Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study

Rónán O'Caoimh, 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, Maddalena Illario, Alejandro García-Rudolph, Rocío Sanchez-Carrion, Javier Solana Sánchez, Enrique J. Gomez Aguilera, Hermie Hermens, Miriam Vollenbroek-Hutten

2017

Abstract

In the face of demographic ageing European healthcare providers and policy makers are recognising an increasing prevalence of frail, community-dwelling older adults, prone to adverse healthcare outcomes. Prefrailty, before onset of functional decline, is suggested to be reversible but interventions targeting this risk syndrome are limited. No consensus on the definition, diagnosis or management of pre-frailty exists. The PERsonalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) project (2013-2016 under Framework Programme 7, grant #610359) developed a comprehensive Information and Communication Technologies (ICT) supported platform to screen, assess, manage and monitor pre-frail community-dwelling older adults in order to address pre-frailty and promote active and healthy ageing. PERSSILAA, a multi-domain ICT service, targets three pre-frailty: nutrition, cognition and physical function. The project produced 42 recommendations across clinical (screening, monitoring and managing of pre-frail older adults) technical (ICT-based innovations) and societal (health literacy in older adults, guidance to healthcare professional, patients, caregivers and policy makers) areas. This paper describes the 25 healthcare related recommendations of PERSSILAA, exploring how they could be used in the development of future European guidelines on the screening and prevention of frailty.

