Work package 5

WP5, Implementation and Validation, focusses on the implementation and validation of the results of WP2, WP3 and WP4 by a continuous elaborating cohort study.

Implementing and validating the PERSSILAA service concept will be performed in two different regions in two European countries (Italy, Campania region and the Netherlands, region Twente). Both are acknowledged as reference site in the framework of the European Innovation Partnership on Active and Health Aging (EIP-AHA).
This workpackage starts with the development of service provision protocols containing a detailed description of the protocol of service delivery starting from the scenarios and use cases developed in WP2. Subsequently education of the end users using the services being both the professionals as well as the elderly will take place. For the validation, a cohort study will be designed meaning that the outcome criteria, in- and exclusion criteria and the assessment moments will be defined in detail and ethical committee approval will be applied for. The first phase of the trial is aimed to carry out a general screening that will be followed wherever appropriate by a second assessment focusing on specific dimensions of frailty that affect quality of life of older adults being nutrition, cognitive status and physical activity. Based upon the results obtained by the assessment phase, a set of integrated services will be provided, that include:

  • Information on the relevance and advises for adequate physical & cognitive functioning and nutrition
  • ICT supported self-management programs for physical functioning, cognitive functioning and nutrition;
  • Professionally supported personalized plan including face to face and remote physical activity, nutritional plan and cognitive training.

Validation will be performed in 350 elderly persons using the services.

A business model will be developed to analyze the costs and benefits of PERSSILAA. The costs and benefits will be defined by literature research and interviews with the stakeholders, with a focus on adverse health outcomes, clinical frailty index (CFS) and carer strain questionnaires (CSQ). The economic evaluation will be conducted from a societal perspective, including costs incurred by healthcare professionals and by the elderly persons in terms of resource use.