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Frailty, inequality and resilience

Matthew Hale, Sarwat Shah and Andrew Clegg
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DOI: https://doi.org/10.7861/clinmedicine.19-3-219
Clin Med May 2019
Matthew Hale
ANIHR Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
Roles: academic clinical fellow and specialty registrar in geriatrics
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  • For correspondence: m.hale@doctors.org.uk
Sarwat Shah
BUniversity of York, York, UK
Roles: research fellow
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Andrew Clegg
CBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
Roles: clinical senior lecturer and honorary consultant geriatrician
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    Fig 1.

    A schematic model summarising the potential interaction of different factors involved in the development of frailty.

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    Fig 2.

    The main determinants of health. Figure adapted with permission from Dahlgren G, Whitehead M. Policies and strategies to promote social equity in health. Stockholm: Institute for Futures Studies, 1991:11.

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    Box 1.

    The Brief Resilience Scale

    1. I tend to bounce back quickly after hard times

    2. I have a hard time making it through stressful events

    3. It does not take me long to recover from a stressful event

    4. It is hard for me to snap back when something bad happens

    5. I usually come through difficult times with little trouble

    6. I tend to take a long time to get over set-backs in my life

    • The Brief Resilience Scale is scored by reverse coding items 2, 4, and 6 and finding the mean of the six items. The following instructions are used to administer the scale: ‘Please indicate the extent to which you agree with each of the following statements by using the following scale: 1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree.’ Reprinted with permission from Smith BW, Dalen J, Wiggins K et al. The Brief Resilience Scale: assessing the ability to bounce back. Int J Behav Med 2008;15:196.

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Frailty, inequality and resilience
Matthew Hale, Sarwat Shah, Andrew Clegg
Clinical Medicine May 2019, 19 (3) 219-223; DOI: 10.7861/clinmedicine.19-3-219

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Frailty, inequality and resilience
Matthew Hale, Sarwat Shah, Andrew Clegg
Clinical Medicine May 2019, 19 (3) 219-223; DOI: 10.7861/clinmedicine.19-3-219
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