Being Your Best, a holistic approach to frailty through eating, connecting, moving and/or thinking.

Being Your Best program will provide evidence-based modules that address the frailty domains of physical function, cognitive impairment, malnutrition and social isolation with an integrated, coordinated community-based approach. What is novel in our approach is the participant choice of intervention modules. The choice of module(s) will be person-driven, of 6 months duration, and participants will report on completion of activities using a monthly calendar submitted to the project team. The participants GPs will be consulted and informed of the program prior to participant commencement. Activities will be group- and community- based, where possible, with design input from consumer advisory groups and clinical staff from each participating health service. The advisory groups will provide input on name and desire for the suggested interventions, and long-term sustainability. This program aims to recruit participants in emergency departments in 3 major Melbourne hospitals. We have conducted a service mapping of 188 services. Service mapping conducted has included 5 km radius around each participating site. One of the eligibility criteria to participate in this study is that the participant resides within this area. This has been included to ease the accessibility to a chosen community group. Home activities will be offered to those that prefer staying at home if the participant chooses to conduct individual activities, examples of those will be provided as well. Once a participant has been recruited, they will be contacted by a Bolton Clarke research member to organise a home visit. During that visit, the participant and the research member will discuss options most suited to the individual participant. The participant’s GP will also be contacted and consulted regarding the participants safety to be a part of the programs of their choosing, before they can commence. Some examples of service offerings to help prevent progression of frailty are as follows: Cognition: Library services (computer skills workshop, other events, free wifi, computers), Men's Shed provides an opportunity for men to get together in a social environment to help with personal and community projects. Community centres (book clubs, knitting club, games club, English language café, Greek senior citizens club). Free of cost online training modules such as Lumosity and Word search will be offered as well as free of cost crossword puzzles, sudoku, 9-letter word etc Exercise: Bowls clubs (membership include eligibility for pennant sides, bowls competitions, bar and facilities, sponsor benefits), community walking groups. Aquatic and leisure centres: swimming. For individual activities, pamphlets will be provided after consultation with the participants GP Social support: U3A clubs (get together with other members of the community, classes and group activities), Senior citizen's clubs (services include lunches, day trips, hairdresser, podiatrists). We will also be providing telephone support for those participants that prefer telephone support. Nutritional support: Services such as casserole clubs and cooking classes will be offered. Recipes for easy to make nutritional foods will also be presented as an option. All the above interventions are some examples from out service mapping. The number of times an intervention will be delivered is individual, we are hoping that the activities will be conducted weekly and according to government recommendations. To this note, we are asking the participants to fill out activity logs. All suggested interventions will be drafted according to The Australian Department of Health recommendations health for older Australians (https://www1.health.gov.au/internet/main/publishing.nsf/Content/phd-physical-rec-older-guidelines). The intervention part of this study will continue for six months and the participants will be contacted by phone at one, three and six months post commencement to discuss how they are going. They will also be contacted one year after commencement in hope that they have continued with chosen activity or have chosen a different activity. The end result is to help improve the participants health and well-being and with that decrease the symptoms of frailty.