise on the Elderly's Frailty
    Kwang Ok Lee
    Journal of Korean Biological Nursing Science.2016; 18(3): 185.     CrossRef
The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression
Hee Gerl Kim
J Korean Acad Community Health Nurs. 2015;26(4):405-414.   Published online December 31, 2015
DOI: https://doi.org/10.12799/jkachn.2015.26.4.405
  • 619 View
  • 4 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions.
METHODS
This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects.
RESULTS
Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions.
CONCLUSION
Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

Citations

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  • Effects of a Customized Health Promotion Program on Depression, Cognitive Functioning, and Physical Health of Elderly Women Living Alone in Community: A Cluster Randomized Controlled Trial
    Ye Ri Ja Park, Kyeong-Yae Sohng
    Journal of Korean Academy of Nursing.2019; 49(5): 515.     CrossRef
  • Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
    Jeong Sook Park, Yun Jung Oh
    Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335.     CrossRef
Evaluation of the Effects of a Frailty Preventing Multi-factorial Program Concentrated on Local Communities for High-risk Younger and Older Elderly People
In Sook Lee, Young Ko, Kwang Ok Lee, Eun Shil Yim
J Korean Acad Community Health Nurs. 2012;23(2):201-211.   Published online June 30, 2012
DOI: https://doi.org/10.0000/jkachn.2012.23.2.201
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AbstractAbstract PDF
PURPOSE
The purpose of this study is to evaluate the effects of a local community based multi-factorial program for high-risk younger and older elderly people.
METHODS
The quasi-experimental research design (pretest-post test) was employed. Participants were recruited in Seoul and a total of 98 elders completed an 8-week multi-factorial program for preventing frailty. Descriptive statistics, chi2-test and GLM were used in the data analysis with SPSS/WIN 15.0.
RESULTS
The high-risk elderly people in the younger and older stages showed differences in IADL, TUG and BMI, and after being provided with the multi-factorial program for preventing frailty, some effects were shown on improving the total score of frailty, a physical function, TUG, BMI, depression, subjective feeling of health, and social interaction.
CONCLUSION
The 8-week multi-factorial program for preventing frailty had positive effects on improving physical, emotional and social functions of the high-risk elderly people. It is necessary to evaluate the effects after individual intervention as well as group intervention and to evaluate the effects of the program by setting a control group in the future.
Randomized Controlled Trial
The Effects of Exercise in the Frail Elderly
Young Im Park, Kang Yi Lee, Tae Im Kim, Moung Hee Jeon, Dong Oak Kim, Ji Hyun Kim
J Korean Acad Community Health Nurs. 2012;23(1):91-101.   Published online March 31, 2012
DOI: https://doi.org/10.12799/jkachn.2012.23.1.91
  • 698 View
  • 3 Download
  • 10 Citations
AbstractAbstract PDF
PURPOSE
This study was conducted to examine the effects of exercise on physiological, physical and psychological functions of the frail elderly.
METHODS
The research design was a nonequivalent control group pretest-posttest design. Data were collected from September 9 to October 10, 2009. The subjects were 56 frail elders who agreed to participate in this study and each subject was randomly assigned to either the experimental group (n=28) or the control group (n=28). The exercise program was provided to each subject in the experimental group twice in a week for 6 weeks. Data were analyzed with frequency, chi2-test, Kolmogorov-Smirnor test and independent t-test using SPSS/WIN 12.0.
RESULTS
There was a significant improvement in psychological functions in the experimental group compared to the control group (t=1.726, p=.045).
CONCLUSION
The exercise program showed the effects to improve the psychological functions of the frail elderly with chronic disease. In recommendation, this exercise program could be utilized as a health promoting program for the frail elderly.

