Trends in the Assessment of Social Frailty in Community-Dwelling Older Adults: A Scoping Review.

Abstract

Assessment of social frailty is crucial; however, definitions and assessment methods lack standardization. This review examined social frailty in community-dwelling older adults, highlighted trends in the definitions and assessment items used to date, and identified issues in assessing social frailty. The PubMed and CINAHL databases were searched for articles related to social frailty published up to 2022, and 95 articles were included in this review. The Bunt classification was used to assess the trends in items considered indicative of social frailty. Existing rating scales for social frailty were used in 82% of studies, and cut-off values were defined in 62% of studies. Factors such as the level of education; social interaction (weekly outings); and feelings of abandonment, emptiness, and lack of social integration (absence of a partner and non-participation in social organizations or activities) were evaluated less frequently. This study revealed that subjective feelings, including the fulfillment of social needs and participation in social activities, are less commonly considered in the assessment of social frailty.