E-health Enhanced Motor-cognitive Training for AED Discharged Older Adults With Cognitive Frailty

The goal of this pilot randomized controlled trial is to explore the feasibility of e-health enhanced motor-cognitive interventions for discharged community-dwelling older adults with cognitive frailty in the emergency department and to evaluate the effectiveness of the interventions on (1) cognitive functions, (2) physical functions and (3) frailty status.Participants in the intervention group will receive three-90-minute weekly physical and cognitive training for 12 weeks, facilitated with persuasive technology on smartphones, in addition to the usual care. The control group will receive the usual care. Researchers will explore the feasibility and compare the changes of outcomes between two groups.

Inclusion Criteria:Aged 60 years old or above;discharged from the AED;Cantonese speaking;have a smartphone and have experience in using the smartphone for at least six months;with cognitive frailty, the coexistence of mild cognitive impairment (MCI) and physical frailty, without being diagnosed as dementia.Exclusion Criteria:unable to make consent,unable to communicate due to language barrier or visual impairment or uncorrectable hearing impairment,old aged home residents,already participated in other interventional studies,participate in any geriatric program and training, orimpaired mobility