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Establishing the core elements of a frailty at the front door model of care using a modified real-time Delphi technique by Íde O’Shaughnessy; Christine Fitzgerald; Aoife Whiston; Patrick Harnett; Helen Whitty; Des Mulligan; Marian Mullaney; Catherine Devaney; Deirdre Lang; Jennifer Hardimann; Brian Condon; Christina Hayes; Alison Holmes; Louise Barry; Claire McCormack; Megan Bounds; Katie Robinson; Margaret O’Connor; Damien Ryan; Denys Shchetkovsky; Fiona Steed; Leonora Carey; Emer Ahern; Rose Galvin is a Medicine article available to read on EtoBox.

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## Background Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority for clinicians, researchers and policymakers due to the deleterious outcomes older adults experience due to prolonged exposure to such an environment. This study aimed to develop a set of expert consensus-based statements underpinning operational design, outcome measurement and evaluation of a Frailty at the Front Door (FFD) model of care for older adults within an Irish context. ## Methods A modified real-time Delphi method was used. Facilitation of World Café focus groups with an expert panel of 86 members and seperate advisory groups with a Public and Patient Involvement panel of older adults and members of the Irish Association of Emergency Medicine generated a series of statements on the core elements of the FFD model of care. Statements were analysed thematically and incorporated into a real-time Delphi survey, which was emailed to members of the expert panel. Members were asked to rank 70 statements across nine domains using a 9-point Likert scale. Consensus criteria were defined a priori and guided by previous research using

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Author

Íde O’Shaughnessy; Christine Fitzgerald; Aoife Whiston; Patrick Harnett; Helen Whitty; Des Mulligan; Marian Mullaney; Catherine Devaney; Deirdre Lang; Jennifer Hardimann; Brian Condon; Christina Hayes; Alison Holmes; Louise Barry; Claire McCormack; Megan Bounds; Katie Robinson; Margaret O’Connor; Damien Ryan; Denys Shchetkovsky; Fiona Steed; Leonora Carey; Emer Ahern; Rose Galvin

Publisher

Springer Science and Business Media LLC

Published

2023

Field

Medicine (Health Sciences)