References

  1. Beswick, A.D., Rees, K., Dieppe, P., Ayis, S., Gooberman-Hill, R., Horwood, J., Ebrahim, S. 2008. Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. The Lancet, 371, 725-735.
  2. Bherer, L., Erickson, K.I., Liu-Ambrose, T. 2013. A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. Journal of aging research, 11;2013.
  3. Bitterman, N., 2011. Design of medical devices-A home perspective. European journal of internal medicine, 22(1), pp.39-42.
  4. Boehler, C.E., de Graaf, G., Steuten, L., Yang, Y., Abadie, F. 2015. “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), p. S4.
  5. Borges, L.L. and Menezes, R.L., 2011. Definitions and markers of frailty: a systematic review of literature. Reviews in Clinical Gerontology, 21(01), pp.67-77.
  6. Bousquet, J., Michel, J.P., Strandberg, T., Crooks, D., Iakovidis, I., Iglesia, M. 2014. 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.
  7. Brooke, J. 1996. "SUS: a "quick and dirty" usability scale". In P. W. Jordan, B. Thomas, B. A. Weerdmeester, & A. L. McClelland. Usability Evaluation in Industry. London: Taylor and Francis.
  8. Bunt, S., O'Caoimh, R., Krijnen, W.P., Molloy, D.W., Goodijk, G.P., van der Schans, C.P., Hobbelen, J.S.M. 2015. Validation of the Dutch version of the Quick Mild Cognitive Impairment Screen (Qmci-D). BMC Geriatrics 15:115 DOI 10.1186/s12877-015-0113-1.
  9. de Vette, F., Tabak, M., Dekker-van Weering, M., Vollenbroek-Hutten, M. 2015. Engaging Elderly People in Telemedicine Through Gamification. JMIR Serious Games, 3(2):e9.
  10. de Vries, N.,M., Staal, J.,B., van Ravensberg, C.,D., Hobbelen, J.,S.,M., Olde Rikkerte, M.,G.,M., Nijhuisvan der Sanden, M.,W.,G. 2011. Outcome instruments to measure frailty: A systematic review. Ageing Research Reviews, 10: 104-114.
  11. Fairhall, N., Kurrle, S.E., Sherrington, C., Lord, S.,R., Lockwood, K., John, B., Monaghan, N., Howard, K., Cameron, I,.D. 2015. 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.
  12. Fiatarone Singh, M.A., Gates, N., Saigal, N., et al. 2014. 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): 873-80.
  13. Galvin, J.E., Roe, C.M., Powlishta, K.K., Coats, M.A., Muich, S.J., Grant, E., Miller, J.P., Storandt, M. and Morris, J.C., 2005. The AD8 A brief informant interview to detect dementia. Neurology, 65(4); pp.559-564.
  14. Gell, N.,M., Rosenberg, D.,E., Demiris, G., LaCroix, A.,Z., Patel, K.,V. 2015. Patterns of technology use among older adults with and without disabilities. Gerontologist, 55(3):pp412-21.
  15. Gill, T.M., Gahbauer, E.A., Allore, H.G, Han, L. 2006. Transitions between frailty states among communityliving older persons. Arch Intern Med, 166(4):418-23.
  16. Giné-Garriga, M., Roqué-Fíguls, M., Coll-Planas, L., Sitjà-Rabert, M., Salvà, A. 2014. Physical Exercise Interventions for Improving Performance-Based Measures of Physical Function in CommunityDwelling, Frail Older Adults: A Systematic Review and Meta-Analysis. Archives of physical medicine and rehabilitation, 95 (4):pp 753-769.e3.
  17. 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. 2013. Frailty and incident dementia. J Gerontol A Biol Sci Med Sci, 68(9):1083- 90.
  18. Illario, M., Iaccarino, G., Piazza, O., Menditto, E., Coscioni, E. 2016. Proceedings of the EIP on AHA: A3 Action Group on Frailty. Transl Med UniSa. 31;13:1-3.
  19. Kahlon, S., Pederson, J., Majumdar, S.R., Belga, S., Lau, D., Fradette, M., Boyko, D., Bakal, J.A., Johnston, C., Padwal, R.S. and McAlister, F.A., 2015. Association between frailty and 30-day outcomes after discharge from hospital. Canadian Medical Association Journal, 187(11): pp.799-804.
  20. Lang, P.O., Michel, J.P., Zekry, D. 2009. Frailty syndrome: a transitional state in a dynamic process. Gerontology, 55(5):539-49.
  21. Langa, K.M., Larson, E.B., Crimmins, E.M., et al. 2016. A comparison of the prevalence of dementia in the United States in 2000 and 2012. JAMA Intern Med doi:10.1001 /jamainternmed.2016.6807
  22. Larner, A.J., 2015. AD8 Informant Questionnaire for Cognitive Impairment Pragmatic Diagnostic Test Accuracy Study. Journal of geriatric psychiatry and neurology, 28(3): pp.198-202.
  23. Lee, P.H., Lee, Y.S., Chan, D.C. 2012. Interventions targeting geriatric frailty: a systemic review. Journal of Clinical Gerontology and Geriatrics, 3(2):47-52.
  24. Liu, C.K. and Fielding, R.A., 2011. Exercise as an intervention for frailty. Clinics in geriatric medicine, 27(1), pp.101-110.
  25. Liu, L.K., Lee, W.J., Chen, L.Y., Hwang, A.C., Lin, M.H., Peng, L.N. and Chen, L.K., 2015. 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), p.e0136968.
