Acceptability, Feasibility, and Perceived Effectiveness of Video-Based Patient Records for Supporting Care Delivery to Older Adults With Frailty: Nonrandomized Mixed Methods Pilot Study

Sep 29, 2026

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Background: Frailty poses a growing challenge for health and social care systems, with high prevalence among older adults and frequent care transitions where handovers may lack nuance. Objective: Evaluate acceptability, feasibility of implementation, and perceived effectiveness of video-based patient records (Isla Health Digital Pathway Platform) for supporting acute care assessment. Methods: Nonrandomized mixed methods pilot across three wards; embedded secure videos, interviews, and view/engagement metrics. Results: 29 enrolled; largely acceptable, mixed feasibility with low clinical staff engagement. Conclusions: Further work is needed to improve uptake.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages21

Reading Time53 min

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Abstract

Background

Objective

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JOURNAL OF MEDICAL INTERNET RESEARCH Averill et al Original Paper Acceptability, Feasibility, and Perceived Effectiveness of Video-Based Patient Records for Supporting Care Delivery to Older Adults With Frailty: Nonrandomized Mixed Methods Pilot Study | Phoebe Averill 1,2 , PhD; Rachael Lear3 , RN, PhD; Ricky Odedra 1,4 , MSc; Susannah Long 1,5 , MBBS, PhD; Alex Taylor1 , BA; Pi-Jung Charville5 , RN, MSc; Jessica Fernandes5 , RN, BSc; Uzoamaka Ekeogu5 , RN, MSc; Jessica Leombruno5 , MSc; Sophia Ellis5 , MBChB, MRCP; Erik Mayer1,4,5 , MBBS, PhD | | --- | | 1NIHR North West London Patient Safety Research Collaboration, Institute of Global Health Innovation, Imperial College London, London, United Kingdom
2Better Health & Care Hub, King’s College London, London, United Kingdom 3Robin Hood Lane Health Centre, Sutton, United Kingdom
4iCARE Secure Data Environment, NIHR Imperial Biomedical Research Centre, Imperial College Healthcare NHS Trust, London, United Kingdom 5Imperial College Healthcare NHS Trust, London, United Kingdom
Corresponding Author:
Phoebe Averill, PhD
NIHR North West London Patient Safety Research Collaboration, Institute of Global Health Innovation, Imperial College London
St Mary’s Hospital London W2 1NY United Kingdom
[Email:](Email: p.averill@imperial.ac.uk)[ ](Email: p.averill@imperial.ac.uk)[p.averill@imperial.ac.uk](Email: p.averill@imperial.ac.uk)
Abstract | Background: Frailty constitutes a growing challenge for health and social care systems around the world. In England, 35% of adults aged 65 years and older live with frailty, with international estimates indicating that almost half of all hospital inpatients within the same age group are frail. This population often experiences multimorbidity and frequent care transitions. Written documentation and verbal handovers may lack the precision and nuance required to understand an older adult’s presentation and support needs. Video recordings of individual patients, capturing aspects of their functional abilities and condition, may help to enhance multidisciplinary team communication and care continuity, yet little is known about their use in the care of older inpatients with frailty. Objective: We aimed to evaluate the acceptability, feasibility of implementation, and perceived effectiveness of video-based patient records (the Isla Health Digital Pathway Platform) for supporting the assessment and care of older inpatients with frailty within the acute hospital setting. Methods: A nonrandomized mixed methods pilot study was conducted within 3 acute medicine wards for older adults. The video-based patient records intervention, permitting videos to be embedded securely within the electronic patient record, was implemented over a 3-month period alongside usual care . Patient enrollment and retention figures; qualitative interviews with patients, carers, and clinical staff; and video capture and view metrics were used to address the study objectives. The Theoretical Framework of Acceptability of Healthcare Interventions was applied to the framework analysis of interview data, capturing concepts such as intervention ethicality, burden, and coherence. Patient and public involvement and engagement informed each research stage. Results: Twenty-nine patients were enrolled (56.9%); 1 patient withdrew before receiving the intervention. Modal reasons given by patients for nonparticipation included not wanting to take part in research (n=8) or feeling too unwell (n=2) . Staff identified multiple opportunities for capturing patient videos, including documentation of mobility assessments or seizures. The intervention was considered acceptable on the grounds that safeguards were always in place, including secure data storage and upholding of patient dignity. Implementation barriers and facilitators were identified; factors such as difficulties in capturing videos within busy ward environments and scheduling issues were voiced by participa

FAQs

What was the study objective for the video-based patient records?

To evaluate acceptability, feasibility of implementation, and perceived effectiveness of video-based patient records (Isla Health Digital Pathway Platform) for supporting assessment and care of older adults with frailty in acute hospitals.

How was the intervention implemented in the pilot study?

A nonrandomized mixed methods pilot implemented secure video-based patient records over a three-month period within three acute medicine wards, allowing videos to be embedded in the electronic patient record alongside usual care.

What did the results show about acceptability and feasibility?

Findings suggested the intervention was largely acceptable to patients, carers, and clinical staff. Feasibility conclusions were mixed, with barriers including difficulties capturing videos in busy ward settings and limited clinical staff engagement once videos were captured.

Sep 29, 2026

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