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.
Commenter: Bo-Kyung Son
Commenter's Conflict of Interests: Author