effectiveness of mobile health on frailty, muscle strength and health literacy of the elderly

Conditions: Telemedicine; Elderly; Health Literacy

Summary: this study explores the effect of mobile health combined with multi-course intervention on frailty, muscle strength, health literacy and nutrition knowledge among the elderly in the community. a longitudinal, repeated test quasi-experimental design was adopted to convenient sampling. four community care bases in northern taiwan were selected, and 2 experimental groups and 2 control groups were assigned by computer lottery to participate in the study. 60 in the experimental group and 60 in the control group. the experimental group received the combination of mobile health and multi-course intervention, and the control group only received the intervention of multi-course. the three measurement time points of the tracking effect of the two groups were: before intervention, after 4-times interventions, and after 12-times interventions. the following data were collected in the two groups: frailty assessment, grip strength, lower limb muscle strength, health literacy scale and nutrition knowledge scale. statistical data were analyzed by spss26.0 software. descriptive statistics include: percentage, mean, standard deviation; inferential statistics include: independent sample t test, chi-square test, generalized estimation model.

the current preventive and delayed disability care programs have problems such as uneven quality, number of participants, and lack of funds. during the covid-19 epidemic, isolation measures have affected the preventive care of the elderly. more appropriate and innovative service programs should be adopted to expand promote the prevention and delay of disability care services for the elderly in the community, so that the elderly can actively participate in their own health promotion work, reduce the occurrence of disability, shorten the number of years of disability, and enjoy a high-quality elderly life. this study explores the effect of mobile health combined with multi-course intervention on frailty, muscle strength, health literacy and nutrition knowledge among the elderly in the community. a longitudinal, repeated test quasi-experimental design was adopted to convenient sampling. four community care bases in northern taiwan were selected, and 2 experimental groups and 2 control groups were assigned by computer lottery to participate in the study. 60 in the experimental group and 60 in the control group. the experimental group received the combination of mobile health and multi-course intervention, and the control group only received the intervention of multi-course. the three measurement time points of the tracking effect of the two groups were: before intervention, after 4-times interventions, and after 12-times interventions. the following data were collected in the two groups: frailty assessment, grip strength, lower limb muscle strength, health literacy scale and nutrition knowledge scale. statistical data were analyzed by spss26.0 software includes: percentage, mean, standard deviation; independent sample t test, chi-square test, generalized estimation model.

Eligibility criteria:
inclusion criteria: * ability to act independently. * conscious and articulate. * those who can communicate in mandarin or taiwanese. * smartphones and internet access available. * "line" mobile communication software can be used. exclusion criteria: * cognitive impaired persons. * mentally illness. * those with musculoskeletal injuries of the upper and lower limbs. * patients with a history of serious heart and lung diseases.

Keywords: mobile health frailty health literacy muscle strength