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Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty

SJ Meredith Orcid Logo, L Holt, J Varkonyi-Sepp, A Bates, Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo, S Jack, J Murphy, MPW Grocott, SER Lim

The Journal of Frailty & Aging, Volume: 14, Issue: 6, Start page: 100092

Swansea University Authors: Kelly Mackintosh Orcid Logo, Melitta McNarry Orcid Logo

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DOI (Published version): 10.1016/j.tjfa.2025.100092

Abstract

BackgroundPhysical activity (PA) and good nutrition are key to maintaining independence and reversing frailty among older adults.ObjectiveTo evaluate the feasibility and acceptability of training volunteers to deliver a remote multimodal intervention to older people with frailty after hospital disch...

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Published in: The Journal of Frailty & Aging
ISSN: 2260-1341
Published: Elsevier BV 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa70605
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2025-12-12T13:29:39.5560782</datestamp><bib-version>v2</bib-version><id>70605</id><entry>2025-10-07</entry><title>Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty</title><swanseaauthors><author><sid>bdb20e3f31bcccf95c7bc116070c4214</sid><ORCID>0000-0003-0355-6357</ORCID><firstname>Kelly</firstname><surname>Mackintosh</surname><name>Kelly Mackintosh</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>062f5697ff59f004bc8c713955988398</sid><ORCID>0000-0003-0813-7477</ORCID><firstname>Melitta</firstname><surname>McNarry</surname><name>Melitta McNarry</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2025-10-07</date><deptcode>EAAS</deptcode><abstract>BackgroundPhysical activity (PA) and good nutrition are key to maintaining independence and reversing frailty among older adults.ObjectiveTo evaluate the feasibility and acceptability of training volunteers to deliver a remote multimodal intervention to older people with frailty after hospital discharge.DesignQuasi-experimental mixed-methods feasibility study.Setting, and ParticipantsTwenty-seven older adults (mean age 80 years, 15 female) with frailty (Clinical Frailty Status &#x2265;5) were enrolled from a National Health Service South England hospital, UK.InterventionVolunteers were trained to deliver a 3-month intervention, comprising exercise, behaviour change, and nutrition guidance in a group, or one-to-one, using telephone or online platforms.MeasurementsFeasibility was assessed by determining the number of volunteers recruited, trained, and retained; participant recruitment; and intervention adherence. Interviews were conducted with 16 older adults, 1 carer, and 5 volunteers to explore intervention acceptability, and were analysed using reflexive thematic analysis. Secondary health outcomes, such as physical activity and appetite, were compared at baseline, post-intervention, and follow-up (3-months).ResultsThe intervention was safe and acceptable to volunteers, and older adults with frailty. Five volunteers (mean age 16 years, 3 female) completed training, and 60 % (n = 3) were retained. Seventeen participants completed the intervention (8 online; 9 telephone). Participants attended 75 % (IQR 38&#x2013;92) online sessions, and 80 % (IQR 68.5&#x2013;94.5) telephone support. Volunteers provided emotional support to older people with frailty and encouraged health behaviour change. Older people learnt from each other&#x2019;s shared experiences in the online group, and telephone calls provided them with reassurance and monitoring. Key components to success were volunteers received comprehensive training and support from a health practitioner, while key barriers were that participants lacked social support and experienced exercise discomfort.ConclusionWith appropriate training and support, volunteers can safely deliver a remote multimodal intervention for older adults with frailty following discharge from hospital.</abstract><type>Journal Article</type><journal>The Journal of Frailty &amp;amp; Aging</journal><volume>14</volume><journalNumber>6</journalNumber><paginationStart>100092</paginationStart><paginationEnd/><publisher>Elsevier BV</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2260-1341</issnPrint><issnElectronic/><keywords>Older people; Rehabilitation; Deconditioning; Exercise; Nutrition</keywords><publishedDay>1</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2025</publishedYear><publishedDate>2025-12-01</publishedDate><doi>10.1016/j.tjfa.2025.100092</doi><url/><notes/><college>COLLEGE NANME</college><department>Engineering and Applied Sciences School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>EAAS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>The University Hospital Southampton Foundation Trust Small Grants Scheme funded this research (Reference number: GNT0525). MG is in part funded by the NIHR Southampton Biomedical Research Centre and in part by the NIHR Senior Investigator scheme.