Psychometric Validation of the Arabic FRAIL Scale for Frailty Assessment Among Older Adults with Colorectal Cancer.
1/5 보강
[BACKGROUND/OBJECTIVE] Culturally adapted frailty screening tools are essential for improving health outcomes, facilitating clinical decision-making, promoting effective care planning, and ensuring ac
- 95% CI 0.77-0.94
- 연구 설계 cross-sectional
APA
Omar MTA, Alamri BNM, et al. (2025). Psychometric Validation of the Arabic FRAIL Scale for Frailty Assessment Among Older Adults with Colorectal Cancer.. Healthcare (Basel, Switzerland), 13(23). https://doi.org/10.3390/healthcare13233117
MLA
Omar MTA, et al.. "Psychometric Validation of the Arabic FRAIL Scale for Frailty Assessment Among Older Adults with Colorectal Cancer.." Healthcare (Basel, Switzerland), vol. 13, no. 23, 2025.
PMID
41373334
Abstract
[BACKGROUND/OBJECTIVE] Culturally adapted frailty screening tools are essential for improving health outcomes, facilitating clinical decision-making, promoting effective care planning, and ensuring accurate frailty assessment across diverse cultural contexts; their use among clinicians and academics is therefore supported. The purpose of this study was to assess internal consistency, test-retest reliability, and validity of the Arabic FRAIL scale (FRAIL-AR scale) for Arabic-speaking populations with colorectal cancer (CRC).
[METHODS] This cross-sectional study included 137 participants diagnosed with CRC who completed the FRAIL-AR scale, the EORTC QLQ-C30 physical function subscale, and functional performance-based Timed Up and Go (TUG) and Five Times Sit-to-Stand (5xSTS) tasks. Internal consistency was assessed using Kuder-Richardson formula 20 (KR-20), and test-retest reliability was determined using the two-way random intraclass correlation coefficient ICC . Convergent validity was evaluated by assessing the correlation between the FRAIL-AR scale against the EORTC QLQ-C30 physical function scale, TUG, and 5xSTS.
[RESULTS] The FRAIL-AR scale exhibited good internal consistency (KR-20 = 0.80) and test-retest reliability (ICC = 0.89, 95% CI 0.77-0.94). Correlation analysis showed a weak negative correlation between the overall FRAIL-AR scale scores and EORTC QLQ-C30 physical function scale scores ( = -0.38, < 0.05), while it exhibited a moderate positive correlation with TUG ( = 0.75, < 0.01) and 5xSTS ( = 0.63, < 0.01) scores. FRAIL-AR scores showed significant known-groups validity with higher frailty scores in older-age individuals ( < 0.01), females ( < 0.05), and those with comorbid conditions (≥5) ( < 0.05).
[CONCLUSION] The FRAIL-AR scale's validity and reliability make it an appropriate tool for geriatricians, oncologists, and healthcare providers to evaluate and monitor frailty among Arabic-speaking colorectal cancer patients.
[METHODS] This cross-sectional study included 137 participants diagnosed with CRC who completed the FRAIL-AR scale, the EORTC QLQ-C30 physical function subscale, and functional performance-based Timed Up and Go (TUG) and Five Times Sit-to-Stand (5xSTS) tasks. Internal consistency was assessed using Kuder-Richardson formula 20 (KR-20), and test-retest reliability was determined using the two-way random intraclass correlation coefficient ICC . Convergent validity was evaluated by assessing the correlation between the FRAIL-AR scale against the EORTC QLQ-C30 physical function scale, TUG, and 5xSTS.
[RESULTS] The FRAIL-AR scale exhibited good internal consistency (KR-20 = 0.80) and test-retest reliability (ICC = 0.89, 95% CI 0.77-0.94). Correlation analysis showed a weak negative correlation between the overall FRAIL-AR scale scores and EORTC QLQ-C30 physical function scale scores ( = -0.38, < 0.05), while it exhibited a moderate positive correlation with TUG ( = 0.75, < 0.01) and 5xSTS ( = 0.63, < 0.01) scores. FRAIL-AR scores showed significant known-groups validity with higher frailty scores in older-age individuals ( < 0.01), females ( < 0.05), and those with comorbid conditions (≥5) ( < 0.05).
[CONCLUSION] The FRAIL-AR scale's validity and reliability make it an appropriate tool for geriatricians, oncologists, and healthcare providers to evaluate and monitor frailty among Arabic-speaking colorectal cancer patients.