Eliciting Healthcare Professionals' Perspectives on Frailty in Long-Term Care: Perceptions of Frailty-Related Terms
Kong, Jonathan, Trinh, Kelly, Hammill, Kathrine, and Chen, Carla Chia-Ming (2026) Eliciting Healthcare Professionals' Perspectives on Frailty in Long-Term Care: Perceptions of Frailty-Related Terms. Advances in Geriatric Medicine and Research, 8.
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Abstract
Background: Frailty is widely recognized as a multidimensional condition in long-term care, yet how it is described and prioritized in everyday clinical practice varies across professional groups. Understanding how healthcare professionals interpret frailty-related language is important for effective clinical documentation, interdisciplinary communication, and care planning in aged care settings. Methods: A cross-sectional online survey using purposive and snowball sampling was conducted with 51 healthcare professionals working in aged care. Participants rated the importance of 65 predefined frailty-related terms using a five-point Likert scale. Terms were mapped to six frailty dimensions: physical, functional, cognitive, psychological, social, and nutritional. Descriptive analyses were used to examine endorsement patterns by professional role and years of clinical experience. Results: Physical frailty descriptors received the strongest and most consistent endorsement, with susceptible to falls, health deterioration, and bed-bound rated among the most important. Cognitive indicators and malnutrition were also widely recognized. In contrast, psychological and social terms showed greater variability in agreement. Endorsement differed by profession, with doctors and nurses emphasizing physical and nutritional indicators, allied health professionals demonstrating more variable patterns, and care workers showing broader recognition across dimensions. Less experienced respondents endorsed a wider range of terms, whereas more experienced clinicians were more selective. Conclusions: Frailty in long-term care is most commonly recognized through physical and cognitive indicators, with less consistent attention to psychological and social dimensions. Clarifying how frailty is described and prioritized across disciplines can inform clinical documentation practices, support interdisciplinary communication, and guide future efforts to strengthen frailty recognition in long-term care.