</funders><projectreference/><lastEdited>2025-12-12T13:29:39.5560782</lastEdited><Created>2025-10-07T15:54:33.2545352</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Engineering and Applied Sciences - Sport and Exercise Sciences</level></path><authors><author><firstname>SJ</firstname><surname>Meredith</surname><orcid>0000-0003-4925-002x</orcid><order>1</order></author><author><firstname>L</firstname><surname>Holt</surname><order>2</order></author><author><firstname>J</firstname><surname>Varkonyi-Sepp</surname><order>3</order></author><author><firstname>A</firstname><surname>Bates</surname><order>4</order></author><author><firstname>Kelly</firstname><surname>Mackintosh</surname><orcid>0000-0003-0355-6357</orcid><order>5</order></author><author><firstname>Melitta</firstname><surname>McNarry</surname><orcid>0000-0003-0813-7477</orcid><order>6</order></author><author><firstname>S</firstname><surname>Jack</surname><order>7</order></author><author><firstname>J</firstname><surname>Murphy</surname><order>8</order></author><author><firstname>MPW</firstname><surname>Grocott</surname><order>9</order></author><author><firstname>SER</firstname><surname>Lim</surname><order>10</order></author></authors><documents><document><filename>70605__35278__c15818525b7b4ad3a98ed74fe8d9fa79.pdf</filename><originalFilename>70605.pdf</originalFilename><uploaded>2025-10-07T15:57:51.3145967</uploaded><type>Output</type><contentLength>1999823</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2025 The Author(s). 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spelling 2025-12-12T13:29:39.5560782 v2 70605 2025-10-07 Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false 2025-10-07 EAAS BackgroundPhysical activity (PA) and good nutrition are key to maintaining independence and reversing frailty among older adults.ObjectiveTo evaluate the feasibility and acceptability of training volunteers to deliver a remote multimodal intervention to older people with frailty after hospital discharge.DesignQuasi-experimental mixed-methods feasibility study.Setting, and ParticipantsTwenty-seven older adults (mean age 80 years, 15 female) with frailty (Clinical Frailty Status ≥5) were enrolled from a National Health Service South England hospital, UK.InterventionVolunteers were trained to deliver a 3-month intervention, comprising exercise, behaviour change, and nutrition guidance in a group, or one-to-one, using telephone or online platforms.MeasurementsFeasibility was assessed by determining the number of volunteers recruited, trained, and retained; participant recruitment; and intervention adherence. Interviews were conducted with 16 older adults, 1 carer, and 5 volunteers to explore intervention acceptability, and were analysed using reflexive thematic analysis. Secondary health outcomes, such as physical activity and appetite, were compared at baseline, post-intervention, and follow-up (3-months).ResultsThe intervention was safe and acceptable to volunteers, and older adults with frailty. Five volunteers (mean age 16 years, 3 female) completed training, and 60 % (n = 3) were retained. Seventeen participants completed the intervention (8 online; 9 telephone). Participants attended 75 % (IQR 38–92) online sessions, and 80 % (IQR 68.5–94.5) telephone support. Volunteers provided emotional support to older people with frailty and encouraged health behaviour change. Older people learnt from each other’s shared experiences in the online group, and telephone calls provided them with reassurance and monitoring. Key components to success were volunteers received comprehensive training and support from a health practitioner, while key barriers were that participants lacked social support and experienced exercise discomfort.ConclusionWith appropriate training and support, volunteers can safely deliver a remote multimodal intervention for older adults with frailty following discharge from hospital. Journal Article The Journal of Frailty &amp; Aging 14 6 100092 Elsevier BV 2260-1341 Older people; Rehabilitation; Deconditioning; Exercise; Nutrition 1 12 2025 2025-12-01 10.1016/j.tjfa.2025.100092 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee The University Hospital Southampton Foundation Trust Small Grants Scheme funded this research (Reference number: GNT0525). MG is in part funded by the NIHR Southampton Biomedical Research Centre and in part by the NIHR Senior Investigator scheme. 