目的:虚弱指标与某些精神疾病的症状之间存在大量的结构重叠。这项研究旨在就精神疾病对虚弱评估的潜在影响以及如何在精神病症状的背景下最好地概念化和测量虚弱指标获得专家学术意见的共识。
方法:在两项研究中采用了经典的德尔菲方法,以达成共识:第一轮问卷由开放式问题组成,通过内容分析进行分析。结果为参与者的陈述发展提供了依据,以评估他们在随后的Delphi回合中的协议。同意率≥66%的陈述被接受。Delphi研究1招募了虚弱评估专家(n=13),Delphi研究2招募了虚弱和精神疾病专家(n=8)。全球招募专家。
结果:总体而言,接受了40%的德尔菲研究1声明和43%的德尔菲研究2声明。首先,关于抑郁/焦虑对虚弱评估的影响以及在精神症状背景下概念化和测量虚弱指标的潜在方法的陈述达成共识。关于区分虚弱指标和精神病评估标准的容易性和重要性,几乎没有达成共识。
结论:Delphi研究提供了关于在精神症状背景下评估虚弱指标的专家学术意见的新探索和共识。结果将为将来的研究提供信息,以适应或开发专门用于老年成年精神病人群的脆弱评估工具。
OBJECTIVE: Substantial construct overlap exists between indicators of frailty and symptoms of some psychiatric disorders. This study aimed to gain
consensus of expert academic opinion on the potential impact of psychiatric illness on frailty assessment and how best to conceptualise and measure frailty indicators in the context of psychiatric symptoms.
METHODS: A classic Delphi approach was employed across two studies to achieve
consensus: The first-round questionnaire consisted of open-ended questions, analysed through content analysis. The results informed the development of statements for participants to rate their agreement with in subsequent Delphi rounds. Statements with ≥66% agreement were accepted. Delphi Study 1 recruited experts in frailty assessment (n = 13) and Delphi Study 2 recruited experts in frailty and psychiatric disorder (n = 8). Experts were recruited globally.
RESULTS: Overall, 40% of Delphi Study 1 statements and 43% of Delphi Study 2 statements were accepted. Primarily,
consensus was reached for statements concerning the influence of depression/anxiety on frailty assessment and potential methods of conceptualising and measuring frailty indicators in the context of psychiatric symptoms. Little
consensus was reached concerning the ease and importance of differentiating between frailty indicators and psychiatric assessment criteria with substantial overlap.
CONCLUSIONS: The Delphi studies provide a novel exploration and
consensus of expert academic opinions concerning the assessment of frailty indicators in the context of psychiatric symptoms. The results will inform future research into the adaptation or development of a frailty assessment tool specifically for use in older adult psychiatric populations.