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International Conference on Information and Communication Technologies for Ageing Well and e-Health

ICT4AWE 2017: Information and Communication Technologies for Ageing Well and e-Health pp 69–92Cite as

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

Part of the Communications in Computer and Information Science book series (CCIS,volume 869)

Abstract

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.

Keywords

  • Pre-frailty
  • Frailty
  • Information and communication technology
  • Healthcare recommendations
  • Guidelines

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References

  1. Rechel, B., Grundy, E., Robine, J.M., Cylus, J., Mackenbach, J.P., Knai, C., et al.: Ageing in the European Union. Lancet 381(9874), 1312–1322 (2013)

    CrossRef  Google Scholar 

  2. Collard, R.M., Boter, H., Schoevers, R.A., Oude Voshaar, R.C.: Prevalence of frailty in community-dwelling older persons: a systematic review. J. Am. Geriatr. Soc. 60(8), 1487–1492 (2012)

    CrossRef  Google Scholar 

  3. Sternberg, S.A., Schwartz, A.W., Karunananthan, S., Bergman, H., Clarfield, A.M.: The identification of frailty: a systematic literature review. J. Am. Geriatr. Soc. 59, 2129–2138 (2011)

    CrossRef  Google Scholar 

  4. Borges, L.L., Menezes, R.L.: Definitions and markers of frailty: a systematic review of literature. Rev. Clin. Gerontol. 21(1), 67–77 (2011)

    CrossRef  Google Scholar 

  5. Rodríguez-Mañas, L., Féart, C., Mann, G., Viña, J., Chatterji, S., Chodzko-Zajko, W., Harmand, M.G., Bergman, H., Carcaillon, L., Nicholson, C., Scuteri, A.: Searching for an operational definition of frailty: a Delphi method based consensus statement. The frailty operative definition-consensus conference project. J. Gerontol. A Biol. Sci. Med. Sci. 68(1), 62–67 (2013)

    CrossRef  Google Scholar 

  6. Morley, J.E., Vellas, B., van Kan, G.A., et al.: Frailty consensus: a call to action. J. Am. Med. Dir. Assoc. 14, 392–397 (2013)

    CrossRef  Google Scholar 

  7. Fried, L.P., Tangen, C.M., Walston, J., et al.: Frailty in older adults: evidence for a phenotype. J. Gerontol. A Biol. Sci. Med. Sci. 56, 146–156 (2001)

    CrossRef  Google Scholar 

  8. Olaroiu, M., Ghinescu, M., Naumov, V., Brinza, I., Heuvel, W.: The psychometric qualities of the Groningen frailty indicator in Romanian community-dwelling old citizens. Fam. Pract. 31(4), 490–495 (2014)

    CrossRef  Google Scholar 

  9. At, J., Bryce, R., Prina, M., Acosta, D., Ferri, C.P., Guerra, M., Huang, Y., Rodriguez, J.J., Salas, A., Sosa, A.L., Williams, J.D., Dewey, M.E., Acosta, I., Liu, Z., Beard, J., Prince, M.: Frailty and the prediction of dependence and mortality in low- and middle-income countries: a 10/66 population-based cohort study. BMC Med. 13, 138 (2015)

    CrossRef  Google Scholar 

  10. Rockwood, K., Song, X., MacKnight, C., et al.: A global clinical measure of fitness and frailty in elderly people. CMAJ 173(5), 489–495 (2005)

    CrossRef  Google Scholar 

  11. Cesari, M., Gambassi, G., Abellan van Kan, G., Vellas, B.: The frailty phenotype and the frailty index: different instruments for different purposes. Age Ageing 43(1), 10–12 (2013)

    CrossRef  Google Scholar 

  12. Blodgett, J., Theou, O., Kirkland, S., Andreou, P., Rockwood, K.: Frailty in NHANES: comparing the frailty index and phenotype. Arch. Gerontol. Geriatr. 60(3), 464–470 (2015)

    CrossRef  Google Scholar 

  13. Harttgen, K., Kowal, P., Strulik, H., Chatterji, S., Vollmer, S.: Patterns of frailty in older adults: comparing results from higher and lower income countries using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adult Health (SAGE). PLoS ONE 8, e75847 (2013)

    CrossRef  Google Scholar 

  14. Syddall, H., Roberts, H.C., Evandrou, M., Cooper, C., Bergman, H., Sayer, A.A.: Prevalence and correlates of frailty among community-dwelling older men and women: findings from the Hertfordshire Cohort Study. Age Ageing 39(2), 197–203 (2009)

