FOCUS Guidelines - Evidence- and consensus-based guidelines on interventions aimed at preventing, delaying or reversing frailty

FOCUS Guidelines - Evidence- and consensus-based guidelines on interventions aimed at preventing, delaying or reversing frailty

Category:
Best practices

Net4Age Ontology Terms:
aging , healthcare , therapist , wellbeing

Description:

The guidelines were framed into four questions "one general and three on specific groups of interventions" all including frailty as the primary outcome of interest. Quantitative and qualitative studies and reviews conducted in the context of the FOCUS project represented the evidence base. The study followed the GRADE Evidence-to-Decision frameworks based on assessment of whether the problem is a priority, the magnitude of the desirable and undesirable effects, the certainty of the evidence, stakeholders' values, the balance between desirable and undesirable effects, the resource use, and other factors like acceptability and feasibility. Experts in the FOCUS consortium acted as panellists in the consensus process.

Overview: 
Age-related frailty is a multidimensional dynamic condition associated with adverse patient outcomes and high costs for health systems. Several interventions have been proposed to tackle frailty. This correspondence article describes the journey through the development of evidence- and consensus-based guidelines on interventions aimed at preventing, delaying or reversing frailty in the context of the FOCUS (Frailty Management Optimisation through EIP-AHA Commitments and Utilisation of Stakeholders Input) project (664367-FOCUS-HP-PJ-2014). The rationale, framework, processes and content of the guidelines are described.

Objectives: 
Provide guidelines based on quantitative and qualitative evidence, adopting methodological standards, and integrating relevant stakeholders? inputs and perspectives. Identification of the need for further studies of a higher methodological quality to explore interventions with the potential to affect frailty.

Initiatives: 
The methodology adopted and its focus on frailty and management of interventions
Shortcomings: 
The outocmes are not conclusive
Relevance: 
4
Relevance Description: 
High relevance
Quality: 
4
Opinion: 
Useful methodology to support elderly in ageing domain
Overlap: 
Yes
Overlap Detail: 
SHAFE, ValueCare
Sources: 
https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-019-1434-2
Keywords: 
frailty, older people, interventions, guidelines, effectiveness, decision making, implementation, GRADE system.
Email: 
oscarzanutto@gmail.com