Research in Community and Public Health Nursing

Original Articles

[English] 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

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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

Associations of Biochemical Nutritional Indicators with Frailty Among Older Adults Using Community Welfare Centers: A Cross-Sectional Study
Eunjeong Nam, Jin Kyoung Park, Hye Seung Choi
Research in Community and Public Health Nursing.2026; 37: 71. CrossRef
Effectiveness of a nurse-led, community-based frailty prevention program for prefrail older adults: a pragmatic quasi-experimental trial
Dong-Ok Lee, Jina Choo, Songwhi Noh, Yura Shin
BMC Nursing.2025;[Epub] CrossRef
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
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
Journal of Korean Academy of Community Health Nursing.2016; 27(1): 51. CrossRef
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
Predictors and Frailty Level in the Frail Elderly Receiving Home Visiting Health Care Services
Jeong Sook Park, Yun Jung Oh
Journal of agricultural medicine and community health.2016; 41(3): 129. CrossRef
Frailty and its related Factors in Vulnerable Elderly Population by Age Groups
Eunok Park, Mi Yu
Journal of Korean Academy of Nursing.2016; 46(6): 848. CrossRef
Self-rated Health of Frail Elders
Jihyun Kim, Hwa-Mi Yang, Purum Kang, Jung Eun Choi
Journal of Korean Gerontological Nursing.2015; 17(2): 98. CrossRef
Evidence-based Prevention of Frailty in Older Adults
Yunhwan Lee
Journal of the Korean Geriatrics Society.2015; 19(3): 121. CrossRef
Validity of Instrument Development Research in Korean Nursing Research
Kyunghee Lee, Sujin Shin
Journal of Korean Academy of Nursing.2013; 43(6): 697. CrossRef
Effects of Health Characteristics on Depression of Elderly Beneficiaries of the National Basic Livelihood Scheme
Jungyi Hur, Yunjeong Yi, Keum-Jae Lee, Hee Gerl Kim
Journal of Korean Public Health Nursing.2013; 27(2): 327. CrossRef
Frailty Level and Health-related Characteristics among Participants of a Tailored Home Visiting Service
Insook Lee Ph.D., Ihn Sook Jeong Ph.D.
Journal of the Korean Geriatrics Society.2012; 16(2): 74. CrossRef

[English] The hs-CRP Levels and the Metabolic Syndrome according to Glucose Intolerance in Inhabitants of Rural Communities: Jong Im Kim; J Korean Acad Community Health Nurs. 2009;20(2):143-151. Published online June 30, 2009

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Abstract PDF: PURPOSE
This study was to investigate the relations and odds ratio between hs-CRP and the risk factors of metabolic syndrome according to glucose intolerance and diabetes among the residents of a rural community.
METHODS
The subjects include 1,968 adults aged from 40 to 70 who were divided into four groups and a diabetes group according to glucose intolerance to compare the relations and risk ratio between hs-CRP and the risk factors of metabolic syndrome.
RESULTS
The results reveal that the greater the subjects' glucose intolerance was, the higher their hs-CRP became and the more risk factors of metabolic syndrome they had. The impaired glucose tolerance group showed 1.7 times higher blood pressure than the control group. The diabetes group showed a high odds ratio with 2.3 times higher blood pressure, 2.2 times higher abdominal obesity, and 2.4 times higher W/Ht than the control group. And the odds ratio increased significantly by 1.7 times in the hs-CRP intermediate risk group and 2.5 times in the high risk group compared with the control group.
CONCLUSION
Considering the study results, it is very important to monitor abdominal obesity, blood pressure and the intermediate and high risk group of hs-CRP in order to reduce the contraction of cardiovascular diseases.

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