Version 1
: Received: 11 May 2023 / Approved: 12 May 2023 / Online: 12 May 2023 (03:33:46 CEST)
Version 2
: Received: 15 May 2023 / Approved: 16 May 2023 / Online: 16 May 2023 (05:25:59 CEST)
Son, B.-K.; Miura, T.; Yabu, K.-I.; Sumikawa, Y.; Kim, D.; Lyu, W.; Yang, Y.; Tanaka, M.; Tanaka, T.; Yoshizawa, Y.; Iijima, K. The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults. Int. J. Environ. Res. Public Health2023, 20, 6101.
Son, B.-K.; Miura, T.; Yabu, K.-I.; Sumikawa, Y.; Kim, D.; Lyu, W.; Yang, Y.; Tanaka, M.; Tanaka, T.; Yoshizawa, Y.; Iijima, K. The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults. Int. J. Environ. Res. Public Health 2023, 20, 6101.
Son, B.-K.; Miura, T.; Yabu, K.-I.; Sumikawa, Y.; Kim, D.; Lyu, W.; Yang, Y.; Tanaka, M.; Tanaka, T.; Yoshizawa, Y.; Iijima, K. The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults. Int. J. Environ. Res. Public Health2023, 20, 6101.
Son, B.-K.; Miura, T.; Yabu, K.-I.; Sumikawa, Y.; Kim, D.; Lyu, W.; Yang, Y.; Tanaka, M.; Tanaka, T.; Yoshizawa, Y.; Iijima, K. The Co-Design/Co-Development and Evaluation of an Online Frailty Check Application for Older Adults: Participatory Action Research with Older Adults. Int. J. Environ. Res. Public Health 2023, 20, 6101.
Abstract
Frailty, an age-related decline in homeostatic reserves, markedly proceeded during the coronavirus disease 2019 pandemic. To continuously assess frailty status, a remote system is urgently required. We aimed to co-design/co-develop an online frailty check (FC) application alongside FC supporters who were facilitators in a pre-existing onsite FC program. The online FC included a screening measurement for sarcopenia and an 11-item questionnaire covering dietary, physical, and social behaviors. Using prototype applications, 55 opinions obtained from 32 FC supporters (median 74.0 years) were categorized and reflected refinement. Regarding the self-efficacy of FC supporters, a significant increase in social positioning was seen after the mock test (P=.031). For FC supporters and participants, the average system usability scale (SUS) score was 70.2±10.3 points, which was “marginally high” for acceptability and “good” for the adjective range. Multiple regression analysis showed that the SUS score was significantly correlated with online-onsite reliability but not online communication, even after adjusting by age, sex, education level, and ICT proficiency (b=0.400, 95% CI: 0.243-1.951, P=.013). Additionally, a significant association between onsite and online FC scores was observed (R=0.670, P=.001). Our online FC application was evaluated to be a valuable tool to practically assess frailty status remotely.
Public Health and Healthcare, Public Health and Health Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.