{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T02:26:47Z","timestamp":1793586407438,"version":"4.5.0"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T00:00:00Z","timestamp":1602892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T00:00:00Z","timestamp":1602892800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000909","name":"John A. Hartford Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000909","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,1]]},"abstract":"\n BACKGROUND\/OBJECTIVE<\/jats:title>\n To evaluate the validity and reliability of a patient\u2010reported measure of the \u201cage\u2010friendliness\u201d of health care.<\/jats:p>\n <\/jats:sec>\n \n DESIGN<\/jats:title>\n Based on four essential domains of high\u2010quality health care for older outpatients (Medications, Mobility, Mentation and \u201cwhat Matters,\u201d i.e., the 4 M's), we drafted a five\u2010item questionnaire for older outpatients to rate the age\u2010friendliness of their health care. One question addressed each of the 4 M's; the fifth addressed the overall age\u2010friendliness of their care. After feedback from healthcare professionals, quality improvement experts, and a patient\u2010caregiver focus group, we revised the items to create the Age\u2010Friendliness Questionnaire (AFQ).<\/jats:p>\n SETTING<\/jats:p>\n We tested the AFQ by appending it to two surveys.<\/jats:p>\n <\/jats:sec>\n \n PARTICIPANTS<\/jats:title>\n Older outpatients in Idaho during July to October 2019: Survey 1, with 23 other items, was sent to 1,257 older patients who were medically complex; Survey 2, with 35 other items, was sent to 2,873 older patients who visited outpatient primary care providers (PCPs) during the specified time period.<\/jats:p>\n <\/jats:sec>\n \n MEASUREMENTS<\/jats:title>\n Respondents rated their providers\u2019 performance using a 1 to 5 (\u201cnever\u201d to \u201calways\u201d) scale for each of the five items (possible AFQ scores = 5\u201325).<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n \n The response rates were 41.4% and 33.3%, respectively. In Survey 1, the mean AFQ score from patients who had received care from a geriatrics consult clinic was higher than that from patients who had received their care from PCPs (19.3 vs 15.6;\n P<\/jats:italic>\n <\u2009.001), and AFQ scores correlated with other quality\u2010of\u2010care scores. In Survey 2, AFQ scores predicted respondents\u2019 likelihood of recommending their providers to others (\n P<\/jats:italic>\n <\u2009.001). The AFQ exhibited high internal reliability (interitem correlations = .49\u2013.77; Cronbach's \u03b1 = .89).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n The AFQ appears to be a valid and reliable measure of the age\u2010friendliness of outpatient care for older patients, and it predicts the likelihood that they will recommend their providers to others.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.16881","type":"journal-article","created":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T08:00:41Z","timestamp":1602921641000},"page":"180-184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Preliminary Validation of a\n Patient\u2010Reported<\/scp>\n Measure of the\n Age\u2010Friendliness<\/scp>\n of Health Care"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7121-504X","authenticated-orcid":false,"given":"Melanie C.","family":"Wright","sequence":"first","affiliation":[{"name":"College of Pharmacy Idaho State University Meridian Idaho"},{"name":"Research Institute Saint Alphonsus Regional Medical Center Boise Idaho"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry","family":"Fulmer","sequence":"additional","affiliation":[{"name":"The John A. Hartford Foundation New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad","family":"Boult","sequence":"additional","affiliation":[{"name":"Board of Directors The International Foundation for Integrated Care Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-16068-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2009.02571.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15076"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2017.05.005"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2923.2003.01594.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-009-9496-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12391"},{"key":"e_1_2_6_9_1","unstructured":"Centers for Medicare & Medicaid Services.Medicare Advantage rates & statistics risk adjustment.https:\/\/www.cms.gov\/Medicare\/Health-Plans\/MedicareAdvtgSpecRateStats\/Risk-Adjustors. Accessed April 28 2020."},{"key":"e_1_2_6_10_1","unstructured":"Agency for Healthcare Research and Quality. CAHPS clinician & group survey.www.ahrq.gov\/cahps\/surveys-guidance\/cg\/index.html. Accessed April 28 2020."}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.16881","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.16881","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.16881","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T01:57:17Z","timestamp":1793584637000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.16881"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,17]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/jgs.16881"],"URL":"https:\/\/doi.org\/10.1111\/jgs.16881","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,17]]},"assertion":[{"value":"2020-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}