Evidence map›Paper›PMID 41623726›Full record

ReviewDigital health

The impact of digitally-enabled interventions on frailty and other age-related outcomes - Systematic review and meta-analysis.

Tricia Tay, Kate Grailey, Fangyue Chen, Hamzah Amin, Balraj Maan, Simon Dryden, Leila Shepherd, Michael Fertleman, Ara Darzi

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Tricia TayInstitute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-7502-2608
Kate GraileyInstitute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-4104-8444
Fangyue ChenInstitute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-5440-3206
Hamzah AminLancaster Medical School, Lancaster University, Lancaster, UK.ORCID https://orcid.org/0000-0002-2287-381X
Balraj MaanNewcastle Medical School, University of Newcastle, Newcastle, UK.ORCID https://orcid.org/0009-0000-4060-603X
Simon DrydenInstitute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-6713-0334
Leila ShepherdInstitute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0009-0004-7077-6178
Michael FertlemanDepartment of Bioengineering, Faculty of Engineering, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-4023-1156
Ara DarziInstitute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-7815-7989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Frailty is defined as a clinically recognised state of increased vulnerability, reflecting a decline in an individual's psychological and physical reserves. Digitally-enabled interventions are increasingly utilised to monitor and support the health of older adults. Evidence on the effectiveness of digitally-enabled interventions in reducing frailty is limited. This systematic review aimed to investigate the types of digitally-enabled interventions tested, with what goals with respect to frailty, and the resulting outcomes. Method: Medline, CINAHL, Scopus, PsychInfo and Embase were searched from time of origin until July 2024. Peer-reviewed RCTs assessing the impact of digitally-enabled interventions on older adults were included. Outcome measures explored were frailty, cognitive status, mental health, quality of life, adherence and usability. Data was extracted independently by two people using Covidence platform. Narrative synthesis was performed for all studies and meta-analysis was performed for outcomes reported in four or more studies. Results: From 4476 titles and abstracts screened, 17 studies were included following full text review. Overall, 12 studies included exercises as a component or the sole form of intervention. The mean duration of intervention was 4.04(SD2.56) months. Mean adherence to the intervention was 59% which was lower in exercise-based intervention. The most and least reported frailty-specific outcome was walking speed ( Conclusion: The findings suggest low technological readiness and adherence among digitally-enabled interventions for older adults. Narrative synthesis of overall frailty and outcome measures showed mixed results and limited evidence on the impact of digital interventions on frailty and outcomes.

Indexed as

digital healthe-healthOlder adultssensorsystematic reviewwearables

Identifiers

PMID41623726
PMCPMC12858750

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.