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

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Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2017)

Part of the book series: Communications in Computer and Information Science ((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.

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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.

Author information

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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Corresponding author

Correspondence to Rónán O’Caoimh .

Editor information

Editors and Affiliations

  1. Hochschule Ostwestfalen-Lippe, Lemgo, Germany

    Carsten Röcker

  2. Imperial College London, London, UK

    John O’Donoghue

  3. RWTH Aachen University, Aachen, Germany

    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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