HHE Neurology supplement 2018 | Page 22

FIgure 1
ICT4Life platform testing scenarios
Home scenario Rehabilitation scenario Day-care centre scenario
Patient & Caregiver support
• Information
• Training
• Communication Calendar
• Medication
• Social Support
Sensor deployment
• Security
• Abnormal behaviour
• Symptoms
• 3D Cams
• Binary sensors
• Wearables
Shared Information
• Health & Social Professionals
• Knowledge acquired from sensors
Patient & Caregiver support
• Information
• Training
• Communication Calendar
• Medication
• Social Support
Sensor deployment
• Rehabilitation exercise evolution
• 3D Cameras
• Wearables
Shared Information
• Health & Social Professionals
• Patient therapy evolution
Care Professionals Patient specific data and reminders Patient symptom information
Sensor deployment Security Symptom data Socialization 3D Cameras Wearables
Shared Information Health & Social Professionals functionalities . Implementing improvements takes into consideration the required adjustments due to cultural or regional contexts .
The scenarios A summary of the scenarios are shown in Figure 1 : patients ’ homes , day care centres and rehabilitation rooms .
In the home scenario , personalised training , reminder , communication and rehabilitation services support patients ’ empowerment and independent living . The patient is monitored through several sensors that gather real-time data simultaneously and to detect abnormal behaviours . Thus , the patient and his / her health status are constantly monitored while ensuring independent living . When a risky situation is detected , the platform connects the patient with his / her family , care-givers and professionals through friendly tools . This approach contributes to increasing not only the quality of life of the patients but also of care-givers , who are often patients themselves . The platform finally aims to support the decision-making process of the health professionals who use ICT4Life services to monitor the evolution of the patient ’ s symptoms and medication intake .
The rehabilitation scenario supports the analysis of the patients ’ evolution during therapies and while performing exercises . The continuous monitoring helps professionals from the health and social sectors to assess the effectiveness of the recommended therapies and , eventually , to improve the integrated approach to care for people affected by these neurological diseases .
The day-care centre is the scenario in which several patients will be monitored simultaneously over the pilot phase . The system will support care-givers to obtain specific information on the patients ’ status . The project technologies will allow collection of patients ’ specific data related to their specific symptoms and to establish an exchange of information with professionals , in turn connected to the platform with specific tools .
A continuous process of iterative testing has been designed and the platform functionalities experienced by end-users ( patients , care-givers and professionals ), combining several social research techniques ( including formal testing protocols ). The goal , as in previous phases of the co-design process , has been to identify usability improvements and adapting the technology to the users ’ needs . The co-creation process has involved most of the ICT4Life multi-disciplinary team , including both users and developers . This process is taking place simultaneously in three countries ( France , Hungary and Spain ), in order to address cultural differences through country comparison , and also allowing comparison of patients suffering different disease needs and demands ( Parkinson ’ s disease at different stages and Alzheimer ’ s disease patients ).
The research will also contribute to the analysis of scenarios supported through a method developed by another EU-funded project ( SCIROCCO ) 2 aimed at determinating the strengths and weaknesses of a given geographical region in terms of integration of care . The objective is to ensure the successful and effective scaling-up of the developed platform .
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HHE 2018 | hospitalhealthcare . com
This project has received funding from the European Union ’ s Horizon 2020 Research and Innovation Programme under Grant Agreement n ° 690090 .
This article expresses the authors ’ view and the European Commission is not responsible for any use that may be made of the information it contains .
References 1 Simon Stevens – Chief Executive of NHS England . www . kingsfund . org . uk / audiovideo / simon-stevens-nhs-fiveyear-forward-view ( accessed April 2018 ) 2 www . scirocco-project . eu / ( accessed April 2018 )