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Background <p>Digital interventions for older adults may significantly extend preventive action to postpone disability and preserve health-related quality of life. However, more evidence is needed from multi-domain interventions using broad-scale objective and self-report assessments and intra-individual change data-analytical techniques.</p> Method <p>SMART-AGE examines the effect of an app-based multilevel treatment designed to enhance social participation, physical fitness, and health awareness. The target population comprises healthy and community-dwelling adults 67&#xa0;years and older with basic digital skills in two socially diverse communities. Treatment relies on an Android-based tablet computer, on which three apps offering interventions in the core areas of social participation, physical fitness, and health awareness are pre-installed. A feedback app designed to provide participants with a feedback option at any time is also offered. Participants are randomly assigned to three intervention arms and assessed at baseline and after 3 and 6&#xa0;months. Arm 1 receives the full intervention, consisting of the social participation app, the physical fitness app, the health awareness app, and the feedback app. The health awareness app is available in months 4 to 6, meaning that participants receive the full three-app intervention only in the second half of the intervention period. Arm 2 receives the social participation app and the feedback app throughout the intervention. Arm 3 serves as an active control condition in that a stand-alone tablet with a low-dose introduction to publicly available standard apps is provided. The data protocol includes assessment of three primary outcome domains: social support and loneliness, motor capacity and physical performance, and health awareness and health locus of control. Potential moderators (e.g., cognitive function, depression) as well as various technology-oriented constructs (e.g., skills, acceptance) are also assessed. App use data are automatically collected across the full intervention interval in arms 1 and 2. Data management is conducted within a cloud-based REDCap architecture. Feedback recordings via the feedback app are collected in arms 1 and 2 and undergo qualitative analysis.</p> Discussion <p>The SMART-AGE intervention aims to enhance core domains of health-related quality of life in community-dwelling older adults through an app-based multi-domain intervention and a user-centered approach.</p> Trial registration <p>German-Clinical-Trials-Register, DRKS00034316. Registered 29-May-2024, <a href="https://drks.de/search/en/trial/DRKS00034316">https://drks.de/search/en/trial/DRKS00034316</a>. The study’s design and hypotheses were also pre-registered in the Open Science Framework (OSF) prior to study enrollment (<a href="https://doi.org/10.17605/OSF.IO/YQEBW">https://doi.org/10.17605/OSF.IO/YQEBW</a>, 2023–04-28).</p>

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Testing a digitally administered intervention to increase social participation, physical fitness, and health awareness among healthy older adults by means of tablet-based app use: study protocol of the SMART-AGE randomized controlled trial

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  • 发表日期：

    2026年3月21日

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  • Nicole Memmer,
  • Meike Snijder-Steinhilber,
  • Heinrich Burkhardt,
  • Claudia Hellmund,
  • Carl-Philipp Jansen,
  • Verena M. Kölsch,
  • Julia Krönung,
  • Beatrice G. Kuhlmann,
  • Lorenzo Masia,
  • Frank Oswald,
  • Barbara Paech,
  • Leon Radeck,
  • Anna Schlomann,
  • Laura I. Schmidt,
  • Marios E. Stefanakis,
  • Anna Wanka,
  • Franziska Kramer-Gmeiner,
  • Melissa Böttinger,
  • Janina Ewert,
  • Sophie Kniepkamp,
  • Katharina Gordt-Osterwind,
  • Elena Litz,
  • Alica Mertens,
  • Uwe Sperling,
  • Hans-Jörg Ehni,
  • Clemens Becker,
  • Hans-Werner Wahl,
  • Anna-Lena Schubert,
  • Tobias Eckert,
  • Jürgen Bauer

摘要

Background

Digital interventions for older adults may significantly extend preventive action to postpone disability and preserve health-related quality of life. However, more evidence is needed from multi-domain interventions using broad-scale objective and self-report assessments and intra-individual change data-analytical techniques.

Method

SMART-AGE examines the effect of an app-based multilevel treatment designed to enhance social participation, physical fitness, and health awareness. The target population comprises healthy and community-dwelling adults 67 years and older with basic digital skills in two socially diverse communities. Treatment relies on an Android-based tablet computer, on which three apps offering interventions in the core areas of social participation, physical fitness, and health awareness are pre-installed. A feedback app designed to provide participants with a feedback option at any time is also offered. Participants are randomly assigned to three intervention arms and assessed at baseline and after 3 and 6 months. Arm 1 receives the full intervention, consisting of the social participation app, the physical fitness app, the health awareness app, and the feedback app. The health awareness app is available in months 4 to 6, meaning that participants receive the full three-app intervention only in the second half of the intervention period. Arm 2 receives the social participation app and the feedback app throughout the intervention. Arm 3 serves as an active control condition in that a stand-alone tablet with a low-dose introduction to publicly available standard apps is provided. The data protocol includes assessment of three primary outcome domains: social support and loneliness, motor capacity and physical performance, and health awareness and health locus of control. Potential moderators (e.g., cognitive function, depression) as well as various technology-oriented constructs (e.g., skills, acceptance) are also assessed. App use data are automatically collected across the full intervention interval in arms 1 and 2. Data management is conducted within a cloud-based REDCap architecture. Feedback recordings via the feedback app are collected in arms 1 and 2 and undergo qualitative analysis.

Discussion

The SMART-AGE intervention aims to enhance core domains of health-related quality of life in community-dwelling older adults through an app-based multi-domain intervention and a user-centered approach.

Trial registration

German-Clinical-Trials-Register, DRKS00034316. Registered 29-May-2024, https://drks.de/search/en/trial/DRKS00034316. The study’s design and hypotheses were also pre-registered in the Open Science Framework (OSF) prior to study enrollment (https://doi.org/10.17605/OSF.IO/YQEBW, 2023–04-28).