  26. Lumsden, J., Edwards, E.A., Lawrence, N.S., Coyle, D. and Munafò, M.R., 2016. Gamification of cognitive assessment and cognitive training: a systematic review of applications and efficacy. JMIR Serious Games, 4(2).
  27. Manafo, E., Wong., S. 2012. Health literacy programs for older adults: a systematic literature review. Health Educ Res. 27(6):947-60.
  28. Matthews, F.E., Arthur, A., Barnes, L.E., et al. 2013. 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. The Lancet, 382(9902):1405-1412.
  29. Michel, J.P., Dreux, C., Vacheron, A. 2016. Healthy ageing: evidence that improvement is possible at every age. European Geriatric Medicine, 7(4), pp.298-305.
  30. Morley, J.E., Vellas, B., van Kan, G.A., et al. 2013. Frailty consensus: a call to action. Journal of the American Medical Directors Association 14:392-7.
  31. Ngandu, T., Lehtisalo, J., Solomon, A., Levälahti, E., Ahtiluoto, S., Antikainen, R., Bäckman, L., Hänninen, T., Jula, A., Laatikainen, T. and Lindström, J., 2015. 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. The Lancet, 385(9984), pp.2255-2263.
  32. Norman, C., Skinner, H. 2006. eHealth literacy: Essential skills for consumer health in a networked world. J Med Internet Res, 8:e9.
  33. O'Caoimh, R., Gao, Y., McGlade, C., Healy, L., Gallagher, P., Timmons, S., Molloy, D.W. 2012. Comparison of the Quick Mild Cognitive Impairment (Qmci) screen and the SMMSE in Screening for Mild Cognitive Impairment. Age and Ageing 41(5):624-9.
  34. O'Caoimh, R., Gao, Y., Gallagher, P., Eustace, J., McGlade, C., Molloy, D.W. 2013. Which Part of the Quick Mild Cognitive Impairment Screen (Qmci) Discriminates Between Normal Cognition, Mild Cognitive Impairment and Dementia? Age and Ageing 42: 324-330.
  35. O'Caoimh, R., Svendrovski, A., Johnston, B., Gao, Y., McGlade, C., Timmons, S., Eustace, J., Guyatt, G., Molloy, D.W. 2014a. The Quick Mild Cognitive Impairment Screen correlated with the Standardised Alzheimers Disease Assessment Scale-cognitive section in clinical trials. Journal of Clinical Epidemiology 67, 87-92.
  36. 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. 2015a. The Risk Instrument for Screening in the Community (RISC): A New Instrument for Predicting Risk of Adverse Outcomes in Community Dwelling Older Adults. BMC Geriatrics 15:92. doi: 10.1186/s12877-015-0095-z.
  37. O'Caoimh, R., Sweeney, C., Hynes, H. et al. 2015b. 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.
  38. O'Caoimh, R., Sato, S., Wall, J., Igras, E., Foley, M.J., Timmons, S., Molloy, D.W. 2015c. Potential for a "Memory Gym" Intervention to Delay Conversion of Mild Cognitive Impairment to Dementia. Journal of the American Medical Directors Association 16 (11), pp.998-999.
  39. O'Caoimh, R., Timmons, S., Molloy, D.W. 2016. Screening for Mild Cognitive Impairment: Comparison of "MCI Specific" Screening Instruments. Journal of Alzheimer's disease 51(2):619-29.
  40. O'Caoimh, R., Gao, Y., Gallagher, P., Eustace, J., Molloy, W. 2017. Comparing Approaches to Optimize Cut-off Scores for Short Cognitive Screening Instruments in Mild Cognitive Impairment and Dementia. Journal Of Alzheimer's Disease, in press.
  41. O'Shea, E., Trawley, S., Manning, E. et al. 2016. Malnutrition in hospitalised older adults: A multicentre observational study of prevalence, associations and outcomes J Nutr Health Aging doi:10.1007/s12603-016-0831-x
  42. 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. and King, A.C. 2014. Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. Jama, 311(23), pp.2387-2396.
  43. Pauly, L., Stehle, P., Volkert, D. 2007. Nutritional situation of elderly nursing home residents. Z Gerontol Geriatr 40(1):3-12.
  44. Peters, L.L., Boter, H., Slaets, J.P., Buskens, E. 2013. Development and measurement properties of the self assessment version of the INTERMED for the elderly to assess case complexity. Journal of Psychosom Res ;74(6):518-522.
  45. 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. and Steffens, D.C., 2008. Prevalence of cognitive impairment without dementia in the United States. Annals of internal medicine, 148(6), pp.427-434.
  46. Prince, M., Bryce, R., Albanese, E., Wimo, A., Ribeiro, W., Ferri, C.P. 2013. The global prevalence of dementia: a systematic review and meta-analysis. Alzheimers Dementia, 9(1):63-75.
  47. Rechel, B., Grundy, E., Robine, J.M., Cylus, J., Mackenbach, J.P., Knai, C., et al. 2013. Ageing in the European Union. The Lancet, 381(9874):1312-22.
