Evidence map›Paper›PMID 38760042›Full record

ArticleBMJ open2024

DIALOR (DIgitAL cOaching for fRailty): protocol for a single-arm mixed-methods feasibility study of a digital health coaching intervention for older people with frailty in primary care.

Matthew I Sait, Rachel A Christie, Chantel Cox, Michele Board, Sarah Thomas, Cheryl O'Sullivan, Cheryl Davies, Dawn-Marie Walker, Michael Vassallo, E A Sadler and 4 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Matthew I SaitFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK saitm@bournemouth.ac.uk.ORCID 0000-0003-0226-0351
Rachel A ChristieFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Chantel CoxFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Michele BoardFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Sarah ThomasFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.ORCID 0000-0002-9501-9091
Cheryl O'SullivanNHS Dorset, Poole, UK.
Cheryl DaviesWessex Academic Health Science Network, Chilworth, UK.
Dawn-Marie WalkerFaculty of Health Sciences, University of Southampton, Southampton, UK.
Michael VassalloOlder Person Medicine, University Hospitals Dorset NHS Foundation Trust, Bournemouth, UK.
E A SadlerFaculty of Environmental and Life Sciences, School of Health Sciences, University of Southampton, Southampton, UK.
Mark Allen-PickFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Patrick MooreThe Adam Practice, Poole, UK.
Katherine BradburySchool of Psychology, University of Southampton, Southampton, UK.
Jane MurphyFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidomain interventions in older adults offer the best opportunity to prevent, delay or reverse existing symptoms in the earlier stages of frailty and improve independence but can be costly, and difficult to deliver at scale. However, digital health interventions enable personalised care and empowerment through self-management of long-term conditions, used at any time and when combined with health coaching offer the potential to enhance well-being and facilitate the achievement of health-related goals. We aim to evaluate the feasibility and acceptability of a digital health platform for long-term disease management combined with health coaching for people living with mild-moderate frailty, targeting self-identified goals-activity, nutrition, mood, enhancing social engagement and well-being. METHODS AND ANALYSIS: This is a non-randomised feasibility, single-group, pretest/post-test study, using qualitative and quantitative methods. The digital health coaching intervention (DIALOR-DIgitAL cOaching for fRailty) has been developed for implementation to older adults, aged 65 years or older with mild to moderate frailty and diagnosis of one or more long-term health conditions in the community. Participants will receive 12 weeks of health coaching and have access to a mobile health platform for 6 months. The primary outcome measure is the acceptability and feasibility of DIALOR along with a range of secondary outcome measures (including frailty, functioning measures, quality of life, social engagement, diet quality and self-reported indicators) collected at baseline and at 6 months. The findings will inform whether a wider effectiveness trial is feasible and if so, how it should be designed. ETHICS AND DISSEMINATION: Ethical approval has been granted by the Southeast Scotland Research Ethics Committee 02 (reference: 22/SS/0064). Research findings will be disseminated in a range of different ways to engage different audiences, including publishing in open-access peer-reviewed journals, conference presentations, social media, dissemination workshop with patients, carers, and healthcare professionals and on institution websites.

Indexed as

Feasibility StudiesFrail ElderlyFrailtyMentoringPrimary Health CareAgedAged, 80 and overDigital HealthFemaleHumansMaleQuality of LifeSelf-ManagementTelemedicineagingchronic diseasefrailtyhealth informaticsprimary health care

Identifiers

PMID38760042
PMCPMC11103224

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.