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

Holly Gwyther, Lex van Velsen, Rachel L Shaw, Barbara D'Avanzo, Maria Bujnowska-Fedak, Donata Kurpas, Katarzyna Szwamel, Jan-Willem Van't Klooster, Carol Holland

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish
Article number110
JournalBMC Medical Informatics and Decision Making
Volume19
Issue number1
DOIs
Publication statusPublished - 11 Jun 2019

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Technology
Frail Elderly
Caregivers
Social Isolation
Poland
Focus Groups
Social Support
Health Personnel
Italy
Delivery of Health Care

Bibliographical note

© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), 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
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Keywords

  • Disease management
  • Educational technology
  • Frailty
  • Older adults
  • Technology

Cite this

Gwyther, H., van Velsen, L., Shaw, R. L., D'Avanzo, B., Bujnowska-Fedak, M., Kurpas, D., ... Holland, C. (2019). The use of technology in the context of frailty screening and management interventions: a study of stakeholders' perspectives. BMC Medical Informatics and Decision Making, 19(1), [110]. https://doi.org/10.1186/s12911-019-0828-6
Gwyther, Holly ; van Velsen, Lex ; Shaw, Rachel L ; D'Avanzo, Barbara ; Bujnowska-Fedak, Maria ; Kurpas, Donata ; Szwamel, Katarzyna ; Van't Klooster, Jan-Willem ; Holland, Carol. / The use of technology in the context of frailty screening and management interventions : a study of stakeholders' perspectives. In: BMC Medical Informatics and Decision Making. 2019 ; Vol. 19, No. 1.
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abstract = "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.",
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Gwyther, H, van Velsen, L, Shaw, RL, D'Avanzo, B, Bujnowska-Fedak, M, Kurpas, D, Szwamel, K, Van't Klooster, J-W & Holland, C 2019, 'The use of technology in the context of frailty screening and management interventions: a study of stakeholders' perspectives', BMC Medical Informatics and Decision Making, vol. 19, no. 1, 110. https://doi.org/10.1186/s12911-019-0828-6

The use of technology in the context of frailty screening and management interventions : a study of stakeholders' perspectives. / Gwyther, Holly; van Velsen, Lex; Shaw, Rachel L; D'Avanzo, Barbara; Bujnowska-Fedak, Maria; Kurpas, Donata; Szwamel, Katarzyna; Van't Klooster, Jan-Willem; Holland, Carol.

In: BMC Medical Informatics and Decision Making, Vol. 19, No. 1, 110, 11.06.2019.

Research output: Contribution to journalReview article

TY - JOUR

T1 - The use of technology in the context of frailty screening and management interventions

T2 - a study of stakeholders' perspectives

AU - Gwyther, Holly

AU - van Velsen, Lex

AU - Shaw, Rachel L

AU - D'Avanzo, Barbara

AU - Bujnowska-Fedak, Maria

AU - Kurpas, Donata

AU - Szwamel, Katarzyna

AU - Van't Klooster, Jan-Willem

AU - Holland, Carol

N1 - © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), 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 (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

PY - 2019/6/11

Y1 - 2019/6/11

N2 - 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.

AB - 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.

KW - Disease management

KW - Educational technology

KW - Frailty

KW - Older adults

KW - Technology

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DO - 10.1186/s12911-019-0828-6

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Gwyther H, van Velsen L, Shaw RL, D'Avanzo B, Bujnowska-Fedak M, Kurpas D et al. The use of technology in the context of frailty screening and management interventions: a study of stakeholders' perspectives. BMC Medical Informatics and Decision Making. 2019 Jun 11;19(1). 110. https://doi.org/10.1186/s12911-019-0828-6