from healthy to happy ageing: the power of self-management
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AI*AAL.IT 2017 – November 14th, 2017
From Healthy to Happy Ageing:
the Power of Self-Management
Eloisa VARGIU
eloisa.Vargiu@eurecat.org
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The Context
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Healthy ageingis about optimising opportunities for good health,
so that older people can take an active part in society and enjoy an independent and high
quality of life
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From a Duty…… to a Pleasure
The Goal!
Patient Empowerment
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Patient Empowermentis a process through which people gain
greater control over decisions and actions affecting their health
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The Process
understanding by the patient of her/his role
acquisition by patients of sufficient knowledge to be able to engage with their healthcare provider(s)
patient skills
the presence of a facilitating environment
Empowerment
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Strategies
patient self-management
programs
promoting patient
involvement in treatment
decision-making
facilitating the physician-
patient interaction
Patient’s Self-Management
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Patient’s Self-Managementis the systematic provision of education
and supportive interventions by health care staff to increase patients’ skills and confidence in
managing their health issues
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http://www.chcf.org/publications/2005/06/patient-selfmanagement-tools-an-overview
A Classification
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Subordinate
Tools such as video monitoring or home surveillance sensor systems provide
limited patient discretion beyond agreement to use the tools
A Classification
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Structured
These are tools that provide more active self-management, but in highly
defined ways
A Classification
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Collaborative
Tools that have been the most thoroughly examined and embraced by disease
management theorists
It includes decision support aids, online interventions, chronic disease
management aids, and patient education materials
A Classification
NexCura is an online resource that provides timely
and targeted knowledge for patients and
caregivers facing critical treatment choices
Patients using NexCura's patented Cancer Profiler
technology generate reports of individualized
treatment options based on peer-reviewed clinical
research
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Autonomous
Tools for autonomous roles
Do not require regular participation or input from professionals
A Classification
c
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The CONNECARE Experience(preliminary)
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CONNECAREis aimed at co-designing, developing, deploying, and evaluating a novel smart, adaptive integrated care
system for chronic care management
http://www.connecare.eu/
https://youtu.be/776CnQ0p0RI
AI*AAL.IT 2017 – November 14th, 2017
The Scenario
Three case studies Community-based prevention of
unplanned hospital-related events in chronic complex patients with high risk for hospitalization
Preventive patient-centered intervention in complex chronic patients undergoing elective major surgical procedures
Pre-habilitation intervention in high risk candidates for major surgery
IsraelCatalonia
Groningen
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Iterative Co-Design
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Co-Design Approach
User requirements
User centered evaluation
Final system deployment
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Feedback and Requirements
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Physical activity
Sleeping
Self-administrated questionnaires
Health status
Pharmacological adherence
Communication patient-
professional
Virtual visits
Integration with the PHF
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An Hybrid Solution
It provides active self-management in highly defined ways
It includes decision support aids, online interventions, chronic disease management aids, and patient education materials
It may not require regular participation or input from professionals
Integrated in the hospital information system
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The Underlying Model
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Current Status
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Physical activity and sleeping monitoring
Health status monitoring
Messaging
Educational material
Self-administrated questionnaires
Nutrition
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Current Status
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The Near Future
The feasibility test is going to start (end of November)
Clinical studies will start at the beginning of February and will last 18 months, in the four sites Barcelona / Hospital Clínic
Lleida / Hospital de Santa Maria
Israel / Assuta medical center
Groningen / Medical University
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Conclusions
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Conclusions
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Customization
Participation
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Happy ageingis about engaging older people putting them in
the centre of support solutions, so that they can be aware of their health status and participatory
in all the related activities
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ThanksGràcies
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 689802
Bedankt תודהGrazie Danke eloisa.vargiu@eurecat.org
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