    CrossRef  Google Scholar 

  15. Santos-Eggimann, B., Cuenoud, P., Spagnoli, J., Junod, J.: Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J. Gerontol. A Biol. Sci. Med. Sci. 64, 675–681 (2009)

    CrossRef  Google Scholar 

  16. Roe, L., O’Halloran, A., Normand, C., Murphy, C.: The impact of frailty on public Health Nurse Service Utilisation: Findings from the Irish Longitudinal Study on Ageing (TILDA) (2016)

    Google Scholar 

  17. Gill, T.M., Gahbauer, E.A., Allore, H.G., Han, L.: Transitions between frailty states among community-living older persons. Arch. Intern. Med. 166(4), 418–423 (2006)

    CrossRef  Google Scholar 

  18. Lang, P.O., Michel, J.P., Zekry, D.: Frailty syndrome: a transitional state in a dynamic process. Gerontology 55(5), 539–549 (2009)

    CrossRef  Google Scholar 

  19. Gray, S.L., Anderson, M.L., Hubbard, R.A., LaCroix, A., Crane, P.K., McCormick, W., Bowen, J.D., McCurry, S.M., Larson, E.B.: Frailty and incident dementia. J. Gerontol. A Biol. Sci. Med. Sci. 68(9), 1083–1090 (2013)

    CrossRef  Google Scholar 

  20. Sergi, G., Veronese, N., Fontana, L., De Rui, M., Bolzetta, F., Zambon, S., Corti, M.C., Baggio, G., Toffanello, E.D., Crepaldi, G., Perissinotto, E.: Pre-frailty and risk of cardiovascular disease in elderly men and women: the Pro. VA study. J. Am. Coll. Cardiol. 65(10), 976–983 (2015)

    CrossRef  Google Scholar 

  21. O’Caoimh, R., Healy, E., O’Connell, E., Gao, Y., Molloy, D.W.: The community assessment of risk tool, (CART): investigation of inter-rater reliability for a new instrument measuring risk of adverse outcomes in community dwelling older adults. Ir. J. Med. Sci. 181(S7), 227 (2012)

    Google Scholar 

  22. O’Caoimh, R., Gao, Y., Svendrovski, A., Healy, E., O’Connell, E., O’Keeffe, G., Cronin, U., O’Herlihy, E., Cornally, N., Molloy, D.W.: Screening for markers of frailty and perceived risk of adverse outcomes using the Risk Instrument for Screening in the Community (RISC). BMC Geriatr. 14, 104 (2014). https://doi.org/10.1186/1471-2318-14-104

    CrossRef  Google Scholar 

  23. O’Caoimh, R., Gao, Y., Svendrovski, A., Healy, E., O’Connell, E., O’Keeffe, G., Leahy-Warren, P., Cronin, U., O’Herlihy, E., Cornally, N., Molloy, D.W.: The risk instrument for screening in the community (RISC): a new instrument for predicting risk of adverse outcomes in community dwelling older adults. BMC Geriatr. 15, 92 (2015). https://doi.org/10.1186/s12877-015-0095-z

    CrossRef  Google Scholar 

  24. Kahlon, S., Pederson, J., Majumdar, S.R., Belga, S., Lau, D., Fradette, M., Boyko, D., Bakal, J.A., Johnston, C., Padwal, R.S., McAlister, F.A.: Association between frailty and 30-day outcomes after discharge from hospital. Can. Med. Assoc. J. 187(11), 799–804 (2015)

    CrossRef  Google Scholar 

  25. Robinson, T.N., Wu, D.S., Stiegmann, G.V., Moss, M.: Frailty predicts increased hospital and six-month healthcare cost following colorectal surgery in older adults. Am. J. Surg. 202(5), 511–514 (2011)

    CrossRef  Google Scholar 

  26. Song, X., Mitnitski, A., Rockwood, K.: Prevalence and 10-year outcomes of frailty in older adults in relation to deficit accumulation. J. Am. Geriatr. Soc. 58(4), 681–687 (2010)

    CrossRef  Google Scholar 

  27. Bousquet, J., Michel, J.P., Strandberg, T., Crooks, D., Iakovidis, I., Iglesia, M.: The European innovation partnership on active and healthy ageing: the European geriatric medicine introduces the EIP on AHA column. Eur. Geriatr. Med. 5, 361–362 (2014)

