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Aim: The aim was to explore how people living in rural and remote Western Queensland experience frailty, and identify community‑prioritised needs for engagement to inform frailty and ageing research and translation into practice. Methods: A qualitative study was conducted in partnership with the Western Queensland Primary Health Network to conducted eight focus groups (n=47) and seven semi‑structured interviews with consumers, caregivers and care providers across ten rural and remote communities over two field trips. Data were transcribed verbatim, and analysed using inductive framework thematic analysis. Themes were mapped across three themes: engagement, service navigation, and access, consistent with the Western Queensland Ageing in the Outback framework. Result: Participants described frailty as shaped by place, social connection, and access to services rather than age alone. Participants identified significant barriers and unmet needs across all three domains. Engagement was constrained by social isolation, particularly for older adults living alone, and unmet mental health needs. Fragmented service navigation driven by limited aged care capacity, workforce shortages, and reliance on fly‑in fly‑out services contributed to discontinuity of care. Access to treatment and services was limited due to longer distance, limited transport options, limited awareness and financial strain. While telehealth was viewed as beneficial, its reach was constrained by digital literacy. Across communities, participants expressed strong interest in meaningful frailty research involvement with local ‘researcher in place’ model. Conclusion: Findings highlight the need for improved care navigation, locally appropriate transport and workforce solutions, frailty‑focused education, and co‑designed research approaches to support ageing well in rural and remote communities.
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