4.5 Article

Development and implementation of multicomponent homecare interventions for multimorbid and frail older people based on Information and Communication Technologies: The MULTIPLAT_AGE project

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ELSEVIER IRELAND LTD
DOI: 10.1016/j.archger.2023.105252

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Aging; Gerontechnology; Multidimensional prognostic index; Multicomponent intervention; Telerehabilitation

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The prevention and treatment of frailty condition among multimorbid older adults is becoming a healthcare priority. A multidimensional approach using information and communication technology (ICT) offers a way to implement and monitor personalized interventions. The MULTIPLAT_AGE project aims to provide multidimensional interventions for older adults using a shared online platform, including transitional care, automatic home-care, appropriate drug prescription, tele-rehabilitation, and remote cognitive stimulation.
The prevention and treatment of frailty condition among multimorbid older adults, in community and hospital settings, is becoming a healthcare priority. Growing evidence suggests that a multidimensional approach could help not only in the early identification of older patients' needs but also in designing personalized preventive interventions. However, in clinical practice, the effectiveness of such interventions is limited by a lack of continuity of care and poor compliance of patients. The widespread diffusion of the information and communication technology (ICT) could offer an excellent way to implement and monitor multidimensional and personalized interventions for multimorbid older adults. In this scenario, the MULTIPLAT_AGE, is a network project involving five research centers with the main objective to supply multidimensional interventions targeted to cognitive, motor, pharmacological, and functional domains including ICT-based: i) transitional care model from the hospital to a protected home area; ii) automatic home-care system to improve activities of daily living; iii) program to improve appropriate drug prescription in nursing-home residents; iv) tele-rehabilitation program to reduce the risk of falls and v) cognitive stimulation delivered by remote in older adults with neurological disorders. Each project is linked to the others by employing a shared online platform, in a perspective of technological-supplied multicomponent interventions according to the concept of aging in place as the best solution for the treatment and healthcare of older people. Here we describe the general framework of the MULTIPLAT_AGE, and we examine every single project, pointing out innovative aspects, and discussing the expected results.

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