    CrossRef  Google Scholar 

  28. Fairhall, N., Kurrle, S.E., Sherrington, C., Lord, S.R., Lockwood, K., John, B., Monaghan, N., Howard, K., Cameron, I.D.: Effectiveness of a multifactorial intervention on preventing development of frailty in pre-frail older people: study protocol for a randomised controlled trial. BMJ Open 5(2), e007091 (2015)

    CrossRef  Google Scholar 

  29. O’Caoimh, R., Sweeney, C., Hynes, H., et al.: COLLaboration on AGEing – COLLAGE: Ireland’s three star reference site for the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). Eur. Geriatr. Med. 6, 505–511 (2015)

    CrossRef  Google Scholar 

  30. Michel, J.P., Dreux, C., Vacheron, A.: Healthy ageing: evidence that improvement is possible at every age. Eur. Geriatr. Med. 7(4), 298–305 (2016)

    CrossRef  Google Scholar 

  31. Frost, R., Belk, C., Jovicic, A., Ricciardi, F., Kharicha, K., Gardner, B., et al.: Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis. BMC Geriatr. 17, 157 (2017)

    CrossRef  Google Scholar 

  32. Fiatarone Singh, M.A., Gates, N., Saigal, N., et al.: The Study of Mental and Resistance Training (SMART) study-resistance training and/or cognitive training in mild cognitive impairment: a randomized, double-blind, double-sham controlled trial. J. Am. Med. Dir. Assoc. 15(12), 873–880 (2014)

    CrossRef  Google Scholar 

  33. Ngandu, T., Lehtisalo, J., Solomon, A., Levälahti, E., Ahtiluoto, S., Antikainen, R., Bäckman, L., Hänninen, T., Jula, A., Laatikainen, T., Lindström, J.: A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial. Lancet 385(9984), 2255–2263 (2015)

    CrossRef  Google Scholar 

  34. O’Caoimh, R., Sato, S., Wall, J., Igras, E., Foley, M.J., Timmons, S., Molloy, D.W.: Potential for a “memory gym” intervention to delay conversion of mild cognitive impairment to dementia. J. Am. Med. Dir. Assoc. 16(11), 998–999 (2015)

    CrossRef  Google Scholar 

  35. Bherer, L., Erickson, K.I., Liu-Ambrose, T.: A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. J. Aging Res. J. Aging. Res. 2013 (2013). http://dx.doi.org/10.1155/2013/657508. Article ID: 657508

    Google Scholar 

  36. Pahor, M., Guralnik, J.M., Ambrosius, W.T., Blair, S., Bonds, D.E., Church, T.S., Espeland, M.A., Fielding, R.A., Gill, T.M., Groessl, E.J., King, A.C.: Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA 311(23), 2387–2396 (2014)

    CrossRef  Google Scholar 

  37. Beswick, A.D., Rees, K., Dieppe, P., Ayis, S., Gooberman-Hill, R., Horwood, J., Ebrahim, S.: Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet 371, 725–735 (2008)

    CrossRef  Google Scholar 

  38. Serra-Prat, M., Sist, X., Domenich, R., Jurado, L., Saiz, A., Roces, A., et al.: Effectiveness of an intervention to prevent frailty in pre-frail community-dwelling older people consulting in primary care: a randomised controlled trial. Age Ageing 46, 1–7 (2017)

    Google Scholar 

  39. Keränen, N.S., Kangas, M., Immonen, M., Similä, H., Enwald, H., Korpelainen, R., Jämsä, T.: Use of information and communication technologies among older people with and without frailty: a population-based survey. J. Med. Internet Res. 19(2), e29 (2017)

    CrossRef  Google Scholar 

  40. Broekhuizen, K., de Gelder, J., Wijsman, C.A., Wijsman, L.W., Westendorp, R.G., Verhagen, E., Slagboom, P.E., de Craen, A.J., van Mechelen, W., van Heemst, D., van der Ouderaa, F.: An internet-based physical activity intervention to improve quality of life of inactive older adults: a randomized controlled trial. J. Med. Internet Res. 18(4), e74 (2016)

    CrossRef  Google Scholar 

  41. Lee, P.H., Lee, Y.S., Chan, D.C.: Interventions targeting geriatric frailty: a systemic review. J. Clin. Gerontol. Geriatr. 3(2), 47–52 (2012)

    CrossRef  Google Scholar 

  42. Turner, G., Clegg, A.: British Geriatrics Society; Age UK; Royal College of General Practioners. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners report. Age Ageing 43(6), 744–747 (2014)

