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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
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Digital Health Interventions among People Living with Frailty: A Scoping Review
Nyan Linn1, Catherine Goetzinger2, Jean-Philippe Regnaux3
1Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg.
Summary
Digital health interventions show promise for older adults, but their application in frail populations is limited. This review highlights the need for standardized frailty assessment and robust trials to advance digital health for this group.
Area of Science:
- Gerontology
- Digital Health
- Health Services Research
Background:
- Digital health interventions (DHIs) offer potential for improving health outcomes.
- Their application in older and frail populations remains underutilized.
- This study provides an overview of DHIs used in frail older adults.
Purpose of the Study:
- To systematically review existing digital health interventions for frail older populations.
- To identify common characteristics, applications, and limitations of DHIs in this demographic.
- To inform future development and implementation strategies for DHIs in geriatric care.
Main Methods:
- A scoping review adhering to PRISMA guidelines was conducted.
- Searches were performed across PubMed, Scopus, and Web of Science databases.
- Included studies focused on DHIs for frail individuals in clinical or community settings.
Main Results:
- 105 studies were included, with monitoring being a primary DHI purpose (43%).
- Sensor-based technologies (56%) and user feedback (32%) were common delivery methods and content.
- Efficacy and usability/feasibility were reported in 30% and 55% of studies, respectively.
- Frailty assessment lacked standardization in 45% of studies, and only 29% of RCTs had low/moderate risk of bias.
Conclusions:
- Significant heterogeneity exists in frailty assessment, study designs, and DHI evaluations.
- There is a critical need for standardized frailty assessment methods.
- Development of well-structured randomized controlled trials and rigorous reporting is essential for advancing DHIs in frail older adults.
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