Can we manage frailty at individual level by the use of information and communication technologies: a narrative literature review

Abstract

An increase in age-related disability and dependence is an almost inevitable consequence of population ageing, whereas frailty seems to be highly prevalent among older adults with prevalence ranging from 5 % to more than 45 %. Among the potential ways to face the challenges of ageing society are healthcare services supported by the use of information and communication technologies. The aim of this research was to define the information and communication technologies used to support the management of frailty, its effects and related challenges within joint action Advantage. A narrative literature review of peer-reviewed literature, using PubMed, Cochrane, Embase, Cinahl and UpToDate databases was carried out. The search resulted in a total of 124634 articles. After excluding duplicates and taking into account inclusion and exclusion criteria, 33 sources remained for analysis. The results indicate multidimensional usage of information and communication technologies and show that a wide range of potentially beneficial information and communication technology solutions have been developed, covering prevention, screening, diagnosis, treatment and monitoring to enable older adults to remain independent at home, support caregivers, facilitate remote monitoring and self-management, provide decision support, improve information sharing and coordination of services, support daily activities etc. Many information and communication technologies have a potential to prevent and manage frailty, especially in the domain of physical activity and exercise, social resources and psychological state, falls prevention, support to daily activities and overall well-being. However, there is a lack of evidence on the outcomes of information and communication technologies’ use related to older adults, and their adoption and implementation seem to remain problematic as well. Therefore, strategic approach should be used to support further research as well as to address and foster implementation and (wider) adoption of health-related information and communication technologies.