Isere DS

The goal of Isère Deployment Site (DS) was to create a continuum of care that combines human and technical assistance, bridging the different moments in an elderly person’s life to limit the loss of autonomy and avoid unnecessary hospitalization The experiment aim to evaluate the interest for the users in the different services proposed: services enabled by a modular personalized home IoT KIT complementing human assistance services:

  1. To respond to the need for anticipating ageing and prevention (panel 1). 
  2. Complement or support human aid aimed at maintaining or restoring autonomy (panel 2 & 3)

Reference Use Cases:

RUC 1 – Daily Activity monitoring

RUC 4 – Emergency trigger

RUC 5 – Exercise Promotion

RUC 7 – Prevention of social isolation

RUC 10 – Notification of abnormal situation

Resilience actions during COVID-19
The home care services suspended their participation due to the collapse of the care services. To maintain users’ engagement during the confinement a set of adapted newsletters were sent to keep informed the users of the services they can access in their neighborhood during the confinement. Amotivation coaching services by phone were launched to all the users.

Socio-demographic distribution

Service benefits

Global items ( Global questionnaire, EQ5D3L) and most local items have been measured through questionnaires according to the ACTIVAGE protocol. Other items are measured through a “Usage evaluation”: 20 semi-conductive interviews with a socioanthropolical methodology at home with beneficiaries (P1) and focus group (P3).

Participants do not change significatively their QoL outcomes during the experiment.

Service acceptance

In the three panels, senior participants ask for regular support and training for TIC usage. Even active seniors of Panel 1 (high autonomy level) are willing to participate to workshops, conferences, meetings that may help them to stay up-to-date. Learning and training are fully part of the service that is to be developed and in which the kit is to find its relevance.

 A taboo or a psychological block about « prevention » or « prevention of autonomy loss ». The participants mainly feel that the kit is « not for them » but perhaps for older people, their older parents or neighbours. They often perceive themselves as caregivers more that dependent persons. They may feel stigmatized by the offer.

Cost effectiveness

In Isère, the ACTIVAGE experiment offers connected products or digital services to elderly in addition to human help. Human help still remains essential although expensive. It has therefore been proposed to all a kit of products and services that can meet their particular needs. So, the kits have been designed to suit each profile in order to encourage people to use them. DS ISE aim was to incite people to become familiar with this new technology and no longer be afraid of it.

Service sustainability

ACTIVAGE solutions’ deployment have faced many difficulties in DS Isère (mainly maturity and reliability technical issues and after January 2020, COVID-19). Those difficulties have limited the possibility to provide in-depth analyses of usages. Designing and providing an « Ideal technological kit » that would support ageing people in a smooth way, in addition with human aid provided by care providers and coordinated by local authorities is still an open project. 2020 Department de l’Isére as launched IsèreADOM as a full service for Autonomy that will highlight some home automation options for domestic security. All sectors involved in sustainable living at home for elderly people will be impacted and shall work hand in hand in the development of the solution deployed. The pilot in Isère shows that nurse auxiliary, installators, tech providers, local authority, craftsmen, insurance companies or mutual insurance companies have to work together to provide a robust business plan for an ACTIVAGE solution.