    CrossRef  Google Scholar 

  43. Van Velsen, L., Illario, M., Jansen-Kosterink, S., Crola, C., Di Somma, C., Colao, A., Vollenbroek-Hutten, M.: A community-based, technology-supported health service for detecting and preventing frailty among older adults: a participatory design development process. J. Aging Res. (2015). https://doi.org/10.1155/2015/216084

    CrossRef  Google Scholar 

  44. de Vette, F., Tabak, M., Dekker-van Weering, M., Vollenbroek-Hutten, M.: Engaging elderly people in telemedicine through gamification. JMIR Serious Games 3(2), e9 (2015)

    CrossRef  Google Scholar 

  45. Lumsden, J., Edwards, E.A., Lawrence, N.S., Coyle, D., Munafò, M.R.: Gamification of cognitive assessment and cognitive training: a systematic review of applications and efficacy. JMIR Serious Games 4, 2 (2016)

    CrossRef  Google Scholar 

  46. Patel, M.S., Benjamin, E.J., Volpp, K.G., Fox, C.S., Small, D.S., Massaro, J.M., Lee, J.J., Hilbert, V., Valentino, M., Taylor, D.H., Manders, E.S., Mutalik, K., Zhu, J., Wang, W., Murabito, J.M.: Effect of a game-based intervention designed to enhance social incentives to increase physical activity among families. The BE FIT randomized clinical trial. JAMA Intern. Med. (2017). https://doi.org/10.1001/jamainternmed.2017.3458

    CrossRef  Google Scholar 

  47. Boehler, C.E., de Graaf, G., Steuten, L., Yang, Y., Abadie, F.: Development of a web-based tool for the assessment of health and economic outcomes of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA). BMC Med. Inform. Decis. Mak. 15(S3), 4 (2015)

    CrossRef  Google Scholar 

  48. Illario, M., Iaccarino, G., Piazza, O., Menditto, E., Coscioni, E.: Proceedings of the EIP on AHA: A3 action group on frailty. Transl. Med. UniSa 13, 1–3 (2016)

    Google Scholar 

  49. de Vries, N.M., Staal, J.B., van Ravensberg, C.D., Hobbelen, J.S.M., Olde Rikkerte, M.G.M., Nijhuis-van der Sanden, M.W.G.: Outcome instruments to measure frailty: a systematic review. Ageing Res. Rev. 10, 104–114 (2011)

    Google Scholar 

  50. van Kempen, J.A., Schers, H.J., Philp, I., Rikkert, M.G.O., Melis, R.J.: Predictive validity of a two-step tool to map frailty in primary care. BMC Med. 13(1), 1 (2015)

    CrossRef  Google Scholar 

  51. Steverink, N., Slaets, J.P.J., Schuurmans, H., Van Lis, M.: Measuring frailty: developing and testing the GFI (Groningen Frailty Indicator). Gerontologist 41(S1), 236 (2001)

    Google Scholar 

  52. O’Caoimh, R., Gao, Y., McGlade, C., Healy, L., Gallagher, P., Timmons, S., Molloy, D.W.: Comparison of the quick mild cognitive impairment (Qmci) screen and the SMMSE in screening for mild cognitive impairment. Age Ageing 41(5), 624–629 (2012)

    CrossRef  Google Scholar 

  53. O’Caoimh, R., Gao, Y., Gallagher, P., Eustace, J., McGlade, C., Molloy, D.W.: Which part of the quick mild cognitive impairment screen (Qmci) discriminates between normal cognition, mild cognitive impairment and dementia? Age Ageing 42, 324–330 (2013)

    CrossRef  Google Scholar 

  54. O’Caoimh, R., Svendrovski, A., Johnston, B., Gao, Y., McGlade, C., Timmons, S., Eustace, J., Guyatt, G., Molloy, D.W.: The quick mild cognitive impairment screen correlated with the standardised Alzheimer’s disease assessment scale-cognitive section in clinical trials. J. Clin. Epidemiol. 67, 87–92 (2014)

    CrossRef  Google Scholar 

  55. Bunt, S., O’Caoimh, R., Krijnen, W.P., Molloy, D.W., Goodijk, G.P., van der Schans, C.P., Hobbelen, J.S.M.: Validation of the dutch version of the quick mild cognitive impairment screen (Qmci-D). BMC Geriatr. 15, 115 (2015). https://doi.org/10.1186/s12877-015-0113-1

