Based on the early detection and prevention of cognitive and physical decline, the goal of Madrid Deployment Site (DS) is the creation of an AHA community in which not only older adults were involved in Active and Healthy Aging practices with the use of IoT technologies but also, a community in which there was a rethinking of the process of aging in terms of life purpose and identity.
Reference Use Cases:
RUC 1 – Daily Activity monitoring
RUC 5 – Exercise Promotion
RUC 6 – Cognitive stimulation
RUC 7 – Prevention of social isolation
Resilience actions during COVID-19
Engagement strategy were redesigned to overcome face to face meeting restrictions. Communications by phone and instant message application groups were increased. The continuous follow up through MAHA dashboard functionalities allow keep users informed and stay connected. The solutions were adapted to the breakdown conditions providing to every of the users a mindfulness services to deal with stress, promoting indoor virtual events and physical activity at home. Self-assessment protocol were also adapted to discover specific risky situations due to the confinement situation.
Madrid DS participants was divided in experimental group that receive the IoT based intervention and control group that receive the same intervention using traditional care methods. The purpose of this experiment is to demonstrate the benefits of the IoT based intervention against the traditional one.
Experimental group participants have maintained their quality of life in better conditions that the control group.
Following the ACTIVAGE protocol, the IoT service benefits have been measures in terms of impact on the user’s quality of life. In general terms, control group had more problems to maintain their quality of life profile, with clear worsening in case of the RUC6 and less pointed on the RUC1 and RUC5. In this moment, we are analysing the results of the RUC7.
These results are supported by the self-perceived quality of life in the UC6, with better self perceived values (see protocol).
This infographic shows the development of ACTIVAGE in the DS in the different phases of the Project. During the DEMONSTRATION phase shows the IoT elements deployed in the selected IoT platform, during the expand phase the exchanged use cases and their current status and finally, the status of the grow phase and the open caller solution integration.
In general terms, participants in RUC6 valued as positive the use of IoT with results over 5 (scale 0 to 7) in all the categories.
A correlation analysis on these results shown that those users that have positive results on behaviour intention, are those that consider the IoT solution more useful and with more impact on their QoL, and the IoT device caused them less anxiety or problems. In addition, those users that consider the IoT device more useful are those that consider easier to use the system.
Therefore, these are not related with the International Standard Classification of Education (ISCED) level or the technological level, so the facilitating conditions and performance expectancy depends on external factors that should be analysed in the future.
The cost-effectiveness of Madrid IoT based intervention has been represented using the ICER, a value of the proposed intervention in each UC with the current usual intervention. This economic value depends on the health-outcomes of the intervention.
RUC1 and RUC6 have positive ICER (€) values, so implies the technology has the potential to reduce the cost associated to similar no technological solutions.
Decision makers can compare the ICER value with their specific cost-effective threshold or their costumer’s willing to pay (WTP) rate. The following figure represents the ICER for each type of intervention and QoL outcome in Madrid DS. The calculated values are positive since they are lower that the WTP rate obtained in the ACTIVAGE assessment. The use of technology implies that the interventions i at first stage more costly than their comparators, but the long-term application of the solution, together with the positive results in health outcomes provides a positive cost-effectiveness analysis.
DS MAD drives its sustainability from the perspective of the quadruple helix; taking advantage of common infrastructures and economies of scale to strengthen relations with industry and social actors. This open innovation model allows DS MAD to face the new challenges that companies and societies undertake in creating new healthcare strategies.
This perspective in conjunction with the Relational Goods, where older people are providers of critical social goods for the development of society, foster teamwork, collaboration and the exchange of ideas in the DS MAD. This cooperation enhances an ecosystem which guarantees a sustainability strategy focused on the generation of value for the elderly, as well as for all the parties involved in the Madrid ecosystem: academia, public administration, companies and citizens in general.