Bridging Technology and Support: The Influence of Triage Nurse Monitoring on Digital Health Engagement in Older Adults with Multiple Chronic Conditions

In the European Union, around 50 million people live with multimorbidity, the coexistence of two or more chronic conditions, which is especially prevalent among older adults. This poses challenges for individuals and healthcare systems, underscoring the need for innovative self-management solutions. Digital health technologies offer promising tools, but the complexity of multimorbidity often requires additional human support. A nurse-led telephone triage and monitoring service could enhance digital health interventions. This study explores engagement patterns with the ProACT digital health platform among older adults with multimorbidity, comparing those with and without clinical triage support. Results indicate that triage support improved engagement, especially for consistent tasks like vitals monitoring and self-reporting. Tailoring interventions to individual health needs and motivations, while integrating professional support to enhance self-efficacy, can optimise digital health tools for older adults with multimorbidity.