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Deliverable D28: Formalized results of final testing and optimization activities: Summarization of testing and evaluation of final testing of continuously improved system in the form of prototypes in real world environments and presentation of optimization measures (associated with tasks T6.5, T6.6, T6.7, T6.8). D28 is an update on D27. Additional associated deliverables are D12, D13, D23, D31, and D44. Abstract: In order to provide a comprehensive summary of all testing activities, the medical core group (DTU, HUG, SK, TUM) created a mini protocol template (which requested the outline of some methodological aspects of each study such as study designs, the recruitment phase, population under investigation, etc.), and ensured that data were submitted and provided by the trial manager to the core group. In this deliverable we present, structure, and interpret the formalized results of the final testing and optimization activities of all testing activities in REACH. The deliverable includes the summarization of testing and evaluation of final testing of a continuously improved system in the form of prototypes in real world environments and the presentation of optimization measures. The deliverable is an update on deliverable D27 and associated with tasks T6.5, T6.6, T6.7, T6.8. In reaction to the reviewers' comments we initiated additional trials focusing on practice cases. Those trials are specifically ladled and included in the updated overview. A review on factors, i.e., falling, frailty, cognitive decline , sarcopenia, social isolation, and malnutrician, was performed to show the most important cofactors. Addressed in this deliverable is also the role of privacy and the hierarchy of needs which are essential components of the acceptance and use of technology .
Standardization activities
(2020)
REACH has the ambition to influence and gain from standardization on national, European, and international level. We aim to create synergies between parallel work on these levels that will finally make a beneficial impact. Systematic parallel and synergeti cwork on these levels allow REACH to create a maximized impact for all involved stakeholders, and in particular, create better health and health care “ecosystems” for potential REACH end users.
This deliverable report examines the outcome of the construction of functional or partly functional prototypes or mock-ups of Personalized Interior Intelligent Environment Units (PI²Us) for demonstration and testing purposes, associated with Task T5.4. The first part of this document will give an overview of the relation of this task to other tasks of WP5, other work packages, and the larger framework of the REACH project. The second part sets out the details of the progressive development from early concepts to the current prototyping stage. Moreover, the subsequent lab-based testing is described in the third part of the report. This includes both already carried out and planned testing activities for either early stage validation or final demonstration in a naturalistic test environment. Finally, part four summarizes the results and puts the different prototypes in perspective to the respective touchpoints and the overall REACH engine functionality. This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 690425.
Deliverable D32: Detailed set of privacy guidelines and schemata Responsive Engagement of the Elderly promoting Activity and Customized Healthcare 2 Deliverable D32: Detailed set of privacy guidelines and schemata: Summarization of the outcome of the development of necessary data privacy and security schemata to (1) protect sensed data; (2) ascertain computational anonymity; (3) ensure privileged intervention access (associated with task T.7.5). Abstract: This deliverable report examines the outcomes of the REACH research project with regard to data privacy and data security, associated with Task T7.5. This document gives an overview of our analyses involving ethics and privacy concerns in terms of the individual touchpoints and shows how these findings guided the project towards the determination of the medical purpose and intended use-cornerstones to on the path to market entry. In addition, we provide a brief overview of how the guidelines regarding data protection and encryption influenced the technical design and implementation of project components. Furthermore, we provide an update on the management of legal implications (and the implications resulting from this for system requirements and business strategy) of the use of machine learning and artificial intelligence in the context of REACH solutions, incorporating an external expert opinion. Finally, this deliverable report contains a summary of our approach towards risk gov-ernance and standardization in this regard: our work in REACH on privacy and security schemata, culminated in a CEN Workshop Agreement (guideline) that generalizes REACH outcomes and makes them accessible and usable beyond the REACH consortium .
This deliverable describes the results and reflections by the partners’ efforts on user acceptance and motivation strategies. The report presents the outcome of an identification and detailing of user acceptance and motivation strategies for the overall system (REACH, Touchpoints & Engine concept) and subsystems (Touchpoints, REACH toolkit elements), providing full consideration and detailing of ethical, privacy, legal and usability/accessibility aspects. The REACH system incorporates two strands of technological elements; on the one hand, sensing and monitoring elements, and, on the other hand, motivational and physical engagement elements. For both types, user acceptance is critical allowing for a user experience that leads to (intrinsic, extrinsic, etc.) motivation to more physical activity. The remainder of this Deliverable is structured as follows. First, we introduce the REACH-specific interplay of the concept “user acceptance” with the linked concepts “behaviour change/motivation” and “personalization” in the context of (early) physical activation of elderly persons, and outline the related work and activities conducted in REACH (overall and per TP). Second, we present an analysis and structuring of acceptability drivers (ethical, privacy/security, legal, and accessibility considerations) per Touchpoint. From this we developed an integrated view that represents REACH specific know-how about how to use these acceptability drivers to integrate advanced ICT-driven technology for early detection and intervention use cases seamlessly into age inclusive communities. Third, we present our findings in the context of the development of acceptability drivers for the use of sensing and monitoring elements. We conclude the deliverable by outlining acceptability related evidence and examples from REACH trials (based on Deliverable D27 findings), and by summarizing the overall findings of this deliverable.
In this deliverable, we present, structure and interpret the formalised results of all testing activities that have been carried out thus far in REACH. We first (Chapter 2) introduce the detailed testing strategy of REACH, which details and brings forward previously described conceptual provisions (see Deliverables D4, D9 and D29) and responds to previous reviewer comments (R5 and R6, second review, November 2017; aiming at the improved emphasis of geriatric and medical aspects and their normalisation across Touchpoints and project activities). In response to the reviewers’ comments, REACH re-aligned some of its resources and formed a medical/geriatric task force (SK, HUG, DTU, TUM), which analyses and streamlines testing activities across Touchpoints, clarifies the common goals and measures, and works towards a normalisation of study designs and tools used across the project. We outline in this context the overall hypothesis for the REACH system along with four well-defined sub-hypotheses for each Touchpoint. Based on this, in Chapter 3, we present our methodological approach with regard to testing in REACH and provide an overview and a classification system for all testing activities carried out. Accordingly, in Chapter 4, we present the results (documentation of the carried-out testing activities), and in Chapter 5, we interpret the testing results. Chapter 6 summarises the state of play regarding testing in REACH and outlines the next steps and upcoming activities. The Appendix contains the full trial reports sorted according to a variety of items. This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 690425.
REACH stands for “Responsive Engagement of the Elderly Promoting Activity and Customized Healthcare”. Sustained physical activity matters greatly to the health and well-being of older people and significantly improves their chance of maintaining independent living. It can make a difference across the whole care continuum as well as in almost every setting. Therefore, REACH solutions focus on the systematic, target-oriented increase of physical activity of older people, and tackle the whole prevention spectrum (primary, secondary, and tertiary). It seeks to empower older people and their formal and informal caregivers, and works towards viable solutions for both the formal and in-formal care sector. Technology-based personalization of prevention, activation, and care services provided in various living and care settings is at the center of the developed solutions. Ideally toolkit approach would allow for the tailoring of solutions that create value for end-users, care providers and health care payers alike through the combination, integration and adaptation/re-design elements towards the different contexts of different countries, different payment and reimbursement structures. This Special Issue sheds light on such solutions, their conception, their development, and their testing.