Pre-frailty
Conditions
Interventions
Participants in the intervention group will receive an intervention designed to support use of the Online Kayoinoba app. First, they will attend one standardized smartphone-use training session. They
Sponsors
Tokyo Metropolitan Institute for Geriatrics and Gerontology
National Center for Geriatrics and Gerontology Shimane University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults aged 65 years or older at the time of providing informed consent 2. Adults classified as having pre-frailty (score 1-2) based on the revised Japanese version of the Cardiovascular Health Study criteria (J-CHS), assessed within 12 months before informed consent 3. Adults who provide written informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1. Individuals who use a smartphone on fewer than 5 days per week 2. Individuals who have been diagnosed with and are receiving treatment for dementia 3. Individuals with a history of, or currently receiving treatment for, neurological disorders such as depression, Parkinson's disease, or stroke 4. Individuals who are currently using the Online Kayoinoba app 5. Individuals unable to undergo physical function testing 6. Individuals with impairment in basic activities of daily living 7. Individuals who have been advised by their primary care physician not to engage in exercise, other than light exercise 8. Individuals who have experienced angina or myocardial infarction within the past 3 months, have a history of cardiac surgery, are receiving palliative care for a terminal illness, or already have plans for surgery or hospitalization during the study period 9. Individuals whom the principal investigator, co-investigators, or study physicians judge to be ineligible for participation in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mean daily step count at the end of the intervention (Visit 9) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mean daily step count at Visit 12 2. Blood pressure, pain status, and fall history at Visits 9 and 12 3. Physical function at Visits 9 and 12 (Chair Stand Test, 8-Foot Up and Go Test, and 2-minute Step in Place Test) 4. Health-related quality of life at Visits 9 and 12 (SF-36 PCS, RCS, and MCS) 5. Home exercise self-efficacy, exercise self-efficacy, functional status (KCL), depressive symptoms (GDS-15), digital health literacy (DHLI), and dietary variety (DVS) at Visits 9 and 12 6. Accelerometer-derived gait and sleep parameters at Visits 9 and 12 7. Adverse events during the intervention period 8. Adherence (discontinuation/dropout rate, attendance at face-to-face instruction sessions, app use frequency, app use duration, login status, and use of each content component) | — |
Countries
Japan
Contacts
Public ContactHiroyuki Sasai
Tokyo Metropolitan Institute for Geriatrics and Gerontology Research Team for Promoting Independence and Mental Health
Outcome results
None listed