Revolutionizing Frailty Care with a Point-of-Care App

The Fit-Frailty App is a fully guided, point-of-care tool for assessing and managing frailty. Built on the domains of comprehensive geriatric assessment, it empowers clinical and research staff to easily use the app with patients in a wide range of care settings.

Overview Video

Why the Fit-Frailty App is Unique

It is the first electronic app to automate a frailty index while integrating hands-on cognitive and physical performance measurements. Unlike traditional frailty assessment tools, it also supports clinical decision-making by generating a detailed results profile that pinpoints each patient’s specific frailty risk factors.

How the Fit-Frailty App Works

Two fully-guided versions are available:

The Interactive (in-person) version includes patient or caregiver self-report questions, along with interactive cognitive and physical performance measures. Clinicians complete the medical history section, and the estimated completion time is 15 minutes.

The Self-report (remote) version is designed for remote use or when a participant cannot interact with the device. It replaces the interactive assessments with self-reported questions and takes approximately 10 minutes to complete.

The Results Dashboard provides clinicians with a comprehensive PDF summary of underlying contributors across each domain, helping to inform treatment decisions. Additionally, all data points are available in a CSV format, making it easy to upload to a database for research purposes.
Key Features 
  • Comprehensive: Tracks frailty across multiple dimensions, predicting outcomes and monitoring treatment progress.
  • User-Friendly: Simple to use with automated scoring, guided scripts, and built-in instructional videos.
  • Adaptable: Flexible across various clinical settings and modes of administration.
  • Customizable: Provides personalized results to align treatment with individual patient needs.

Download it on the Apple App Store by Searching Fit Frailty

Compatibility:

  • iPhone (requires iOS 12.2 or later)
  • iPad (requires iPadOS 12.2 or later)
  • Android (coming soon)

DOWNLOAD

Spotlights

Working Group

The Fit-Frailty App was developed at the GERAS Centre for Aging Research at Hamilton Health Science (affiliated with McMaster University, Canada) in partnership with the Geriatric Medicine Research group at Dalhousie University, Canada.

Funding

Co-Design Approach: The project team worked with patients, families, and frontline clinicians to learn more about their experiences using this new technology and test it in healthcare settings.

Contact Us

Interested in research or integrating the Fit-Frailty App in your clinical practice?

Email Dr. Alexandra Papaioannou (papaioannou@hhsc.ca) and Dr. Courtney Kennedy (kennedycou@hhsc.ca)

Call (905) 521-2100 ext. 77715

Publications

  1. Relan A, Kennedy CC, Ioannidis G, Conroy M, Hewston P, Crawford JB, Lee J, O’Malley L, Wang M, Sidhu M, Woo T, Keen S, Misiaszek B, Desinghe TD, Rubenschuh E, Warcholak S, McLeod S, Tariq S, Papaioannou A. Capturing clinically meaningful change in frailty during inpatient rehabilitation using the Fit-Frailty App [abstract]. J Am Geriatr Soc. 2025 Apr 23;73(S1):S2. doi: 1111/jgs.19450
  2. Park J, Kennedy CC, Relan A, Fisher P, Sigrid V, Ioannidis G, Adachi J, Rockwood K, Woo T, Papaioannou A. Validity and reliability of the remote version of the Fit-Frailty App for assessing frailty in older adults attending a geriatrics outpatient clinic [abstract]. Can Geriatr J. 2023 Jun 1;26(2):298. doi: 5770/cgj.26.686
  3. Kouroukis A, Tariq S, Adachi J, Ioannidis G, Kennedy CC, Leckie C, Papaioannou A, Rodrigues I. Assessing frailty using the Fit-Frailty App in a non-geriatric practice: A feasibility study [abstract]. Innov Aging. 2023 Dec 1;7(S1):872. doi: 1093/geroni/igad104.2807
  4. Kennedy CC, Ioannidis G, Rockwood K, Thabane L, Adachi JD, Kirkland S, Pickard LE, Papaioannou A. A Frailty Index predicts 10-year fracture risk in adults age 25 years and older: results from the Canadian Multicentre Osteoporosis Study (CaMos). Osteoporos Int. 2014 Dec;25(12):2825–32. doi: 1007/s00198-014-2828-9

Careers & Opportunities

We are actively recruiting study participants, research volunteers, and trainees in aging research

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