Development and feasibility testing of a home-based prevention service for mild frailty

Little is known about how to improve outcomes in mild frailty. We synthesised findings from three systematic reviews and qualitative work with 102 diverse participants (older people, caregivers, multi-disciplinary professionals) using a co-design process, to develop a new theory and evidence-based intervention promoting health and well-being for older people with mild frailty. The manualised intervention is individually tailored containing core components (physical activity, nutrition, social connections and mood), incorporating behavior change techniques and an assets-based approach. We tested feasibility with 51 participants with mild frailty from four General Practices in England, randomised to intervention and usual-care. Baseline, 3 and 6 month assessments included measures of functioning, frailty, quality of life, mobility, well-being, psychological distress, cognition, falls, and service use. Early findings suggest this new prevention service is feasible and acceptable. We will present an overview of the service, its evidence base, and findings on feasibility/acceptability and process evaluation.