  48. Robertson, M.C., Devlin, N., Scuffham, P., Gardner, M.M., Buchner, D.M., Campbell, A.J. 2001. Economic evaluation of a community based exercise programme to prevent falls. J Epidemiol Community Health 55:600-606.
  49. 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. 2013. Searching for an operational definition of frailty: a Delphi method based consensus statement. The frailty operative definition-consensus conference project. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68(1):62-7.
  50. Roe, L., O'Halloran, A., Normand, C., Murphy, C. 2016. The impact of frailty on public Health Nurse Service Utilisation: Findings from the Irish Longitudinal Study On Ageing (TILDA).
  51. Santos-Eggimann, B., Cuenoud, P., Spagnoli, J., Junod, J. 2009. Prevalence of Frailty in Middle-Aged and Older Community-Dwelling Europeans Living in 10 Countries. Journals of Gerontology Series aBiological Sciences and Medical Sciences, 64, 675- 681.
  52. Satizabal, C.L., Beiser, A.S., Chouraki, V., Chêne, G., Dufouil, C., Seshadri, S.2016. Incidence of dementia over three decades in the Framingham Heart Study. N Engl J Med, 374(6):523-532.
  53. Scanlon, L., O'Shea, E., O'Caoimh, R., Timmons, S. 2015. Technology use, frequency and self-rated skills: A survey of community dwelling older adults. Journal of American Geriatrics Society 63(7):1483-4.
  54. Schilp, J., Kruizenga, H.M., Wijnhoven, H.A., Leistra, E., Evers, A.M., van Binsbergen, J.J., Deeg, D.J. and Visser, M., 2012. High prevalence of undernutrition in Dutch community-dwelling older individuals. Nutrition, 28(11), pp.1151-1156.
  55. Selwyn, N., Gorard, S., Furlong, J. and Madden, L., 2003. Older adults' use of information and communications technology in everyday life. Ageing and society, 23(05), pp.561-582.
  56. Sergi, G., Veronese, N., Fontana, L., De Rui, M., Bolzetta, F., Zambon, S., Corti, M.C., Baggio, G., Toffanello, E.D., Crepaldi, G. and Perissinotto, E. 2015. Prefrailty and risk of cardiovascular disease in elderly men and women: the Pro. VA study. Journal of The American college of cardiology, 65(10), pp.976-983.
  57. Shakersain, B., Santoni, G., Faxén-Irving, G., Rizzuto, D., Fratiglioni, L., Xu, W. 2016. Nutritional status and survival among old adults: an 11-year populationbased longitudinal study. European Journal of Clinical Nutrition, 70, 320-325.
  58. Song, X., Mitnitski, A., Rockwood, K. 2010. Prevalence and 10-year outcomes of frailty in older adults in relation to deficit accumulation. J Am Geriatr Soc 58(4):681-7.
  59. Sternberg, S.A., Schwartz, A.W., Karunananthan, S., Bergman, H., Clarfield, A.M. 2011. The Identification of Frailty: A Systematic Literature Review. Journal of the American Geriatrics Society, 59, 2129-2138
  60. Steverink, N., Slaets, J.P.J., Schuurmans, H., Van Lis, M. 2001. Measuring frailty: developing and testing the GFI (Groningen Frailty Indicator). Gerontologist. 2001;41(Special Issue 1):236.
  61. Strawbridge, W.,J., Shema, S.,J., Balfour, J.,L., Higby, H.,R., Kaplan, G.,A. 1998. Antecedents of frailty over three decades in an older cohort. J Gerontology 53b(1);ppS9-16.
  62. Tabak, M., Brusse-Keizer, M., van der Valk, P., Hermens, H. and Vollenbroek-Hutten, M. 2014. A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial. International journal of chronic obstructive pulmonary disease, 9, p.935.
  63. Thomas, S., Mackintosh, S. and Halbert, J. 2010. Does the 'Otago exercise programme'reduce mortality and falls in older adults?: a systematic review and metaanalysis. Age and Ageing, 39(6):pp681-7.
  64. Turner, G., Clegg, A; British Geriatrics Society; Age UK; Royal College of General Practioners. 2014. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners report. Age and Ageing, 43(6):pp744-7.
  65. van Kempen, J.A., Schers, H.J., Philp, I., Rikkert, M.G.O. and Melis, R.J., 2015. Predictive validity of a two-step tool to map frailty in primary care. BMC medicine, 13(1), p.1.
  66. van Staveren, W.A. and de Groot, L.C.P. 2011. Evidencebased dietary guidance and the role of dairy products for appropriate nutrition in the elderly. Journal of the American College of Nutrition, 30(sup5), pp.429S437S.
  67. Vollenbroek-Hutten, M., Pais, S., Ponce, S., Dekker-van Weering, M., Jansen-Kosterink, S., Schena, F., Tabarini, N., Carotenuto, F., Iadicicco, V. and Illario, M. 2015. Rest Rust! Physical active for active and healthy ageing. Translational medicine@ UniSa, 13, p.19.
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in Harvard Style

