The document discusses healthy and happy aging through self-management. It describes a project called CONNECARE that aims to co-design an integrated care system for chronic disease management. CONNECARE will involve clinical studies across four sites to test an hybrid solution providing structured self-management tools, decision support, online interventions and education for patients. The goal is to engage and empower older patients by putting them at the center of customized support solutions so they can better manage their health and participate in related activities.

1. 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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2. The Context
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Healthy ageing
is 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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https://vimeo.com/128873380

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From a Duty…
… to a Pleasure
The Goal!

7. Patient Empowerment
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Patient Empowerment
is 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

11. Patient’s Self-Management
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Patient’s Self-Management
is 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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18. The CONNECARE Experience
(preliminary)
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CONNECARE
is 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

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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
Israel
Catalonia
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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29. Conclusions
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Conclusions
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Customization
Participation

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Happy ageing
is 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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Thanks
Gràcies
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 689802
Bedankt ‫תודה‬
Grazie Danke eloisa.vargiu@eurecat.org
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