    CrossRef  Google Scholar 

  56. O’Caoimh, R., Timmons, S., Molloy, D.W.: Screening for mild cognitive impairment: comparison of “MCI Specific” screening instruments. J. Alzheimer’s Dis. 51(2), 619–629 (2016)

    CrossRef  Google Scholar 

  57. Yavuz, B.B., Hacer, D.V., O’Caoimh, R., Kizilarslanoglu, M.C., Kilic, M.K., Molloy, D.W., Dogrul, R.T., Karabulut, E., Sağır, A., Yesil, Y., Kuyumcu, M.E., Halil, M., Cankurtaran, M.: Validation of the Turkish version of the quick mild cognitive impairment screen (Qmci-TR). Am. J. Alzheimer’s Dis. Other Dement. 32(3), 145–156 (2017)

    CrossRef  Google Scholar 

  58. Xu, Y., Yu, Y., Li, X., Chen, Z., Gao, Y., Molloy, D.W., O’Caoimh, R.: Development of the Chinese version of the quick mild cognitive impairment (Qmci-CN). Age Ageing 46(S3), 57 (2017)

    Google Scholar 

  59. O’Caoimh, R., Molloy, D.William: The quick mild cognitive impairment screen (Qmci). In: Larner, A.J. (ed.) Cognitive Screening Instruments, pp. 255–272. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-44775-9_12

    CrossRef  Google Scholar 

  60. O’Caoimh, R., Gao, Y., Gallagher, P., Eustace, J., Molloy, W.: Comparing approaches to optimize cut-off scores for short cognitive screening instruments in mild cognitive impairment and dementia. J. Alzheimer’s Dis. 57(1), 123–133 (2017)

    CrossRef  Google Scholar 

  61. O’Caoimh, R., Molloy, D.W., Fitzgerald, C., Van Velsen, L., Cabrita, M., Nassabi, M.H., de Vette, F., Dekker-van Weering, M., Jansen-Kosterink, S., Kenter, W., Frazer, S., et al.: Healthcare recommendations from the personalised ICT supported service for independent living and active ageing (PERSSILAA) study. In: ICT4Ageing Well 2017, Porto, Portugal, 28–29 April 2017 (2017)

    Google Scholar 

  62. Goisser, S., Guyonnet, S., Volkert, D.: The role of nutrition in frailty: an overview. J. Frailty Aging 5(2), 74–77 (2016)

    Google Scholar 

  63. MacLeod, S., Musich, S., Gulyas, S., Cheng, Y., Tkatch, R., Cempellin, D., et al.: The impact of inadequate health literacy on patient satisfaction, healthcare utilization, and expenditures among older adults. Geriatr. Nurs. 38(4), 334–341 (2017)

    CrossRef  Google Scholar 

  64. Shakersain, B., Santoni, G., Faxén-Irving, G., Rizzuto, D., Fratiglioni, L., Xu, W.: Nutritional status and survival among old adults: an 11-year population-based longitudinal study. Eur. J. Clin. Nutr. 70, 320–325 (2016)

    CrossRef  Google Scholar 

  65. Schilp, J., Kruizenga, H.M., Wijnhoven, H.A., Leistra, E., Evers, A.M., van Binsbergen, J.J., Deeg, D.J., Visser, M.: High prevalence of undernutrition in Dutch community-dwelling older individuals. Nutrition 28(11), 1151–1156 (2012)

    CrossRef  Google Scholar 

  66. O’Shea, E., Trawley, S., Manning, E., Barrett, A., Browne, V., Timmons, S.: Malnutrition in hospitalised older adults: a multicentre observational study of prevalence, associations and outcomes. J. Nutr. Health Aging 21(7), 830–836 (2017). https://doi.org/10.1007/s12603-016-0831-x

    CrossRef  Google Scholar 

  67. Pauly, L., Stehle, P., Volkert, D.: Nutritional situation of elderly nursing home residents. Z. Gerontol. Geriatr. 40(1), 3–12 (2007)

    CrossRef  Google Scholar 

  68. van Staveren, W.A., de Groot, L.C.P.: Evidence-based dietary guidance and the role of dairy products for appropriate nutrition in the elderly. J. Am. Coll. Nutr. 30(S5), 429–437 (2011)