Citations

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  • Mobility training for increasing mobility and functioning in older people with frailty
    Daniel Treacy, Leanne Hassett, Karl Schurr, Nicola J Fairhall, Ian D Cameron, Catherine Sherrington
    Cochrane Database of Systematic Reviews.2022;[Epub]     CrossRef
  • Sauna use as a lifestyle practice to extend healthspan
    Rhonda P. Patrick, Teresa L. Johnson
    Experimental Gerontology.2021; 154: 111509.     CrossRef
  • Development and Effects of a Physical Activity Promotion Programs for Elderly Patients Hospitalized in Long-term Care Hospital
    Se In Ryu, Aekyung Kim
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 400.     CrossRef
  • Development and evaluation of physical activity promotion program in the resident elderly
    Sang-Min Kwon, Mal-Suk Kwon
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(8): 485.     CrossRef
  • The Effects of Home Visit Healthcare Using a Complex Program on Community-dwelling Frail Elders' Strength, Frailty, and Depression
    Hee Gerl Kim
    Journal of Korean Academy of Community Health Nursing.2015; 26(4): 405.     CrossRef
  • Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above
    Han Suk Lee, Jeung Hun Park
    Journal of Physical Therapy Science.2015; 27(8): 2453.     CrossRef
  • Relationships of exercise with frailty, depression, and cognitive function in older women
    Bog Ja Jeoung
    Journal of Exercise Rehabilitation.2014; 10(5): 291.     CrossRef
  • The Effects of the Activity Program for Preventing Dementia Against Depression, Cognitive Function, and Quality of Life for the Elderly
    Kum-Sook Park, Heon-Young Jeong, Sun-Yoe So, Young-Hee Park, Hee-Jung Yang, Kyoung-Ran Jung, Soon-Joo Moon, Hae-Kyoung Kim, Jung-Hee Cho, Kyung-Hee Yang
    Journal of Oriental Neuropsychiatry.2013; 24(4): 353.     CrossRef
  • Effects of a Cognition Activation Program for the Institutionalized Old-Old in Korea
    Hung Sa Lee, Dohyun Lee
    Journal of Korean Academy of Community Health Nursing.2013; 24(4): 427.     CrossRef
  • Effects of Low-density Exercise in the Frail Elderly
    Sang-Min Kwon
    The Journal of Digital Policy and Management.2013; 11(11): 643.     CrossRef
Original Articles
Validation of Instruments to Classify the Frailty of the Elderly in Community
In Sook Lee, Young Im Park, Eun Ok Park, Soon Hee Lee, Ihn Sook Jeong
J Korean Acad Community Health Nurs. 2011;22(3):302-314.   Published online September 30, 2011
DOI: https://doi.org/10.12799/jkachn.2011.22.3.302
  • 753 View
  • 2 Download
  • 16 Citations
AbstractAbstract PDF
PURPOSE
This study aimed to validate instruments to classify the frailty of Korean elderly people in community.
METHODS
For this study, 632 elders were selected from community-based elderly houses and home visiting registries, and data on frailty were collected using three instruments during November, 2008. The Korean Frail Scale (KFS) was composed of 10 domains with the maximum score of 20. The Edmonton Frail Scale (EFS) had 10 domains with the maximum score of 17. The 25_Japan Frail Scale (25_JFS) was composed of 6 domains with the maximum score of 25. Internal consistency was measured with Cronbach's alpha. Sensitivity, specificity and area under the curve (AUC) of ROC were measured to see validity with long-term care insurance grade as a gold standard.
RESULTS
The Cronbach's alpha was .72 for KFS, .55 for EFS, and .80 for 25_JFS. Sensitivity, specificity, and AUC were 70.0%, 83.2%, and .83, respectively, at cutting point 10.5 for the KFS, 50.0%, 80.9%, and .66, respectively, at 8.5 for EFS, and 80.0%, 85.9%, and .86, respectively, at 12.5 for 25_JFS.
CONCLUSION
KFS and three JFS showed favorable internal consistency and predictive validity. Further longitudinal studies are recommended to confirm predictive validity.

