PERSSILAA works via an iterative process with a yearly cycle. PERSSILAA builds on commitments put in place in the EIP-AHA A3 by its partners and two candidate reference sites and knowledge, products and services resulting from previous partner projects. As a results effective services modules can be put in place and tested in the two validation regions within the first year. Their results will be used to refine and improve the service modules, supportive technology and service organisation.
CYCLE I (M1-M12): Campania region starts with Endocare database for multiscreening of older adults (>65 years) visiting the Church. Webbased physical service modules for exercising and monitoring health status of older adults will be offered via sport clubs at a district level in Enschede. In this first year a shared vision and roadmap for the service modules, technology and service organisation is developed, functional and technical requirements are defined, the ICT architecture and procedures needed to develop an interoperable infrastructure is being set up and the service provision protocols will be developed describing the distribution of tasks and responsibilities amongst stakeholders.
CYCLE II (M13-M24): Development of the service modules, ICT infrastructure and service organization will take place resulting in an elaborated set of services for screening, monitoring and training for nutrition, physical and cognitive functioning that is supported by an interoperable ICT infrastructure. The service protocols are elaborated and the care workers providing these services are trained. First versions of the intelligent ICT core and gamification layer will be developed and tested.
CYCLE III (M25-M36): Development of the service modules, ICT infrastructure and service organization continues, resulting in a final set of service modules for screening, monitoring and training, an interoperable ICT infrastructure that will support and include an intelligent core and gamification layer. This all provided via the communities which are seamlessly integrated with the care sector. In this year this whole set package of service innovation will be validated in both regions.
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 organized way using a more and more integrated, easy to use and attractive technical infrastructure as the project moves on. Outcomes used for validation start with a single domain and elaborate to multiple domains: quality of life, risk on hospitalization and cost effectiveness. Results of the continuous end user evaluation and intensive feedback will ensure the implementation of a highly accepted, high quality service.
The project consists of six work packages. Work package 1 (Management) focuses on reaching the objectives of the project as specified in the work plan in time and with the allocated resources. Administrative Coordinator of the project will be University Twente (UT), an organization with a good track record of coordinating and leading EU-funded projects. Work package 2 (Uses cases and scenario´s) aims to develop a roadmap for the service modules, technology and service organisation scenarios based on the needs and demands of all stakeholders such as older adults and their cares, community care and health care professionals, health authorities, technology developers and service providers. This work package also develops concrete use cases which will be used to determine the functional and technical requirements. Service provision protocols will be described, distributing tasks and responsibilities among stakeholders i.e. the timeline of the tasks and how and when the technology is used by whom. This work package will run throughout the whole project and start from the scenario of Maria as presented in this proposal. The objective of Work package 3 (Service modules) is to develop of the various service modules. This work package starts with the development of a shared vision concerning screening and prevention integrating cognitive, physical and nutritional status as well as a decision making protocol tool to indentify if someone is at risk and decide which services should be provided. Subsequently the service modules for screening, monitoring and training that can be offered in a community setting will be developed. Work package 4 (Technical Infrastructure) focuses on the interoperable service infrastructure underlying these services, a decision support system and a gamification layer. Existing service platforms will be used as a starting point on which selected and developed services resulting from WP3 will be integrated. Work package 5 (Implementation and validation) focuses on implementing and validating PERSSILAA service concept in two different regions in two European countries. As such this work package concerns the service provision protocols, containing a detailed description of the protocol of service delivery, education of user, development of evaluation protocols, METC approvals, data gathering for validation as well as development of business model for sustainable implementation. Work package 6 (Dissemination and exploitation) focuses on dissemination of the work and results of the project to interested parties outside the consortium, such as healthcare professionals, patients, policy makers, industries or academic institutions. For this different materials and methods will be developed and used.