    CrossRef  Google Scholar 

  69. Plassman, B.L., Langa, K.M., Fisher, G.G., Heeringa, S.G., Weir, D.R., Ofstedal, M.B., Burke, J.R., Hurd, M.D., Potter, G.G., Rodgers, W.L., Steffens, D.C.: Prevalence of cognitive impairment without dementia in the United States. Ann. Intern. Med. 148(6), 427–434 (2008)

    CrossRef  Google Scholar 

  70. Prince, M., Bryce, R., Albanese, E., Wimo, A., Ribeiro, W., Ferri, C.P.: The global prevalence of dementia: a systematic review and meta-analysis. Alzheimers Dementia 9(1), 63–75 (2013)

    CrossRef  Google Scholar 

  71. Satizabal, C.L., Beiser, A.S., Chouraki, V., Chêne, G., Dufouil, C., Seshadri, S.: Incidence of dementia over three decades in the Framingham Heart Study. N. Engl. J. Med. 374(6), 523–532 (2016)

    CrossRef  Google Scholar 

  72. Matthews, F.E., Arthur, A., Barnes, L.E., et al. (Medical Research Council Cognitive Function and Ageing Collaboration): A two-decade comparison of prevalence of dementia in individuals aged 65 years and older from three geographical areas of England: results of the Cognitive Function and Ageing Study I and II. Lancet, 382(9902), 1405–1412 (2013)

    Google Scholar 

  73. Langa, K.M., Larson, E.B., Crimmins, E.M., et al.: A comparison of the prevalence of dementia in the United States in 2000 and 2012. JAMA Intern. Med. 177(1), 51–58 (2017). https://doi.org/10.1001/jamainternmed.2016.6807

    CrossRef  Google Scholar 

  74. Norton, S., Matthews, F.E., Barnes, D.E., Yaffe, K., Brayne, C.: Potential for primary prevention of Alzheimer’s disease: an analysis of population-based data. Lancet Neurol. 13(8), 788–794 (2014)

    CrossRef  Google Scholar 

  75. Choi, J., Twamley, E.W.: Cognitive rehabilitation therapies for Alzheimer’s disease: a review of methods to improve treatment engagement and self-efficacy. Neuropsychol. Rev. 23(1), 48–62 (2013)

    CrossRef  Google Scholar 

  76. Galvin, J.E., Roe, C.M., Powlishta, K.K., Coats, M.A., Muich, S.J., Grant, E., Miller, J.P., Storandt, M., Morris, J.C.: The AD8: a brief informant interview to detect dementia. Neurology 65(4), 559–564 (2005)

    CrossRef  Google Scholar 

  77. Larner, A.J.: AD8 informant questionnaire for cognitive impairment pragmatic diagnostic test accuracy study. J. Geriatr. Psychiatry Neurol. 28(3), 198–202 (2015)

    CrossRef  Google Scholar 

  78. Brooke, J.: SUS: a “quick and dirty” usability scale. In: Jordan, P.W., Thomas, B., Weerdmeester, B.A., McClelland, A.L.: Usability Evaluation in Industry. Taylor and Francis, London (1996)

    Google Scholar 

  79. Liu, L.K., Lee, W.J., Chen, L.Y., Hwang, A.C., Lin, M.H., Peng, L.N., Chen, L.K.: Association between frailty, osteoporosis, falls and hip fractures among community-dwelling people aged 50 years and older in Taiwan: results from I-Lan longitudinal aging study. PLoS ONE 10(9), e0136968 (2015)

    CrossRef  Google Scholar 

  80. Liu, C.K., Fielding, R.A.: Exercise as an intervention for frailty. Clin. Geriatr. Med. 27(1), 101–110 (2011)

    CrossRef  Google Scholar 

  81. Giné-Garriga, M., Roqué-Fíguls, M., Coll-Planas, L., Sitjà-Rabert, M., Salvà, A.: Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Arch. Phys. Med. Rehabil. 95(4), 753–769 (2014)

    CrossRef  Google Scholar 

  82. Robertson, M.C., Devlin, N., Scuffham, P., Gardner, M.M., Buchner, D.M., Campbell, A.J.: Economic evaluation of a community based exercise programme to prevent falls. J. Epidemiol. Commun. Health 55, 600–606 (2001)

    CrossRef  Google Scholar 

  83. Thomas, S., Mackintosh, S., Halbert, J.: Does the ‘Otago exercise programme’ reduce mortality and falls in older adults?: a systematic review and meta-analysis. Age Ageing 39(6), 681–687 (2010)

