The use of technology in the context of frailty screening and management interventions:a study of stakeholders' perspectives


BACKGROUND: Health and social care interventions show promise as a way of managing the progression of frailty in older adults. Information technology could improve the availability of interventions and services for older adults. The views of stakeholders on the acceptability of technological solutions for frailty screening and management have not been explored. METHODS: Focus groups were used to gather data from healthy and frail/pre-frail older adults, health and social care providers, and caregivers in three European countries - Italy, Poland and UK. Data were analysed using framework analysis in terms of facilitators or determinants of older adults' adoption of technology. RESULTS: Our findings clustered around the perceived value; usability, affordability and accessibility; and emotional benefits of frailty screening and management technology to stakeholders. We also noted issues relating to social support, previous experience of technology and confidence of stakeholders. CONCLUSIONS: Professionals and caregivers understand the benefits of technology to facilitate frailty care pathways but these views are tempered by concerns around social isolation. Frail older adults raised legitimate concerns about the accessibility and usability of technology, specifically around the potential for their personal information to be compromised. Solutions must be developed within a framework that addresses social contexts and avoids stigma around frailty and ageing.

Publication DOI:
Divisions: College of Health & Life Sciences
College of Health & Life Sciences > School of Psychology
Additional Information: © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Uncontrolled Keywords: Disease management,Educational technology,Frailty,Older adults,Technology,Health Policy,Health Informatics
Publication ISSN: 1472-6947
Last Modified: 15 Jul 2024 07:55
Date Deposited: 20 Jun 2019 07:56
Full Text Link:
Related URLs: https://bmcmedi ... 2911-019-0828-6 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Review article
Published Date: 2019-06-11
Accepted Date: 2019-05-29
Authors: Gwyther, Holly (ORCID Profile 0000-0002-2867-4184)
van Velsen, Lex
Shaw, Rachel L (ORCID Profile 0000-0002-0438-7666)
D'Avanzo, Barbara
Bujnowska-Fedak, Maria
Kurpas, Donata
Szwamel, Katarzyna
Van't Klooster, Jan-Willem
Holland, Carol



Version: Published Version

License: Creative Commons Attribution

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