A protocol for a prospective observational cross sectional study as part of a service evaluation to identify whether living with frailty is a risk factor of digital exclusion from video consultations.

Risks for digital exclusion include older age, disability, and deprivation. No literature exists examining frailty as an additional possible risk factor. Many studies have shown frailty to be a more accurate predictor of adverse outcome in healthcare than age alone. Understanding risk factors for digital exclusion may help healthcare services appropriately tailor interventions. The Healthier Together integrated care system (HTICS) in Bristol is developing video consultations for clinics. The aim of this prospective observational cross-sectional study is to identify whether living with frailty is a risk factor of digital exclusion from video consultation. Data will be collected using a structured survey including patients from three sites across the Heal secondary care services at North Bristol Trust, and then two subsequent sites will be included across HTICS. Data will be collected on known risk factors for digital exclusion, frailty using the Clinical Frailty Scale, and will cover four domains for digital exclusion as defined by NHS Digital: access, skill, motivation, and confidence. Data will be presented with descriptive statistics. The association between frailty and outcomes will be analysed with a multivariable logistic regression. Key Study Contacts O_TBL View this table: org.highwire.dtl.DTLVardef@14fdb5org.highwire.dtl.DTLVardef@1c8373org.highwire.dtl.DTLVardef@1fa2036org.highwire.dtl.DTLVardef@58d5f0org.highwire.dtl.DTLVardef@4582d1_HPS_FORMAT_FIGEXP M_TBL C_TBL Study Summary O_TBL View this table: org.highwire.dtl.DTLVardef@18f811forg.highwire.dtl.DTLVardef@665478org.highwire.dtl.DTLVardef@339489org.highwire.dtl.DTLVardef@5cdca2org.highwire.dtl.DTLVardef@99494f_HPS_FORMAT_FIGEXP M_TBL C_TBL Funding and Support in Kind O_TBL View this table: org.highwire.dtl.DTLVardef@19c1314org.highwire.dtl.DTLVardef@1a8bf4aorg.highwire.dtl.DTLVardef@1a6cc8borg.highwire.dtl.DTLVardef@1bed21dorg.highwire.dtl.DTLVardef@d4a73b_HPS_FORMAT_FIGEXP M_TBL C_TBL Role of Study Sponsor and FunderThe pilot at North Bristol Trust (NBT) is overseen by Neuromusculoskeletal (NMSK) Division governance. NBT NMSK Division takes responsibility for ensuring that the design of the study meets appropriate standards and that arrangements are in place to ensure appropriate conduct and reporting. Governance oversight for Hospital at Home was registered with NBT NMSK, and for primary care with Horfield Health Centre. Roles and ResponsibilitiesO_ST_ABSStudy Flow ChartC_ST_ABS O_TBL View this table: org.highwire.dtl.DTLVardef@12f400corg.highwire.dtl.DTLVardef@1160de1org.highwire.dtl.DTLVardef@e95a6borg.highwire.dtl.DTLVardef@2f349aorg.highwire.dtl.DTLVardef@126928f_HPS_FORMAT_FIGEXP M_TBL C_TBL