2025-12-12T13:29:39.5560782 2025-10-07T15:54:33.2545352 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences SJ Meredith 0000-0003-4925-002x 1 L Holt 2 J Varkonyi-Sepp 3 A Bates 4 Kelly Mackintosh 0000-0003-0355-6357 5 Melitta McNarry 0000-0003-0813-7477 6 S Jack 7 J Murphy 8 MPW Grocott 9 SER Lim 10 70605__35278__c15818525b7b4ad3a98ed74fe8d9fa79.pdf 70605.pdf 2025-10-07T15:57:51.3145967 Output 1999823 application/pdf Version of Record true © 2025 The Author(s). This is an open access article under the CC BY license. true eng http://creativecommons.org/licenses/by/4.0/
title Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
spellingShingle Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
Kelly Mackintosh
Melitta McNarry
title_short Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
title_full Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
title_fullStr Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
title_full_unstemmed Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
title_sort Frail2Fit study: it was feasible and acceptable for volunteers to deliver a remote health intervention to older adults with frailty
author_id_str_mv bdb20e3f31bcccf95c7bc116070c4214
062f5697ff59f004bc8c713955988398
author_id_fullname_str_mv bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
062f5697ff59f004bc8c713955988398_***_Melitta McNarry
author Kelly Mackintosh
Melitta McNarry
author2 SJ Meredith
L Holt
J Varkonyi-Sepp
A Bates
Kelly Mackintosh
Melitta McNarry
S Jack
J Murphy
MPW Grocott
SER Lim
format Journal article
container_title The Journal of Frailty &amp; Aging
container_volume 14
container_issue 6
container_start_page 100092
publishDate 2025
institution Swansea University
issn 2260-1341
doi_str_mv 10.1016/j.tjfa.2025.100092
publisher Elsevier BV
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
document_store_str 1
active_str 0
description BackgroundPhysical activity (PA) and good nutrition are key to maintaining independence and reversing frailty among older adults.ObjectiveTo evaluate the feasibility and acceptability of training volunteers to deliver a remote multimodal intervention to older people with frailty after hospital discharge.DesignQuasi-experimental mixed-methods feasibility study.Setting, and ParticipantsTwenty-seven older adults (mean age 80 years, 15 female) with frailty (Clinical Frailty Status ≥5) were enrolled from a National Health Service South England hospital, UK.InterventionVolunteers were trained to deliver a 3-month intervention, comprising exercise, behaviour change, and nutrition guidance in a group, or one-to-one, using telephone or online platforms.MeasurementsFeasibility was assessed by determining the number of volunteers recruited, trained, and retained; participant recruitment; and intervention adherence. Interviews were conducted with 16 older adults, 1 carer, and 5 volunteers to explore intervention acceptability, and were analysed using reflexive thematic analysis. Secondary health outcomes, such as physical activity and appetite, were compared at baseline, post-intervention, and follow-up (3-months).ResultsThe intervention was safe and acceptable to volunteers, and older adults with frailty. Five volunteers (mean age 16 years, 3 female) completed training, and 60 % (n = 3) were retained. Seventeen participants completed the intervention (8 online; 9 telephone). Participants attended 75 % (IQR 38–92) online sessions, and 80 % (IQR 68.5–94.5) telephone support. Volunteers provided emotional support to older people with frailty and encouraged health behaviour change. Older people learnt from each other’s shared experiences in the online group, and telephone calls provided them with reassurance and monitoring. Key components to success were volunteers received comprehensive training and support from a health practitioner, while key barriers were that participants lacked social support and experienced exercise discomfort.ConclusionWith appropriate training and support, volunteers can safely deliver a remote multimodal intervention for older adults with frailty following discharge from hospital.
published_date 2025-12-01T05:33:16Z
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