Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
BMJ Open. 2024 May 16;14(5):e080480. doi: 10.1136/bmjopen-2023-080480.
Multidomain interventions in older adults offer the best opportunity to prevent, delay or reverse existing symptoms in the earlier stages of frailty and improve independence but can be costly, and difficult to deliver at scale. However, digital health interventions enable personalised care and empowerment through self-management of long-term conditions, used at any time and when combined with health coaching offer the potential to enhance well-being and facilitate the achievement of health-related goals. We aim to evaluate the feasibility and acceptability of a digital health platform for long-term disease management combined with health coaching for people living with mild-moderate frailty, targeting self-identified goals-activity, nutrition, mood, enhancing social engagement and well-being.
This is a non-randomised feasibility, single-group, pretest/post-test study, using qualitative and quantitative methods. The digital health coaching intervention (DIALOR-DIgitAL cOaching for fRailty) has been developed for implementation to older adults, aged 65 years or older with mild to moderate frailty and diagnosis of one or more long-term health conditions in the community. Participants will receive 12 weeks of health coaching and have access to a mobile health platform for 6 months. The primary outcome measure is the acceptability and feasibility of DIALOR along with a range of secondary outcome measures (including frailty, functioning measures, quality of life, social engagement, diet quality and self-reported indicators) collected at baseline and at 6 months. The findings will inform whether a wider effectiveness trial is feasible and if so, how it should be designed.
Ethical approval has been granted by the Southeast Scotland Research Ethics Committee 02 (reference: 22/SS/0064). Research findings will be disseminated in a range of different ways to engage different audiences, including publishing in open-access peer-reviewed journals, conference presentations, social media, dissemination workshop with patients, carers, and healthcare professionals and on institution websites.
多领域干预措施为老年人提供了最佳机会，可以在虚弱的早期阶段预防、延缓或逆转现有症状，提高独立性，但成本高，难以大规模实施。然而，数字健康干预措施通过长期疾病的自我管理为个人提供了个性化护理和赋权，可随时随地使用，与健康指导相结合，具有增强幸福感和促进实现与健康相关目标的潜力。我们旨在评估针对轻度至中度虚弱的老年人的长期疾病管理与健康指导相结合的数字健康平台的可行性和可接受性，该平台针对自我确定的目标（活动、营养、情绪、增强社会参与度和幸福感）。
这是一项非随机可行性、单组、预测试/后测试研究，采用定性和定量方法。数字健康指导干预（DIALOR-DIgitAL cOaching for fRailty）已开发用于在社区中实施给年龄在 65 岁或以上、有轻度至中度虚弱和一种或多种长期健康状况的老年人。参与者将接受 12 周的健康指导，并在 6 个月内访问移动健康平台。主要结局指标是 DIALOR 的可接受性和可行性，以及一系列次要结局指标（包括虚弱、功能测量、生活质量、社会参与度、饮食质量和自我报告指标），这些指标在基线和 6 个月时收集。研究结果将告知更广泛的有效性试验是否可行，如果可行，应如何设计。
东南苏格兰研究伦理委员会 02 已批准该研究（参考号：22/SS/0064）。研究结果将以多种不同方式传播，以吸引不同的受众，包括在开放获取同行评审期刊上发表、会议演讲、社交媒体、与患者、护理人员和医疗保健专业人员举行传播研讨会以及在机构网站上传播。
