How effective is AAL? - Joanneum Research · 2015 07/2017 – 10/2018 Fig. 1: Project Timeline Fig....

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Inclusion Criteria Care Level (A) 0 – 4 Age 60+ Cognition No present dementia diagnosis Housing situation At home or in a facility for assisted living Need of care Informal or formal care at least twice a week; or visit a day care center; or lives in a facility for assisted living Carer Carer willing to attend as well Technologies No use of a senior tablet or smartwatch with 2 or more of the following features: reminders (medication, drink etc.); measuring vital data; video telephone; technical conditions must be sufficient (e.g. Internet connection) Background Results 111 persons and 104 carers took part in the intervention group 110 participants and 100 carers in the control group Participant characteristics were similar at baseline Average age was 76 years Around 1/3 were formal carers Conclusion Methods 1 2 Results from an RCT among older people in Austria The Styrian test region for AAL solutions (Austria) How effective is AAL? A tendency for more persons in the control group to require assistance after one year could be observed. The subscales autonomy and participation of the WHOQOL-OLD showed some significant declines in the control group (no deterioration in the intervention group). No differences between study arms regarding general health, chronic conditions or hospital admissions were observed. Expected reduction in worry among carers could not be observed, although there was a tendency for some aspects of burden of care to be reduced. The interventions did not lead to a reduction in carers’ workload; neither did the carers see any direct improvement of their situation. Some technologies such as cognitive games on the tablet, portable doorbell and automatic light sensor were positively assessed. The participants in the intervention group scored better on autonomy and participation sub- scales than the control group; the intervention group also fared somewhat better regarding independence. The technologies had little influence on general health states or quality of life of participants or carers. Further good quality studies are needed before AAL technologies are considered as a public health initiative. LÖFFLER Kerstin 1 , SCHMIDT Louise 2 , MAJCEN Kurt 2 1 Geriatric Health Care Centers Graz; 2 JOANNEUM RESEARCH; Austria CONTACT: Kerstin Löffler, MA Albert-Schweitzer Institute for Geriatric Medicine and Gerontology | Albert-Schweitzer-Gasse 36, A-8020 Graz | +43 316 7060-1061; [email protected] Partners The project RegionAAL is partially funded by the benefit programme (No. 850810) of the Austrian Research Promotion Agency (FFG) and the Austrian Ministry for Transport, Innovation and Technology (bmvit). LITERATURE [1] https://www.bitkom.org/sites/default/files/2018-11/181119-Infobroschuere-Digitale-Loesungen-fuer-das-Wohnen-im-Alter-V03%5b1%5d.pdf (last accessed: 03 June 2019) [2] https://www.ffg.at/sites/default/files/allgemeine_downloads/thematische%20programme/IKT/AAL%20Vision%202025.pdf. (last accessed: 03 June 2019) Many older people wish to remain in their own environment for as long as possible; an aim shared by the wider community. But aging causes chronic, physical and mental illnesses. Multimorbidity is associated with social exclusion and thus perceived or actual need for help in the elderly. This increases the need for nursing and social support in order to be able to live independently at home. [1] 2015 07/2017 – 10/2018 Fig. 2: Technologies tested at home Fig. 1: Project Timeline Analyzing evidence Choosing technology, to be tested Randomized controlled trail (n=221) Field test Questionnaires Active and assisted living (AAL) technologies are designed to assist older people in their wish, although only a few technologies have been effective so far. [2] The results of the RegionAAL study (Styria, Austria) are reported here. Needs Literature research

Transcript of How effective is AAL? - Joanneum Research · 2015 07/2017 – 10/2018 Fig. 1: Project Timeline Fig....

Page 1: How effective is AAL? - Joanneum Research · 2015 07/2017 – 10/2018 Fig. 1: Project Timeline Fig. 2: Technologies tested at home Analyzing evidence Choosing technology, to be tested

Inclusion Criteria

Care Level (A) 0 – 4

Age 60+

Cognition No present dementia diagnosis

Housing situation At home or in a facility for assisted living

Need of careInformal or formal care at least twice a week; or visit a day care center; or lives in a facility for assisted living

Carer Carer willing to attend as well

Technologies

No use of a senior tablet or smartwatch with 2 or more of the following features: reminders (medication, drink etc.); measuring vital data; video telephone; technical conditions must be sufficient (e.g. Internet connection)

Background

Results

111 persons and 104 carers took part in the intervention group

110 participants and 100 carers in the control group

Participant characteristics were similar at baseline

Average age was 76 years

Around 1/3 were formal carers

Conclusion

Methods

1 2

Results from an RCT among older people in AustriaThe Styrian test region for AAL solutions (Austria)

How effective is AAL?

A tendency for more persons in the control group to

require assistance after one year could be observed. The

subscales autonomy and participation of the WHOQOL-OLD

showed some significant declines in the control group (no

deterioration in the intervention group). No differences

between study arms regarding general health, chronic

conditions or hospital admissions were observed. Expected

reduction in worry among carers could not be observed,

although there was a tendency for some aspects of burden

of care to be reduced. The interventions did not lead to a

reduction in carers’ workload; neither did the carers see

any direct improvement of their situation.

Some technologies such as cognitive games on the

tablet, portable doorbell and automatic light sensor were

positively assessed. The participants in the intervention

group scored better on autonomy and participation sub-

scales than the control group; the intervention group

also fared somewhat better regarding independence. The

technologies had little influence on general health states

or quality of life of participants or carers. Further good

quality studies are needed before AAL technologies are

considered as a public health initiative.

LÖFFLER Kerstin 1, SCHMIDT Louise 2, MAJCEN Kurt 21 Geriatric Health Care Centers Graz; 2 JOANNEUM RESEARCH; Austria

CONTACT: Kerstin Löffler, MAAlbert-Schweitzer Institute for Geriatric Medicine and Gerontology | Albert-Schweitzer-Gasse 36, A-8020 Graz | +43 316 7060-1061; [email protected]

PartnersThe project RegionAAL is partially funded by the benefit programme (No. 850810) of the Austrian Research Promotion

Agency (FFG) and the Austrian Ministry for Transport, Innovation and Technology (bmvit).

LITERATURE[1] https://www.bitkom.org/sites/default/files/2018-11/181119-Infobroschuere-Digitale-Loesungen-fuer-das-Wohnen-im-Alter-V03%5b1%5d.pdf (last accessed: 03 June 2019)

[2] https://www.ffg.at/sites/default/files/allgemeine_downloads/thematische%20programme/IKT/AAL%20Vision%202025.pdf. (last accessed: 03 June 2019)

Many older people wish to remain in their own environment for as long as possible; an aim shared by the wider community.

But aging causes chronic, physical and mental illnesses. Multimorbidity is associated with social exclusion and thus perceived or actual need for help in the elderly. This increases the need for nursing and social support in order to be able to live independently at home. [1]

2015 07/2017 – 10/2018

Fig. 2: Technologies tested at homeFig. 1: Project Timeline

Analyzing evidence

Choosing technology, to be tested

Randomized controlled trail

(n=221)

Field test

Questionnaires

Active and assisted living (AAL) technologies are designed to assist older people in their wish, although only a few technologies have been effective so far. [2]

The results of the RegionAAL study ( Styria, Austria) are reported here.

Needs

Literatureresearch

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