The use of technology in the context of frailty screening and management interventions: a study of stakeholders’ perspectives

Gwyther, Holly; Velsen, Lex van; Shaw, Rachel; D'Avanzo, Barbara; Bujnowska–Fedak, Maria Magdalena; Kurpas, Donata; Szwamel, Katarzyna; Klooster, Jan Willem Van'T; Holland, Carol

doi:10.1186/s12911-019-0828-6

Cited by 10 publications

(6 citation statements)

References 38 publications

(50 reference statements)

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“…Lack of technical resources and participants’ condition are also other elements that need to be emphasized for implementation of telerehabilitation despite current modern technology [ 70 ]. However, in terms of online interventions, participants’ compliance and adherence towards intervention might be challenging as it is dependent on the social support from family, peers and community [ 71 , 72 ]. Besides that, availability of device is one of the crucial components to conduct telemedicine which can be either through mobile phone, tablet or personal computer [ 73 ].…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review for Usage of Telerehabilitation among Older Adults with Mild Cognitive Impairment or Cognitive Frailty

Fadzil

Shahar

Rajikan

et al. 2022

IJERPH

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Older adults are vulnerable towards cognitive frailty that can lead to adverse health outcomes and telerehabilitation appears to be a potential platform to reverse cognitive frailty among older adults. The aim of this coping review is to identify the usage of telerehabilitation and its common platform of delivery among older adults with mild cognitive impairment (MCI) or cognitive frailty (CF). Articles published from January 2015 until October 2020 were selected. Out of the 1738 articles retrieved, six studies were identified. Two articles were randomized controlled trials, one was a pilot study and three were qualitative studies. The outcome suggests that telerehabilitation may improve the quality of life among participants as well as it can be a useful and supportive digital platform for health care. Some types of technologies commonly used were smartphones or telephones with internet, television-based assistive integrated technology, mobile application and videoconference. Telerehabilitation utilization in managing cognitive frailty among older adults is still limited and more research is required to evaluate its feasibility and acceptability. Although telerehabilitation appears to be implemented among older adults with MCI and CF, some social support is still required to improve the adherence and effectiveness of telerehabilitation. Future research should focus on the evaluation of acceptance and participants’ existing knowledge towards telerehabilitation to achieve its target.

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Section: Discussionmentioning

confidence: 99%

A Scoping Review for Usage of Telerehabilitation among Older Adults with Mild Cognitive Impairment or Cognitive Frailty

Fadzil

Shahar

Rajikan

et al. 2022

IJERPH

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“…This report shows that as many as 72.3% of seniors show a lack of interest in learning basic computer or Internet skills, and nearly two-thirds (65.1%) do not use the Internet for health-related matters. It is mostly younger people with a higher level of education who declare interest in an additional way to contact a doctor, apart from the traditional in-person visit, as well as in the possibility of remote health condition monitoring [ 49 , 50 , 51 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

Perception and Attitude toward Teleconsultations among Different Healthcare Professionals in the Era of the COVID-19 Pandemic

Grata-Borkowska

Sobieski

Drobnik

et al. 2022

IJERPH

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Teleconsultation has become one of the most important and sometimes the only possible forms of communication between healthcare professionals (HCPs) and their patients during the COVID-19 pandemic. The perceptions and attitudes of HCPs to teleconsultations may affect the quality of the therapeutic process provided using them. Therefore, this study aimed to understand the attitudes to and perceptions of medical teleconsultation among various HCPs during the COVID-19 pandemic. We analyzed data from a dedicated questionnaire on preferences, attitudes, and opinions about teleconsultation, which was filled by 780 Polish HCPs. Most of the HCPs were doctors and nurses (69% and 19%, respectively); most of the doctors were family physicians (50.1%). During the pandemic, teleconsultation and face-to-face contact were reported as the preferred methods of providing medical services with similar frequency. Doctors and nurses displayed the most positive attitude toward teleconsultation while the paramedics and physiotherapists took the least positive view of it. The most frequently indicated ratio of the optimal number of teleconsultations to in-person visits in primary health facilities care was 20%:80%. Most HCPs appreciate the value of teleconsultation, and more than half of them are willing to continue this form of communication with the patient when necessary or desirable.

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“…While a number of different studies have investigated the use of sensors to measure phenotypic characteristics of frailty (gait speed, stride length, postural balance, percentage of time spent walking, standing, sitting, etc. ), and other studies have assessed older adults' understanding of frailty [17], there has been only one study of the views of stakeholders regarding the acceptability and adoption of health-related technology solutions for frailty screening and management [18]. The stakeholders in this previous study, conducted in three European countries included frail and robust older adults, their family caregivers, as well as health and social care professionals.…”

Section: Discussionmentioning

confidence: 99%

Developing a sensor-based mobile application for in-home frailty assessment: a qualitative study

et al. 2021

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Background Frailty syndrome disproportionately affects older people, including 15% of non-nursing home population, and is known to be a strong predictor of poor health outcomes. There is a growing interest in incorporating frailty assessment into research and clinical practice, which may provide an opportunity to improve in home frailty assessment and improve doctor patient communication. Methods We conducted focus groups discussions to solicit input from older adult care recipients (non-frail, pre-frail, and frail), their informal caregivers, and medical providers about their preferences to tailor a mobile app to measure frailty in the home using sensor based technologies. Focus groups were recorded, transcribed, and analyzed thematically. Results We identified three major themes: 1) perspectives of frailty; 2) perceptions of home based sensors; and 3) data management concerns. These relate to the participants’ insight, attitudes and concerns about having sensor-based technology to measure frailty in the home. Our qualitative findings indicate that knowing frailty status is important and useful and would allow older adults to remain independent longer. Participants also noted concerns with data management and the hope that this technology would not replace in-person visits with their healthcare provider. Conclusions This study found that study participants of each frailty status expressed high interest and acceptance of sensor-based technologies. Based on the qualitative findings of this study, sensor-based technologies show promise for frailty assessment of older adults with care needs. The main concerns identified related to the volume of data collected and strategies for responsible and secure transfer, reporting, and distillation of data into useful and timely care information. Sensor-based technologies should be piloted for feasibility and utility. This will inform the larger goal of helping older adults to maintain independence while tracking potential health declines, especially among the most vulnerable, for early detection and intervention. Keywords: Frailty, wearable, health services.

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The use of technology in the context of frailty screening and management interventions: a study of stakeholders’ perspectives

Cited by 10 publications

References 38 publications

A Scoping Review for Usage of Telerehabilitation among Older Adults with Mild Cognitive Impairment or Cognitive Frailty

A Scoping Review for Usage of Telerehabilitation among Older Adults with Mild Cognitive Impairment or Cognitive Frailty

Perception and Attitude toward Teleconsultations among Different Healthcare Professionals in the Era of the COVID-19 Pandemic

Developing a sensor-based mobile application for in-home frailty assessment: a qualitative study

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