ICT-Supported Interventions Targeting Pre-frailty: Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study

  • Rónán O’CaoimhEmail author
  • D. William Molloy
  • Carol Fitzgerald
  • Lex Van Velsen
  • Miriam Cabrita
  • Mohammad Hossein Nassabi
  • Frederiek de Vette
  • Marit Dekker van Weering
  • Stephanie Jansen-Kosterink
  • Wander Kenter
  • Sanne Frazer
  • Amélia P. Rauter
  • Antónia Turkman
  • Marília Antunes
  • Feridun Turkman
  • Marta S. Silva
  • Alice Martins
  • Helena S. Costa
  • Tânia Gonçalves Albuquerque
  • António Ferreira
  • Mario Scherillo
  • Vincenzo De Luca
  • Pasquale Abete
  • Annamaria Colao
  • Alejandro García-Rudolph
  • Rocío Sanchez-Carrion
  • Javier Solana Sánchez
  • Enrique J. Gomez Aguilera
  • Maddalena Illario
  • Hermie Hermens
  • Miriam Vollenbroek-Hutten
Conference paper
Part of the Communications in Computer and Information Science book series (CCIS, volume 869)


As society ages, healthcare systems are preparing for an increasing prevalence of frail, co-morbid and older community-dwellers at risk of adverse outcomes including falls, malnutrition, hospitalisation, institutionalisation and death. Early intervention is desirable and pre-frailty, before onset of functional decline, may represent a suitable transition stage to target, albeit evidence for reversibility and appropriate interventions are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. This work describes 25 healthcare related findings from the recently completed PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project, funded under the 2013–2016 European Union Framework Programme 7 (grant #610359). PERSSILAA developed a comprehensive Information and Communication Technologies (ICT)-supported platform to screen, assess, intervene and then monitor community-dwellers in two regions (Enschede in the Netherlands and Campania in Italy) in order to address pre-frailty and promote active and healthy ageing, targeting three important pre-frailty subdomains: nutrition, cognition and physical function. Proposed definitions of pre-frailty, ICT-based approaches to screen and monitor for the onset of frailty and targeted management strategies employing technology across these domains are described. The potential of these 25 healthcare recommendations in the development of future European guidelines on the screening and prevention of frailty is explored.


Pre-frailty Frailty Information and communication technology Healthcare recommendations Guidelines 



The authors wish to thank all the PERSSILAA participants throughout the three years of the project. Specifically, the authors thank - all older adults who joined the project: for Italy this includes residents from the Confalone, Pilar, Rogazionisti and Santa Maria della Salute communities; for the Netherlands this includes those in the municipalities of Enschede, Hengelo, Tubbergen and Twenterand. The researchers would also like to acknowledge the not for profit organizations in Italy who collaborated (Progetto Alfa, Salute in Collina), the healthcare professionals from Campania (Local Health Agency Naples 1, CRIUV) and the health systems including General Practitioners who supported the project in the Netherlands.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rónán O’Caoimh
    • 1
    • 2
    • 3
    Email author
  • D. William Molloy
    • 1
    • 2
  • Carol Fitzgerald
    • 1
  • Lex Van Velsen
    • 4
    • 5
  • Miriam Cabrita
    • 4
    • 5
  • Mohammad Hossein Nassabi
    • 5
  • Frederiek de Vette
    • 5
  • Marit Dekker van Weering
    • 4
  • Stephanie Jansen-Kosterink
    • 4
  • Wander Kenter
    • 4
  • Sanne Frazer
    • 4
  • Amélia P. Rauter
    • 6
  • Antónia Turkman
    • 6
  • Marília Antunes
    • 6
  • Feridun Turkman
    • 6
  • Marta S. Silva
    • 6
  • Alice Martins
    • 6
  • Helena S. Costa
    • 7
    • 8
  • Tânia Gonçalves Albuquerque
    • 7
    • 8
  • António Ferreira
    • 6
  • Mario Scherillo
    • 9
  • Vincenzo De Luca
    • 10
  • Pasquale Abete
    • 10
  • Annamaria Colao
    • 10
  • Alejandro García-Rudolph
    • 11
  • Rocío Sanchez-Carrion
    • 11
  • Javier Solana Sánchez
    • 12
    • 13
  • Enrique J. Gomez Aguilera
    • 12
    • 13
  • Maddalena Illario
    • 10
    • 14
  • Hermie Hermens
    • 4
    • 5
  • Miriam Vollenbroek-Hutten
    • 4
    • 5
  1. 1.Centre for Gerontology and Rehabilitation, St. Finbarrs HospitalUniversity College CorkCork CityIreland
  2. 2.COLLaboration on AGEingUniversity College CorkCork CityIreland
  3. 3.Health Research Board, Clinical Research Facility GalwayNational University of IrelandGalwayIreland
  4. 4.Roessingh Research and DevelopmentEnschedeThe Netherlands
  5. 5.University of TwenteEnschedeThe Netherlands
  6. 6.Fundação da Faculdade de Ciências da Universidade de LisboaLisboaPortugal
  7. 7.Instituto Nacional de Saúde Doutor Ricardo Jorge, IPLisboaPortugal
  8. 8.REQUIMTE/LAQVFaculdade de Farmácia da Universidade do PortoPortoPortugal
  9. 9.Nexera SpaNapoliItaly
  10. 10.Federico II University HospitalNapoliItaly
  11. 11.Institut GuttmannInstitut Universitari de Neurorehabilitació adscrit a la UABBadalona, BarcelonaSpain
  12. 12.Biomedical Engineering and Telemedicine Center, ETSI Telecomunicacion, Centre for Biomedical TechnologyUniversidad Politécnica de MadridMadridSpain
  13. 13.Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN)ZaragozaSpain
  14. 14.Campania Health Directorate Division for Health InnovationNaplesItaly

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