# Translation and Cultural Adaptation of the Pictorial Fit-Frail Scale for Health Care Professionals Into Canadian-French

## TL;DR

This paper describes the translation and adaptation of a visual frailty assessment tool into Canadian French for use in healthcare settings.

## Contribution

The study provides a culturally adapted French version of the Pictorial Fit-Frail Scale for Canadian healthcare professionals.

## Key findings

- Three bilingual translators produced translations with significant variation requiring expert panel resolution.
- 36.4% of items were identical across translations, while 30.3% differed in all three versions.
- Two items were adapted from the French Clinical Frailty Scale to finalize the Canadian French version.

## Abstract

Frailty is a clinical syndrome linked to increased vulnerability in older adults. The Pictorial Fit-Frail Scale for Health Care Professionals (PFFS-HCP) is a visual tool assessing frailty across multiple domains, but no French version is currently available. This study aimed to translate and culturally adapt the PFFS-HCP into Canadian French for use in Canada. Following adapted cross-cultural guidelines, three bilingual translators independently translated the 33-item data dictionary. Discrepancies were resolved by an expert panel through consensus, and the final version was submitted to the original developers and formatted by their design team. Of the items, 36.4% were identical across translations, 33.3% matched in two versions, and 30.3% differed in all three. Two items were adapted from the French Clinical Frailty Scale. The final Canadian French version of the PFFS-HCP is now available. A follow-up study will assess its clarity and usability in Québec clinical settings.