Community Research and Development Information Service - CORDIS


IN LIFE Report Summary

Project ID: 643442
Funded under: H2020-EU.3.1.

Periodic Reporting for period 2 - IN LIFE (INdependent LIving support Functions for the Elderly)

Reporting period: 2016-02-01 to 2017-01-31

Summary of the context and overall objectives of the project

The main idea is to address the challenge of turning existing research efforts to reality for real people across Europe. Existing flexible ICT solutions could assist elderly users with cognitive impairments in organising, carrying out and completing everyday tasks that have been part of their life since ever and constitute essential factors for continuing to be and feel independent. IN LIFE will offer all-around, personalised, multi-faceted existing ICT solutions and services addressing diverse daily activities (eating, physical activity, commuting, mental stimulation, communication, social interaction, etc.) to users with cognitive impairments and their carers living in their own home or in sheltered homes, as well as to their formal and informal carers.

IN LIFE aims to prolong and support the independent living of seniors with cognitive impairments, through interoperable, open, personalised and seamless ICT solutions that support home activities, communication, health maintenance, travel, mobility and socialisation tasks, with novel, scalable and viable business models, based on feedback from large-scale and multi-country pilot applications.

The project’s aim is approached through the following objectives:
- To connect a wide range of adaptable ICT solutions for elderly with various cognitive impairments, into a common open reference architecture, to allow their interconnection and enhance their interoperability.
- To instantiate applications, services and business models to different geographical and sociocultural backgrounds, user group types, as well as lifestyles.
- To provide tools and systems for services adaptation and personalization, to meet the different needs and wants of each individual in a dynamic way, allowing services to evolve together with the users’ health and condition.
- To provide tools and instruction to carers of people with cognitive impairments and/or dementia in order to support communication and functioning in daily life.
- To estimate the return of investment of the different business models and connected services through pilots in 6 sites Europewide (UK, Sweden, The Netherlands, Spain, Greece, Slovenia) and highlight best practices for relevant viable business and financial models for their uptake and instantiation per region and market.
- To issue key guidelines on the proper and ethical application of the proposed business models, to guarantee the respect of users’ wants, lifestyle, personal data and personal beliefs.
- To study the scalability and sensitivity of the tested business models and cases and provide guidelines on their optimal application in different financial, sociocultural and healthcare contexts.

Work performed from the beginning of the project to the end of the period covered by the report and main results achieved so far

The IN LIFE service-oriented architecture has been developed, including the updated specifications of the modules that are part of the IN LIFE ecosystem, by also resolving any interoperability issues among the different parts and modules of the IN LIFE system and specifying the necessary data and control flows between the various components.
The definition of the required framework for the Independent Living Support Module has been achieved. Twelve services are included in the Independent Living Support Module in 6 different categories; being pre-programmed daily functions; health monitoring and wellbeing support functions; mental training; security functions; fall detection and living in the moment.
The travel support module is comprised of a driving assessment, the simplified and elderly-focused MLS navigation support and a public transport support navigation and assistance sub-modules.
The communication and socialization module resulted in a couple of tools (CIRCA and CIRCUS, including support for multilingual and multicultural support), which are accessed via web.
The Carers Support module is focused on services and tools intended to be used by the carers. In particular, it includes tools for: carers monitoring, supervision, scheduling and reminding, tele-consultation, patient management and complaints monitoring and virtual training.
In respect of the pilot sites the baseline phase has been completed, referring to current situation of the data collection. Baseline assessments, covering cognitive function, quality of life and self-reported health status were completed by hundreds of older adults across the six pilot sites. Additional, site-specific measures were also completed to reflect the range of services being offered by the pilot sites, such as quality of relationship measure (United Kingdom), activities of daily life (Netherlands and Spain), and severity of behavioural symptoms (Spain). A measure of family caregiver burden was also completed by caregivers recruited during the Baseline phase. Healthcare staff was also recruited during the Baseline Phase to facilitate comparisons between existing services and the integrated IN-LIFE platform. A number of stakeholders were also recruited, to provide feedback and input to the decision making and support identification and recruitment of appropriate participants. The number of participants recruited at each site were: Greece 285, Netherlands 132, Slovenia 260, Spain 114, Sweden 126 and United Kingdom 75.
A working tool for Cost Benefit Analysis has been developed and can be used to estimate the potential cost or benefit of implementing a specific IN LIFE service over a period of four years. CBA data is available for 12 IN LIFE services so far.
An overview of the pilot sites was provided describing the features of their health system and the pilot set-up. A SWOT analysis was performed to give a preliminary outline of the main advantages and drawbacks of the IN LIFE system.
The first IN LIFE stakeholder dissemination event occurred in Luxembourg at Med-e-tel, on 6-8th April 2016. Building on the 9 publications from Year 1, in Year 2 a total of 32 were achieved plus 3 articles that are submitted but judgment is pending. Also, a Twitter project account has been created, as well as a ResearchGate project page.
The training content has been created for all the user groups for each IN LIFE platform service.
The investigation of existing standards and on-going standardization activities, especially of content and communication in the fields of eAccessibility&eInclusion related aspects continued.

Progress beyond the state of the art and expected potential impact (including the socio-economic impact and the wider societal implications of the project so far)

The primary and most significant impact of the project is going to be to the QoL of the elderly citizens with cognitive impairment and their carers and will be of societal nature. This will be realised through the following: Physical Well-Being, Psychological Well-Being, Social Interaction and Availability of Affordable Advanced Services.
The potential economic impact of IN LIFE for Europe is huge as the elderly (‘silver’) market (i.e. products and services for independent living, home care and mobility) represents an enormous business sector, which currently is highly concatenated in terms of individual-regional markets, as well as independent-focused micro services.
Key impact is expected through the following: Travelling to the Cloud; Evaluation of the services to acquire actual evidence of the potential impact; Bridging the Gap to the Electronic World and Social Media for elderly users with cognitive impairments; and Making novel, scalable and adaptive business models for the silver market, that are widely tested and of proven viability.

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