Citations

Citations to this article as recorded by  
  • Effects of Social Interaction and Depression on Homeboundness in Community-Dwelling Older Adults Living Alone
    You-Ri Kim, Hye-Sun Jung
    International Journal of Environmental Research and Public Health.2022; 19(6): 3608.     CrossRef
  • Risk Factors for Frailty in Critical Care Survivors: A secondary analysis
    Jiyeon Kang, Yeon Jin Jeong, Jun Hee Jang, Minju Lee
    Intensive and Critical Care Nursing.2021; 64: 102981.     CrossRef
  • Development and validation of a questionnaire to measure post-intensive care syndrome
    Yeon Jin Jeong, Jiyeon Kang
    Intensive and Critical Care Nursing.2019; 55: 102756.     CrossRef
  • Factors associated with frailty among community-dwelling older adults by age group: A multi-dimensional approach
    Lee Seyune, Kim Hongsoo, Jung Young-il, Hong Yun-chul
    Korean Journal of Health Education and Promotion.2018; 35(2): 89.     CrossRef
  • Co-occurrence Network Analysis of Keywords in Geriatric Frailty
    Youngji Kim, Soong-nang Jang, Jung Lim Lee
    Journal of Korean Academy of Community Health Nursing.2018; 29(4): 429.     CrossRef
  • The Evaluation of Feasibility and Predictive Validity of Comprehensive Korean Frailty Instrument: Using the 2008 and 2011 Living Profiles of Older People Survey in Korea
    Eunmi Oh, Gwi-Ryung Son Hong
    Journal of Korean Academy of Community Health Nursing.2017; 28(2): 206.     CrossRef
  • Korean version of the Fatigue, Resistance, Ambulation, Illnesses and Loss of weight questionnaire versus the Modified Kihon Checklist for Frailty Screening in Community‐Dwelling Older Adults: The Aging Study of PyeongChang Rural Area
    Il‐Young Jang, Hee‐Won Jung, Chang Ki Lee, Kwang Ho Jang, Eun‐Il Cho, Ju Jin Jung, Euna Park, Juyoung Kim, Young Soo Lee, Eunju Lee, Dae Hyun Kim
    Geriatrics & Gerontology International.2017; 17(11): 2046.     CrossRef
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The Effects of Related Factors on Health-related Quality of Life for the Frail Elderly
Eun Shil Yim, Kyoung Hee No
J Korean Acad Community Health Nurs. 2010;21(1):12-20.   Published online March 31, 2010
DOI: https://doi.org/10.12799/jkachn.2010.21.1.12
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AbstractAbstract PDF
PURPOSE
The purpose of this study was to identify the predictors of health-related quality of life and to examine their effects in frail elderly.
METHODS
This was a correlation study. The subjects were 680 frail elders aged over 65 who were receiving home care from one of 253 public health centers in 16 provinces, and data were collected from the 1st to 30th of April, 2008.
RESULTS
The mean health-related quality of life in the subjects was 6.0+/-2.0. The predictors identified in this study significantly explained 41.3% of health-related quality of life. Self-rated health was the most significant predictor of health-related quality of life. ADL and depression had an effect on health-related quality of life.
CONCLUSION
Self-rated health, ADL and depression were the predictors of health-related quality of life in the frail elderly.

Citations

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The Effects of a Physical Activity Promotion Programs with Telecoaching Negotiation on Physical Fitness and Quality of Life in the Frail Elderly
Yoon Ji Kim, Ji Hyun Lee
J Korean Acad Community Health Nurs. 2009;20(4):391-402.   Published online December 31, 2009
  • 171 View
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AbstractAbstract PDF
PURPOSE
This study was to show the effects of a Physical activity promotion program with tele-coaching on physical fitness (grip strength, static and dynamic equilibrium) and quality of life in the frail elderly.
METHODS
Data were collected from May 30 to October 19, 2008. The subjects were divided into 2 groups, an experimental group (n=27) and a control group (n=26). The experimental group participated in the Physical activity promotion program, and the control group did not participate in any Physical activity promotion program.
RESULTS
The results of this study supported the hypothesis that "the experimental group will have higher physical fitness (right grip strength, left grip strength and static equilibrium except dynamic equilibrium) and quality of life than the control group." CONCLUSION: Physical activity promotion programs with tele-coaching are strongly recommended as health promotion for the frail elderly.

RCPHN : Research in Community and Public Health Nursing