    CrossRef  Google Scholar 

  84. Tabak, M., Brusse-Keizer, M., van der Valk, P., Hermens, H., Vollenbroek-Hutten, M.: A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial. Int. J. Chronic Obstr. Pulm. Dis. 9, 935 (2014)

    CrossRef  Google Scholar 

  85. Vollenbroek-Hutten, M., Pais, S., Ponce, S., Dekker-van Weering, M., Jansen-Kosterink, S., Schena, F., Tabarini, N., Carotenuto, F., Iadicicco, V., Illario, M.: Rest rust! physical active for active and healthy ageing. Transl. Med.@ UniSa 13, 19 (2015)

    Google Scholar 

  86. Chesser, A.K., Keene Woods, N., Smothers, K., Rogers, N.: Health literacy and older adults: a systematic review. Gerontol. Geriatr. Med. 2 (2016). https://doi.org/10.1177/2333721416630492

    CrossRef  Google Scholar 

  87. Manafo, E., Wong, S.: Health literacy programs for older adults: a systematic literature review. Health Educ. Res. 27(6), 947–960 (2012)

    CrossRef  Google Scholar 

  88. Norman, C., Skinner, H.: eHealth literacy: essential skills for consumer health in a networked world. J. Med. Internet Res. 8, e9 (2006)

    CrossRef  Google Scholar 

  89. Strawbridge, W.J., Shema, S.J., Balfour, J.L., Higby, H.R., Kaplan, G.A.: Antecedents of frailty over three decades in an older cohort. J. Gerontol. 53b(1), S9–S16 (1998)

    CrossRef  Google Scholar 

  90. Keller, H.H.: Nutrition and health-related quality of life in frail older adults. J. Nutr. Health Aging 8(4), 245–252 (2004)

    Google Scholar 

  91. Lenardt, M.H., Carneiro, N.H.K., Albino, J., Willig, M.H.: Quality of life of frail elderly users of the primary care. Acta Paulista de Enfermagem 27(5), 399–404 (2014)

    CrossRef  Google Scholar 

  92. Gill, D.L., Hammond, C.C., Reifsteck, E.J., Jehu, C.M., Williams, R.A., Adams, M.M., et al.: Physical activity and quality of life. J. Prev. Med. Publ. Health 46(1), S28 (2013)

    CrossRef  Google Scholar 

  93. Drewnowski, A., Evans, W.J.: Nutrition, physical activity, and quality of life in older adults: summary. J. Gerontol. A Biol. Sci. Med. Sci. 56(2), 89–94 (2001)

    CrossRef  Google Scholar 

  94. Bitterman, N.: Design of medical devices—a home perspective. Eur. J. Internal Med. 22(1), 39–42 (2011)

    CrossRef  Google Scholar 

  95. Selwyn, N., Gorard, S., Furlong, J., Madden, L.: Older adults’ use of information and communications technology in everyday life. Ageing Soc. 23(5), 561–582 (2003)

    CrossRef  Google Scholar 

  96. Cesari, M., Prince, M., Thiyagarajan, J.A., De Carvalho, I.A., Bernabei, R., Chan, P., Gutierrez-Robledo, L.M., Michel, J.P., Morley, J.E., Ong, P., Manas, L.R.: Frailty: an emerging public health priority. J. Am. Med. Dir. Assoc. 17(3), 188–192 (2016)

    CrossRef  Google Scholar 

  97. Sacha, J., Sacha, M., Soboń, J., Borysiuk, Z., Feusette, P.: Is it time to begin a public campaign concerning frailty and pre-frailty? A review article. Front. Physiol. 11(8), 484 (2017). https://doi.org/10.3389/fphys.2017.00484

  98. Scanlon, L., O’Shea, E., O’Caoimh, R., Timmons, S.: Technology use, frequency and self-rated skills: a survey of community dwelling older adults. J. Am. Geriatr. Soc. 63(7), 1483–1484 (2015)

    CrossRef  Google Scholar 

  99. Gell, N.M., Rosenberg, D.E., Demiris, G., LaCroix, A.Z., Patel, K.V.: Patterns of technology use among older adults with and without disabilities. Gerontologist 55(3), 412–421 (2015)

    CrossRef  Google Scholar 

  100. Scanlon, L., O’Shea, E., O’Caoimh, R., Timmons, S.: Assessment of cognition using cognitive training: comparison of a commercial “brain training” application with the montreal cognitive assessment. Gerontology 62(2), 247–252 (2016)

