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Related Experiment Video

Updated: May 15, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
07:27

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Published on: October 6, 2016

Equitable Digital Frailty Screening for Marginalized Older Adults Using Audio Computer-Assisted Self-Interview:

Jane Ye In Hwang1, Tony Butler1, Peter Schofield2

  • 1School of Population Health, UNSW Sydney, Building C29 HTH Level 05, 55 Botany Street Randwick, UNSW, 2052, Australia, 61 93480073.

JMIR Formative Research
|May 13, 2026
PubMed
Summary

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This summary is machine-generated.

Digital health tools using audio computer-assisted self-interview (ACASI) technology can improve health screening for marginalized older adults. The ASCAPE-HS project demonstrated high usability and acceptability in diverse community samples.

Area of Science:

  • Digital Health
  • Gerontology
  • Health Equity

Background:

  • Marginalized older adults face significant barriers to essential health screenings due to factors like low literacy and digital exclusion.
  • Audio computer-assisted self-interview (ACASI) technology offers a promising solution for accessible, self-administered health screening.
  • Limited guidance exists for developing digital health tools for underserved populations, especially within cross-disciplinary teams.

Purpose of the Study:

  • To describe the collaborative development of the ASCAPE-HS prototype, a tablet-based ACASI tool for frailty and aging screening.
  • To synthesize lessons learned for equitable digital health tool development in hard-to-reach older adults.
  • To present findings on the usability and acceptability of ASCAPE-HS in a diverse community sample.
Keywords:
co-designdigital healthfrailtyhealth equityhealth screeningmultidisciplinary

Related Experiment Videos

Last Updated: May 15, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
07:27

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

Published on: October 6, 2016

Main Methods:

  • The ASCAPE-HS prototype was developed iteratively using a digital health equity framework, involving researchers, clinicians, developers, and end-users.
  • The tool incorporated a self-administered, audio-delivered Frailty Index and other aging-related questions, prioritizing accessibility and sociocultural relevance.
  • Exploratory user testing was conducted with 20 older adults representing diverse backgrounds and health statuses.

Main Results:

  • A 50-item Frailty Index and holistic aging questions were integrated into an iOS app with ACASI features, using lay language and AI-generated audio guidance.
  • Key development considerations were synthesized into a checklist for similar projects.
  • The tool demonstrated high acceptability (median scores ≥4/5) and usability (mean SUS score 79.0).

Conclusions:

  • A collaborative approach can yield ACASI-based health screening tools that are well-received by older adults.
  • Integrating frailty and aging assessments into a usable and acceptable digital tool is feasible.
  • Actionable principles for developing equitable health screening tools for diverse, hard-to-reach populations were identified.