Abstract：
OBJECTIVE: The aim of this study was to identify and map the available psychometric evidence of the FRAIL scale to screen frailty among older adults.
METHODS: Scoping review of published articles on 9 databases (PubMed, Scopus, Web of Science, CINAHL, Cochrane, Embase, PsycINFO, VHL Regional Portal, and Epistemonikos) and 8 gray literature sources.
METHODS: Studies in adults or older adults, in both inpatient and outpatient settings (without context restrictions).
METHODS: Cross-cultural adaptations, validity and reliability evidence studies, whose main objective was to develop and/or validate and/or culturally adapt the FRAIL Scale to assess frailty in adults or older adults, published since 2007 were included in this scoping review. The databases were searched between February and March 2023.The JBI methodology for scoping reviews was used to guide the process. The protocol of this study was registered on the Open Science Framework platform.
RESULTS: Of the 1031 records found during the search, 40 articles that met the established criteria for analysis were included. Nearly 1 in 10 countries worldwide (11.9%) have psychometric evidence regarding this scale. Ten studies were identified with the goal of cross-cultural adaptation and/or validation in a different cultural context for the first time. Twenty-one of 40 studies used Morley 2012 operationalization of FRAIL Scale criteria. Thirty-nine studies provided evidence of associations with other variables. The rest of the evidence for content, internal structure, response processes, and reliability was only evaluated in cross-cultural adaptation studies, with limitations.
CONCLUSIONS: In conclusion, there is some evidence of validity for FRAIL Scale; nevertheless, studies are needed to adapt the scale to new cultures, using rigorous Cross-Cultural Adaptation processes, and to provide new evidence of validity and reliability, to strengthen and consolidate the body of knowledge for its application to various patient groups and context.
METHODS: Scoping review of published articles on 9 databases (PubMed, Scopus, Web of Science, CINAHL, Cochrane, Embase, PsycINFO, VHL Regional Portal, and Epistemonikos) and 8 gray literature sources.
METHODS: Studies in adults or older adults, in both inpatient and outpatient settings (without context restrictions).
METHODS: Cross-cultural adaptations, validity and reliability evidence studies, whose main objective was to develop and/or validate and/or culturally adapt the FRAIL Scale to assess frailty in adults or older adults, published since 2007 were included in this scoping review. The databases were searched between February and March 2023.The JBI methodology for scoping reviews was used to guide the process. The protocol of this study was registered on the Open Science Framework platform.
RESULTS: Of the 1031 records found during the search, 40 articles that met the established criteria for analysis were included. Nearly 1 in 10 countries worldwide (11.9%) have psychometric evidence regarding this scale. Ten studies were identified with the goal of cross-cultural adaptation and/or validation in a different cultural context for the first time. Twenty-one of 40 studies used Morley 2012 operationalization of FRAIL Scale criteria. Thirty-nine studies provided evidence of associations with other variables. The rest of the evidence for content, internal structure, response processes, and reliability was only evaluated in cross-cultural adaptation studies, with limitations.
CONCLUSIONS: In conclusion, there is some evidence of validity for FRAIL Scale; nevertheless, studies are needed to adapt the scale to new cultures, using rigorous Cross-Cultural Adaptation processes, and to provide new evidence of validity and reliability, to strengthen and consolidate the body of knowledge for its application to various patient groups and context.
摘要：
目的：这项研究的目的是确定和绘制可用的FRAIL量表的心理测量证据，以筛查老年人的虚弱。
方法：对9个数据库(PubMed，Scopus,WebofScience,CINAHL,科克伦,Embase,PsycINFO,VHL区域门户,和Epistemonikos）和8个灰色文献来源。
方法：对成人或老年人的研究，在住院和门诊设置（无上下文限制）。
方法：跨文化适应，有效性和可靠性证据研究，其主要目标是开发和/或验证和/或在文化上适应FRAIL量表，以评估成年人或老年人的虚弱，自2007年以来发布的内容包括在本范围审查中。这些数据库在2023年2月至3月之间进行了搜索。用于范围审查的JBI方法用于指导该过程。本研究的协议在开放科学框架平台上注册。
结果：在搜索过程中找到的1031条记录中，包括40篇符合既定分析标准的文章。全球近十分之一的国家(11.9%)有关于这一量表的心理测量证据。首次确定了十项研究，目的是在不同的文化背景下进行跨文化适应和/或验证。40项研究中有21项使用Morley2012年FRAIL量表标准。39项研究提供了与其他变量相关的证据。其余的内容证据，内部结构,响应过程，可靠性仅在跨文化适应研究中进行评估，有局限性。
结论：结论：有一些证据表明FRAIL量表是有效的；然而，需要研究以适应新的文化，使用严格的跨文化适应过程，并提供新的有效性和可靠性证据，加强和巩固知识体系，以便将其应用于各种患者群体和背景。
方法：对9个数据库(PubMed，Scopus,WebofScience,CINAHL,科克伦,Embase,PsycINFO,VHL区域门户,和Epistemonikos）和8个灰色文献来源。
方法：对成人或老年人的研究，在住院和门诊设置（无上下文限制）。
方法：跨文化适应，有效性和可靠性证据研究，其主要目标是开发和/或验证和/或在文化上适应FRAIL量表，以评估成年人或老年人的虚弱，自2007年以来发布的内容包括在本范围审查中。这些数据库在2023年2月至3月之间进行了搜索。用于范围审查的JBI方法用于指导该过程。本研究的协议在开放科学框架平台上注册。
结果：在搜索过程中找到的1031条记录中，包括40篇符合既定分析标准的文章。全球近十分之一的国家(11.9%)有关于这一量表的心理测量证据。首次确定了十项研究，目的是在不同的文化背景下进行跨文化适应和/或验证。40项研究中有21项使用Morley2012年FRAIL量表标准。39项研究提供了与其他变量相关的证据。其余的内容证据，内部结构,响应过程，可靠性仅在跨文化适应研究中进行评估，有局限性。
结论：结论：有一些证据表明FRAIL量表是有效的；然而，需要研究以适应新的文化，使用严格的跨文化适应过程，并提供新的有效性和可靠性证据，加强和巩固知识体系，以便将其应用于各种患者群体和背景。