    CrossRef  Google Scholar 

  101. Franchini, M., Pieroni, S., Fortunato, L., Knezevic, T., Liebman, M., Molinaro, S.: Integrated information for integrated care in the general practice setting in Italy: using social network analysis to go beyond the diagnosis of frailty in the elderly. Clin. Transl. Med. 5(1), 24 (2016)

    CrossRef  Google Scholar 

  102. Watkins, I., Xie, B.: eHealth literacy interventions for older adults: a systematic review of the literature. J. Med. Internet Res. 16(11), e225 (2014)

    CrossRef  Google Scholar 

  103. Cesari, M., Marzetti, E., Thiem, U., Pérez-Zepeda, M.U., Van Kan, G.A., Landi, F., Petrovic, M., Cherubini, A., Bernabei, R.: The geriatric management of frailty as paradigm of “the end of the disease era”. Eur. J. Internal Med. 31, 11–14 (2016)

    CrossRef  Google Scholar 

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Acknowledgements

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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Authors and Affiliations

  1. Centre for Gerontology and Rehabilitation, St. Finbarrs Hospital, University College Cork, Cork City, Ireland

    Rónán O’Caoimh, D. William Molloy & Carol Fitzgerald

  2. COLLaboration on AGEing, University College Cork, Cork City, Ireland

    Rónán O’Caoimh & D. William Molloy

  3. Health Research Board, Clinical Research Facility Galway, National University of Ireland, Galway, Ireland

    Rónán O’Caoimh

  4. Roessingh Research and Development, Enschede, The Netherlands

    Lex Van Velsen, Miriam Cabrita, Marit Dekker van Weering, Stephanie Jansen-Kosterink, Wander Kenter, Sanne Frazer, Hermie Hermens & Miriam Vollenbroek-Hutten

  5. University of Twente, Enschede, The Netherlands

    Lex Van Velsen, Miriam Cabrita, Mohammad Hossein Nassabi, Frederiek de Vette, Hermie Hermens & Miriam Vollenbroek-Hutten

  6. Fundação da Faculdade de Ciências da Universidade de Lisboa, Lisboa, Portugal

    Amélia P. Rauter, Antónia Turkman, Marília Antunes, Feridun Turkman, Marta S. Silva, Alice Martins & António Ferreira

  7. Instituto Nacional de Saúde Doutor Ricardo Jorge, IP, Lisboa, Portugal

    Helena S. Costa & Tânia Gonçalves Albuquerque

  8. REQUIMTE/LAQV, Faculdade de Farmácia da Universidade do Porto, Porto, Portugal

    Helena S. Costa & Tânia Gonçalves Albuquerque

  9. Nexera Spa, Napoli, Italy

    Mario Scherillo

  10. Federico II University Hospital, Napoli, Italy

    Vincenzo De Luca, Pasquale Abete, Annamaria Colao & Maddalena Illario

  11. Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Barcelona, Spain

    Alejandro García-Rudolph & Rocío Sanchez-Carrion

  12. Biomedical Engineering and Telemedicine Center, ETSI Telecomunicacion, Centre for Biomedical Technology, Universidad Politécnica de Madrid, Madrid, Spain

    Javier Solana Sánchez & Enrique J. Gomez Aguilera

  13. Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN), Zaragoza, Spain

    Javier Solana Sánchez & Enrique J. Gomez Aguilera

  14. Campania Health Directorate Division for Health Innovation, Naples, Italy

    Maddalena Illario

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  1. Rónán O’Caoimh
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  2. D. William Molloy
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  31. Miriam Vollenbroek-Hutten
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Corresponding author

Correspondence to Rónán O’Caoimh .

Editor information

Editors and Affiliations

  1. Hochschule Ostwestfalen-Lippe, Lemgo, Germany

    Prof. Dr. Dr. Carsten Röcker

  2. Imperial College London, London, UK

    John O’Donoghue

  3. RWTH Aachen University, Aachen, Germany

    Prof. Dr. Martina Ziefle

  4. Wroclaw University of Economics, Wroclaw, Poland

    Leszek Maciaszek

  5. University College Cork, Cork, Ireland

    William Molloy

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O’Caoimh, R. et al. (2018). ICT-Supported Interventions Targeting Pre-frailty: Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study. In: Röcker, C., O’Donoghue, J., Ziefle, M., Maciaszek, L., Molloy, W. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE 2017. Communications in Computer and Information Science, vol 869. Springer, Cham. https://doi.org/10.1007/978-3-319-93644-4_4

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