Improve the management of the symptoms of early to moderate frailty and long-term health conditions Other
Conditions
Interventions
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 diagnos
diabetes mellitus, asthma, chronic obstructive pulmonary disease or heart disease.
1. Older adults (>65y) are identified by participating PCN/GP surgery via reporting measures built into the electron
Sponsors
Bournemouth University
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Aged = 65 years 2. Scoring as mild or moderately frail using the Electronic Frailty Index 3. Diagnosis of 1 or more long-term conditions including COPD, Type 2 diabetes, heart disease or asthma 4. Living in their own homes 5. Capacity to consent to participate 6. Able to communicate fluently enough in English to take part in the study 7. Able to recall their experiences sufficiently to engage with a health coach 8. Self-reported ability to use digital technology independently or with support
Exclusion criteria
Exclusion criteria: 1. Nursing home resident or on active waiting list for a place 2. Individuals who have a terminal illness and are being managed for end-of-life needs 3. Lacking capacity to consent (e.g., advanced dementia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measures are the feasibility and acceptability of the DIALOR intervention. Feasibility will be determined from the number of health coaches trained, the number of participants recruited, retention, adherence to the intervention and adverse events measured using study records at one timepoint. To determine the acceptability of the intervention and to explore barriers and enablers to the implementation of the intervention, semi-structured interviews will be conducted with patients with mild-moderate frailty (and their carers where appropriate), healthcare professionals and health coaches who participated in the study before the start of the digital health coaching and after the intervention and 6-month access to the mHealth applications. | — |
Secondary
| Measure | Time frame |
|---|---|
| A range of secondary outcomes measures will be assessed at baseline, on completion of 6 health coaching sessions and at 6 months, unless otherwise stated: 1. Functioning measured using the Modified Barthel Index (MBI) 2. Activities of daily living measured using the Lawton-Brody Instrumental Activities of Daily Living Scale (IADL) 3. Complex activities of daily living measured using the IADL 4. Physical activity levels measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) 5. Quality of life measured using the EuroQol- 5 dimensions- 5 levels (EQ-5D-5L) 6. Frailty severity measured using the Groningen Frailty Index (GFI) 7. Diet quality measured using the Short Form Food Frequency Questionnaire (SF FFQ) 8. Social engagement measured using the Lubben Social Network Scale (LSNS-6) 9. Mental well-being measured using the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) 10. Self-reported indicators such as height, weight, BMI (Body Mass Index), number of falls (per year), goal attainment, alcohol intake and smoking habits (if applicable) measured at baseline, throughout the study during digital health coaching interventions and at 6 months | — |
Countries
England, United Kingdom
Contacts
Public ContactJane Louise Murphy
Outcome results
None listed