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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 .