Related Experiment Video
Updated: May 22, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Frailty-Based Remote Monitoring in Older Adults With Heart Failure: Conceptual Framework for Adaptive Digital Health
Rémi Esser1, Olivier Maurou1, Marine Larbaneix1
1Hôpital La Porte Verte, 6 avenue du Maréchal Franchet d'Esperey, Versailles, Île-de-France, France, +33 139639628.
Journal of Medical Internet Research
|May 20, 2026
Summary
Remote monitoring for heart failure in older adults needs tailoring. A new frailty-adaptive framework stratifies care based on individual patient needs, improving outcomes and digital health equity.
Area of Science:
- Geriatric Medicine
- Cardiology
- Digital Health
Background:
- Remote monitoring is vital for heart failure (HF) care.
- Current models lack personalization for older adults, ignoring frailty, cognition, and dependency.
- This heterogeneity limits the effectiveness of uniform digital health approaches.
Purpose of the Study:
- To propose a frailty-adaptive framework for remote HF monitoring in older adults.
- To shift focus from technology to a stratified clinical process.
- To enhance the relevance and equity of digital health interventions.
Main Methods:
- Developed a framework based on evidence from HF telemonitoring and geriatric medicine.
- Defined four clinical trajectories: robust, prefrail, frail, and palliative.
- Outlined distinct monitoring objectives, workflows, and response pathways for each trajectory.
Main Results:
- The framework aligns monitoring intensity and goals with frailty status.
- Robust patients need optimization and self-management support.
- Frail and palliative patients require proxy support, nurse-led triage, and symptom-guided monitoring.
Conclusions:
- Frailty should be central to remote monitoring design, not an afterthought.
- A frailty-adaptive approach improves clinical relevance and digital health equity.
- This model supports more sustainable care for older adults with HF.
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