FP7 European project
1 Nov 2013 – 1 Nov 2016
PERSSILAA is a unique project that aims to develop and validate a new service model to screen for and prevent frailty in community dwelling older adults. PERSSILAA stands for PERsonalised ICT Supported Service for Independent Living and Active Ageing. This multimodal service model, focusing on nutrition, physical and cognitive function, is supported by an interoperable ICT service infrastructure, utilising intelligent decision support systems and gamification. Offered to older adults (> 65 years) through local community service, PERSSILAA will be seamlessly integrated with health care services.
There is continuous end user involvement and evaluation with 350 older adults in real implementation environments to ensure increasing system efficiency and easy end user acceptance. Outcomes focus on daily activities, quality of life and risk of hospitalisation. PERSSILAA builds business models for sustainable implementation and develops recommendations for European guidelines. The consortium consists of 8 partners from 5 different countries across Europe (The Netherlands, Ireland, Portugal, Italy and Spain) providing a unique skills mix, merging social, medical and technological sciences with industry, academia and end user organisations. The partners are experienced in different markets and together they are able to exploit the results in Europe as well as globally.
PERSSILAA does not start from scratch but builds on activities within European Innovation Partnership on Active and Healthy Aging and on results of various earlier European projects.
PERSSILAA services will be provided via the community and is seamlessly integrated with the care sector. Validation will be performed in two regions; the Enschede region in the Netherlands and the Campania region in Italy. Validation is an ongoing process throughout the whole project. A small group of older adults (> 65) will enroll in the study in the first year and recruitment will continue until a total of 350 participants. All older adults will remain in the study for the duration of the project and will be offered more advanced and appealing set of services in an even better organised way using a more and more integrated, easy to use and attractive technical infrastructure as the project moves on. Results of the continuous end user evaluation and intensive feedback will ensure the implementation of a highly accepted, high quality service.
The main focus for PERSSILAA is threefold. Firstly, remote service modules for screening, monitoring and training of elderly in their own daily environment will be developed, to support them in physical and cognitive functioning and healthy nutrition. The way our care services are organised will innovate from fragmented reactive disease management into preventive personalised services offered through local community services, supported by a proactive team of caregivers and health professionals and integrated into existing healthcare services. Finally, a technical service infrastructure will be realised to support these multiple services and users in an efficient, reliable, easy to use way and therefore works on gamification, interoperability and clinical decision support.
The following activities will be addressed within the PERSSILAA project:
- Development of a shared vision and decision making protocols regarding integrated multidimensional screening and prevention of frailty.
- Development of an ICT supported multidimensional screening tool, that provides a holistic view on health state by integrating nutrition, physical and cognitive domains
- Development of multilevel sensor processing and data fusion algorithms for on-body and environmental sensors to quantitatively monitor every day functioning within each frailty relevant domain as well as on an integrated level over the three domains.
- Development of remote training modules with a quantitative assessment of performance and compliance that can be used by older adults independently, in a safe and personalised manner.
- Development of an interoperable infrastructure to support adequate data handling from heterogeneous sources like data access, decision support, information supply and communication so that the multiple types of services can be delivered by a varying end user groups.
- Development of intelligent decision support tools on top of the interoperable infrastructure for reasoning on heterogeneous data-streams in combination with domain experts’ knowledge to derive recommendations applied in screening, monitoring, guidance of treatments and proactive coaching of the individual users
- Development of a gamification layer to enhance motivation and adherence to the services and by this to healthy behaviour. Actual performance on the different domains will be integrated, compared with ones individual goals and resulting in a rewarding that can be shared with others.
- Implementation and validation of the service innovation for older adults ( > 65 years) living in the community in two different regions (municipality of Enschede, The Netherlands and Campania region, Italy) to demonstrate the proof of concept, quality of life and quality of care as well as development of business cases for sustainable cost effective implementation.
- Developing recommendations for guidelines for screening and prevention of frailty in older persons within the community.