Is Ambient Assisted Living the Panacea for Ageing Population? ( Ambient Intelligence and Smart Environments )

Publication series : Ambient Intelligence and Smart Environments

Author: d'Angelantonio M.;Oates J.  

Publisher: Ios Press‎

Publication year: 2013

E-ISBN: 9781614991915

P-ISBN(Paperback): 9781614991908

Subject: TP3 Computers

Keyword: 计算技术、计算机技术

Language: ENG

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Description

The ageing population of Europe is a well-documented phenomenon and there is general agreement that it has serious implications for all European citizens as well as for policymakers and politicians. The current paradigm of caring for elderly citizens in residential homes is becoming untenable and it is also unpopular with many elderly people themselves. New ways of caring which engage and empower older adults more actively, and are also more cost-effective, must be found. The four-year DREAMING (elDeRly-friEndly Alarm handling and MonitorING) project carried out randomized controlled trials across six pilot sites to assess the impact of tele-monitoring on the health and quality of life of older people with chronic health conditions living at home. This book documents the results of the DREAMING project, which addressed one of the most important health and social care issues affecting older adults: namely, monitoring older people from a clinical point of view as a preventative measure to reduce exacerbations requiring intensive medical treatment, ensure their safety indoors and outdoors, and reduce their loneliness through eInclusion tools. This, in turn, improves the ability of care professionals to support these people, all in a cost effective way. The clinical results of the quality of life and economic impact assessments, together with the outcome of the user satisfaction survey are presented in the book, and lessons learned, as well as guidelines for the deployment of

Chapter

HIS Central Unit

HIS Portal

Vital Monitors

Environmental Monitors

Mobile Option

ello! Videoconferencing System

Scaling the DREAMING Platform - Technology and Support

The Evolution of Technology - The DREAMING Platform in 2013

The Central Unit

The Smartphone or Tablet

The Trial Sites

Denmark - Overview of Trial Site

Estonia - Overview of Trial Site

Germany - Overview of Trial Site

Italy - Overview of Trial Site

Spain - Overview of Trial Site

Sweden - Overview of Trial Site

Equipment Installed

DREAMING Clinical Trial Protocol According to the CONSORT Checklist Items

Objectives

Inclusion and Exclusion Criteria for Participants

Interventions

Interventions in the Intervention Group

Interventions in the Control Group

Sample Size

Statistical Methods

Information About the Trial Populations

Recruitment of Users

Denmark

Estonia

Germany

Italy

Spain

Sweden

Analysis of the User Population

Denmark

Estonia

Germany

Italy

Spain

Sweden

The Outcome

List of the Primary and Secondary Outcomes

Rationale for Clinical Impact Indicator Definition

Health Status Questionnaire SF-36 v2

HADS (Hospital Anxiety and Depression Scale)

Full List of Clinical Impact (Outcome) Indicators Used in DREAMING

Time Points and Methods of Outcome Assessment

Analysis of the Primary and Secondary Outcomes

SF-36 & HADS - Overview

SF-36 Consolidated Cross Site Analysis

HADS

Discussion

Effect on Mental/Clinical Events

Considerations & Limitations

Initial Conclusions

User Satisfaction

Methodology

Cross-Pilot Analysis and Results

Conclusions and Lessons Learned

Economic Impact

Approach

Economic Indicators

Clinical Activity Indicators

Services Tariffs

Considerations

Costs Elements

Denmark

Estonia

Germany

Italy

Spain

Sweden

Overall Conclusions

Lessons Learned

Implementation Guidelines and Recommendations

Objective of Service

Prerequisites

Selection of Participants

Planning Installation

Equipment Selection: Reliability, Evaluation and Certification

Devices: Aim of Their Use, Training Users

Monitoring and Handling Alarms - What to Do in Case of Emergency - The Contact Centre

Empowerment of Older Participants and Role of Care Givers

Professionals: Roles, Rules, Expertise

Towards a New Integrated Home Care

Customer Satisfaction Evaluation and Feedback

Cost/Benefit Evaluation

Lessons Learned

General

Organisational

Selection of Citizens/Patient for Tele-Monitoring

Service Reliability

Equipment

Medical Devices

Market Analysis

Market Segmentation

Overview

Sizing of the Market for DREAMING in the Participating Countries

The Market for DREAMING in the EU

User Advisory Group Feedback

Main Conclusions

Usability, Technology Acceptance

Technology Performance, Installation and Maintenance

Workforce and Service Organization

Sustainability and Wide Deployment

Main Recommendations

Further Research and Data

Business Case

New Technology Components

Conclusions

Appendix A - Questionnaires

SF-36

Hospital Anxiety Depression Scale (HADS)

Appendix B - Glossary

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