Accepted for/Published in: Asian/Pacific Island Nursing Journal
Date Submitted: Mar 15, 2026
Date Accepted: Jun 25, 2026
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Development of Sarcopenia Management Systems for Formerly Homeless Older Adults Residing in a Supportive Housing: A Mixed-Methods Study
ABSTRACT
Background:
Formerly homeless older adults represent a highly vulnerable population facing substantial community health challenges, including an elevated risk of sarcopenia due to compounded health and social disadvantages. Developing a context-specific management system is crucial for enhancing early detection, prevention, and care within supportive housing settings.
Objective:
This study aimed to develop and evaluate the feasibility of a sarcopenia management system for formerly homeless older adults in Thailand.
Methods:
This mixed-methods design was employed, consisting of three phases: (1) development, (2) implementation, and (3) preliminary evaluation testing. The development phase engaged 18 stakeholders and 32 focus group participants (formerly homeless older adults and staff) through two rounds of consultation.
Results:
Through qualitative methods and a systematic review, a context-specific sarcopenia management system was developed for formerly homeless older adults. The system comprised five core components: screening, classification, management, follow-up, evaluation, and team assignment, and was integrated into routine care processes involving multidisciplinary staff and homeless volunteer within a supportive housing setting. The system was subsequently implemented and preliminarily tested among 116 residents of a supportive housing facility in Thailand. Preliminary findings indicated good feasibility and acceptability of the system. The perceived quality of the system achieved a mean score of 2.6 (SD = 0.48), while perceived benefits were rated at 3.8 (SD = 0.40). Overall satisfaction with system use and implementation processes achieved mean scores of 2.8 (SD = 0.41) and 2.72 (SD = 0.79), respectively, indicating moderate to high user satisfaction.
Conclusions:
This study presents the first context-sensitive sarcopenia management system specifically developed for formerly homeless older adults in supportive housing in Thailand. The system was well accepted and shows promise for strengthening early detection, prevention, and management of sarcopenia in community-based housing settings. Clinical Trial: NA
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