Needs and perceptions of community-dwelling older adults for an intelligent frailty monitoring system: a qualitative study.

Background and Objectives The early detection of frailty in community-dwelling older adults can assist health care professionals in providing preventive interventions. To precisely and dynamically monitor frailty, a home-based monitoring system integrating multiple intelligent sensors is essential....

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Published in:Gerontologist Vol. 66; no. 7; pp. 1 - 15
Main Authors: Huang, Jundan, Yu, Jia, Jiang, Dian, Chen, Xi, Zhou, Shuhan, Zhao, Yinan, Li, Xiaoyang, Feng, Hui, Wu, Xi Vivien
Format: Article
Published: Oxford University Press / USA Jul2026
Subjects:
Online Access:View this record in EBSCOhost
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          Huang, Jundan
          Yu, Jia
          Jiang, Dian
          Chen, Xi
          Zhou, Shuhan
          Zhao, Yinan
          Li, Xiaoyang
          Feng, Hui
          Wu, Xi Vivien
        affil:
          Xiangya School of Nursing, Central South University, Changsha, Hunan, China
          Xiangya School of Nursing, Central South University, Changsha, Hunan, ChinaHunan Engineering Research Center for Intelligent Medical Care, Central South University, Changsha, Hunan, China
          Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
      su:
        China
        Attitudes toward aging
        Home care services
        Qualitative research
        Health attitudes
        Interviewing
        Artificial intelligence
        Sex distribution
        Socioeconomic factors
        Communities
        Sound recordings
        Psychology
        Needs assessment
        Social support
        Psychosocial factors
        Patients' attitudes
        Educational attainment
        Old age
        Independent living
        Research funding
        Frail elderly
        Attitudes toward computers
        Statistical sampling
        Judgment sampling
        Functional status
        Descriptive statistics
        Telemedicine
        Medical consultation
        Thematic analysis
        Electronic equipment
        Research methodology
        Patient monitoring
        Theory
        Medical care for older people
        Data analysis software
        User interfaces
      sug:
        subj:
          Attitudes toward aging
          Home care services
          Qualitative research
          Health attitudes
          Interviewing
          Artificial intelligence
          Sex distribution
          Socioeconomic factors
          Communities
          Sound recordings
          Psychology
          Needs assessment
          Social support
          Psychosocial factors
          Patients' attitudes
          Educational attainment
          Old age
          China
          Electronic components, navigational and communications equipment and supplies merchant wholesalers
          Semiconductor and other electronic component manufacturing
          Other Electronic Component Manufacturing
          Consumer Electronics Repair and Maintenance
          Home Health Care Services
          Offices of All Other Miscellaneous Health Practitioners
          Offices of all other health practitioners
          Services for the Elderly and Persons with Disabilities
          Marketing Research and Public Opinion Polling
          Record Production
          Integrated Record Production/Distribution
          Sound recording merchant wholesalers
          Other Individual and Family Services
          Independent living
          Research funding
          Frail elderly
          Attitudes toward computers
          Statistical sampling
          Judgment sampling
          Functional status
          Descriptive statistics
          Telemedicine
          Medical consultation
          Thematic analysis
          Electronic equipment
          Research methodology
          Patient monitoring
          Theory
          Medical care for older people
          Data analysis software
          User interfaces
      keyword:
        aged
        community
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        E-health
        Frailty
        https://dx.doi.org/10.1093/geront/gnag068
        inLanguage:en
        Monitoring
        nudges
        Older adults
        perception
        publisher:Oxford University Press
        qualitative research
        Qualitative study
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42057262/
        aged
        community
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        E-health
        Frailty
        https://dx.doi.org/10.1093/geront/gnag068
        inLanguage:en
        Monitoring
        nudges
        Older adults
        perception
        publisher:Oxford University Press
        qualitative research
        Qualitative study
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42057262/
      ab: Background and Objectives The early detection of frailty in community-dwelling older adults can assist health care professionals in providing preventive interventions. To precisely and dynamically monitor frailty, a home-based monitoring system integrating multiple intelligent sensors is essential. This study aims to explore the needs and perceptions of community-dwelling older adults regarding such frailty monitoring systems. Research Design and Methods This study adopted a descriptive qualitative research design and purposive sampling of community-dwelling older adults. Semi-structured interviews were conducted between February and March of 2025 from three communities in Changsha, China. Interview guidelines were systematically developed using the Unified Theory of Acceptance and Use of Technology and Nudge Theory. Audio-recorded interviews were transcribed to verbatims. Data were analyzed using thematic analysis. Results Seventeen participants aged 60 years and older were recruited for this study. Most participants expressed positive attitudes towards the frailty monitoring system. Data analysis identified five themes, including function requirements, system usability requirements, user support, perceived barriers and facilitators, and nudge strategies. These five themes consisted of sixteen subthemes. Discussion and Implications This study highlights the importance of considering the needs and perceptions of community-dwelling older adults and provides pragmatic ready-to-use recommendations to develop intelligent frailty monitoring systems. Future studies, policies, and practices should be tailored according to the needs of older adults, utilizing perceived facilitators and minimizing perceived barriers, and integrating nudge strategies to enhance digital engagement in remote geriatric care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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