Translation, adaptation and pilot testing of the pictorial fit-frail scale (Pffs) for use in malaysia – the pffs-malay version (pffs-m)

Sally Suriani Ahip, Sazlina Shariff-Ghazali, Sabrina Lukas, Azah Abdul Samad, Ummu Kalsum Mustapha, Olga Theou, Renuka Visvanathan

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background: Frailty is an important health issue in an aging population; it is a state of vulnerability that renders the elderly susceptible to adverse health outcomes, including disability, hospitalization, long-term care admission and death. Early frailty stages are recognizable through screening and are reversible with targeted interventions. To date, however, there is no screening tool for use in Malaysia. The English Pictorial Fit-Frail Scale (PFFS) is a visual tool that assesses a person’s fitness-frailty level in 14 health domains, with higher scores indicating higher frailty. Objective: The aim was to translate and adapt the English PFFS for use in Malaysian clinical settings. Methods: The original English PFFS underwent forward and backward-translation by two bilingual translators to and from the Malay language. A finalized version, the PFFS-Malay (PFFS-M), was formed after expert reviewers’ consensus and was pilot tested with 20 patients, 20 caregivers, 16 healthcare assistants, 17 nurses and 22 doctors. Score agreement between patients and their caregivers and among healthcare professionals were assessed. All participants rated their understanding of the scale using the feasibility survey forms. Results: A total of 95 participants were included. There were high percentages of scoring agreements among all participants on the scale (66.7% to 98.9%). Overall feedback from all respondents were positive and supported the face validity of the PFFS-M. Conclusion: The PFFS-M reflects an accurate translation for the Malaysian population. The scale is usable and feasible and has face validity. Reliability and predictive validity assessments of the PFFS-M are currently underway.

Original languageEnglish
Pages (from-to)27-36
Number of pages10
JournalMalaysian Family Physician
Volume16
Issue number2
DOIs
Publication statusPublished - 2021

Bibliographical note

Funding Information:
This study was funded by the Ministry of Health Malaysia Research Grant (NMRR 17-543-348840. The authors would like to acknowledge all the staff of the public-primary care clinics and district/divisional health offices of the study sites involved. This research was also conducted in collaboration with the Australian National Health and Medical Research Council (NHMRC) Centre of Research Excellence in Frailty and Healthy Ageing.

Publisher Copyright:
© 2021, Academy of Family Physicians of Malaysia. All rights reserved.

ASJC Scopus Subject Areas

  • Community and Home Care
  • Family Practice

PubMed: MeSH publication types

  • Journal Article

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