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Measurement Properties of Chinese-Language Frailty Assessment Instruments for Older Adults: A Systematic Review
Hang Gao1, Yaorong Liu1, Biao Guo2
1Department of Graduate School, Xi'an Physical Education University, Xi'an, China.
Summary
This study assessed Chinese frailty assessment tools for the elderly. The Frailty Assessment Scale for Elderly Hospitalized Patients, C-RGA, and GFI-C show promise but require further validation for widespread clinical use.
Area of Science:
- Gerontology
- Health Services Research
- Psychometrics
Background:
- Frailty assessment is crucial for managing elderly populations.
- Existing Chinese frailty assessment instruments vary significantly in quality.
- A systematic quality assessment is needed to identify reliable tools for Chinese elderly.
Purpose of the Study:
- To systematically assess the quality of frailty assessment tools for Chinese elderly speakers.
- To screen and recommend high-quality frailty assessment instruments.
- To provide evidence-based support for healthcare professionals in tool selection.
Main Methods:
- Systematic literature search across multiple databases (PubMed, Embase, CNKI, etc.) up to April 2025.
- Quality assessment using Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) for bias and measurement properties.
- Modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for recommendation levels.
Main Results:
- 35 studies involving 25 Chinese frailty assessment scales were included.
- C-RGA and GFI-C demonstrated adequate content validity and internal consistency.
- Three tools (Frailty Assessment Scale for Elderly Hospitalized Patients, C-RGA, GFI-C) received Grade A recommendations; others varied (B, C, D).
Conclusions:
- Significant variation exists in the quality of Chinese frailty assessment instruments.
- The Frailty Assessment Scale for Elderly Hospitalized Patients, C-RGA, and GFI-C are provisionally recommended for clinical use.
- No tool is fully validated for broad clinical or research use; further rigorous psychometric evaluation is necessary.
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