O'Caoimh R., Molloy D., Fitzgerald C., Van Velsen L., Cabrita M., Nassabi M., de Vette F., Dekker-van Weering M., Jansen-Kosterink S., Kenter W., Frazer S., Rauter A., Turkman A., Antunes M., Turkman F., S. Silva M., Martins A., Costa H., Albuquerque T., Ferreira A., Scherillo M., De Luca V., Illario M., García-Rudolph A., Sanchez-Carrion R., Solana Sánchez J., Aguilera E., Hermens H. and Vollenbroek-Hutten M. (2017). Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study . In Proceedings of the 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE, ISBN 978-989-758-251-6, pages 91-103. DOI: 10.5220/0006331800910103


in Bibtex Style

@conference{ict4awe17,
author={Rónán O'Caoimh and D. William Molloy and Carol Fitzgerald and Lex Van Velsen and Miriam Cabrita and Mohammad Hossein Nassabi and Frederiek de Vette and Marit Dekker-van Weering and Stephanie Jansen-Kosterink and Wander Kenter and Sanne Frazer and Amélia P. Rauter and Antónia Turkman and Marília Antunes and Feridun Turkman and Marta S. Silva and Alice Martins and Helena S. Costa and Tânia Gonçalves Albuquerque and António Ferreira and Mario Scherillo and Vincenzo De Luca and Maddalena Illario and Alejandro García-Rudolph and Rocío Sanchez-Carrion and Javier Solana Sánchez and Enrique J. Gomez Aguilera and Hermie Hermens and Miriam Vollenbroek-Hutten},
title={Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study},
booktitle={Proceedings of the 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE,},
year={2017},
pages={91-103},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006331800910103},
isbn={978-989-758-251-6},
}


in EndNote Style

TY - CONF
JO - Proceedings of the 3rd International Conference on Information and Communication Technologies for Ageing Well and e-Health - Volume 1: ICT4AWE,
TI - Healthcare Recommendations from the Personalised ICT Supported Service for Independent Living and Active Ageing (PERSSILAA) Study
SN - 978-989-758-251-6
AU - O'Caoimh R.
AU - Molloy D.
AU - Fitzgerald C.
AU - Van Velsen L.
AU - Cabrita M.
AU - Nassabi M.
AU - de Vette F.
AU - Dekker-van Weering M.
AU - Jansen-Kosterink S.
AU - Kenter W.
AU - Frazer S.
AU - Rauter A.
AU - Turkman A.
AU - Antunes M.
AU - Turkman F.
AU - S. Silva M.
AU - Martins A.
AU - Costa H.
AU - Albuquerque T.
AU - Ferreira A.
AU - Scherillo M.
AU - De Luca V.
AU - Illario M.
AU - García-Rudolph A.
AU - Sanchez-Carrion R.
AU - Solana Sánchez J.
AU - Aguilera E.
AU - Hermens H.
AU - Vollenbroek-Hutten M.
PY - 2017
SP - 91
EP - 103
DO - 10.5220/0006331800910103