Designing Multidimensional Assessment of ICTs for Elderly People: The UNCAP Clinical Study Protocol

  • S. Anzivino
  • G. Nollo
  • V. Conotter
  • G. M. A. Guandalini
  • G. Conti
  • F. TessaroloEmail author
Conference paper
Part of the Lecture Notes in Electrical Engineering book series (LNEE, volume 544)


The elder with mild or moderate cognitive impairment (MMCI) suffers from progressive cognitive decline with increasing difficulties in performing activities of daily living. Information and Communication Technology (ICT) for Healthcare can provide solutions to relief the caregivers’ burden and to support the elder in maintaining dignity and independence. The UNCAP European project aimed at developing and testing a bundle of hardware and software technologies able to fit the individual needs of the elder with MMCI and his/her formal and informal caregivers. A multicenter clinical investigation was designed for assessing improvements in the quality of life of all users (elderly with MMCI and their caregivers) and the impact on the use of resources for care. Six pilot sites in Italy were involved in this clinical investigation. A complex set of assessment tools allowed exploring a wide range of dimensions and to extract common indicators and outcomes in accordance to the assessment dimensions required by the Health Technology Assessment approach.


Clinical investigation Healthy aging ICT Health technology assessment 



The UNCAP project and the research leading to these results has received funding from the European Union’s Horizon 2020 research and innovation programme—Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643555.


  1. 1.
    Aloulou H, Mokhtari M, Tiberghien T et al (2013) Deployment of assistive living technology in a nursing home environment: methods and lessons learned. BMC Med Inform Decis Mak 13:42. Scholar
  2. 2.
    Armstrong N, Nugent C, Moore G et at (2010) Using smartphones to address the needs of persons with Alzheimer’s disease. Ann Telecommun 65:485–495CrossRefGoogle Scholar
  3. 3.
    Bamidis PD, Fissler P, Papageorgiou SG et al (2015) Gains in cognition through combined cognitive and physical training: the role of training dosage and severity of neurocognitive disorder. Front Aging Neurosci 7:152. Scholar
  4. 4.
    Baruch J, Downs M, Baldwin C et al (2004) A case study in the use of technology to reassure and support a person with dementia. In Moriarty J (ed) Dementia. Innovative practice vol 3(3). SAGE Publications, USA, pp 371–392Google Scholar
  5. 5.
    Bharucha AJ, Anand V, Forlizzi J et al (2009) Intelligent assistive technology applications to dementia care: current capabilities, limitations, and future challenges. Am J Geriatr Psychiatr: Off J Am Assoc Geriatr Psychiatry 17:88–104. Scholar
  6. 6.
    Boman IL, Persson AC, Bartfai A (2016) First steps in designing an all-in-one ICT-based device for persons with cognitive impairment: evaluation of the first mock-up. BMC Geriatr 16:61. Scholar
  7. 7.
    Bossen AL, Kim H, Williams KN et al (2015) Emerging roles for telemedicine and smart technologies in dementia care. Smart Homecare Technol Telehealth 3:49–57. Scholar
  8. 8.
    Brodaty H, Green A (2002) Who cares for the carer? The often forgotten patient. Aust Fam Phys 31:833Google Scholar
  9. 9.
    Centers for Disease Control and Prevention (2013) The state of aging and health in America.
  10. 10.
    Cook DJ, Augusto JC, Jakkula VR (2009) Ambient intelligence: technologies, applications, and opportunities. Pervasive Mob Comput 5:277–298CrossRefGoogle Scholar
  11. 11.
    Glozman JM, Bicheva KG, Fedorova NV (1998) Scale of Quality of Life of Care-Givers (SQLC). J Neurol 245:S39–S41CrossRefGoogle Scholar
  12. 12.
    Lexis M, Everink I, van der Heide L, Spreeuwenberg M et al (2013) Activity monitoring technology to support homecare delivery to frail and psychogeriatric elderly persons living at home alone. Technol Disabil 25:189–197Google Scholar
  13. 13.
    Logsdon RG, Gibbons LE, McCurry SM et al (2002) Assessing quality of life in older adults with cognitive impairment. Psychosom Med 64:510–509CrossRefGoogle Scholar
  14. 14.
    Medical mood ring (2004) Technology review. 2007
  15. 15.
    Mihailidis A, Barbenel JC, Fernie GR (2004) The efficacy of an intelligent orthosis to facilitate handwashing by persons with moderate-to-severe dementia. Neuropsychol Rehabil 14:135–171CrossRefGoogle Scholar
  16. 16.
    Monin J, Schulz R (2009) Interpersonal effects of suffering in older adult caregiver relationships. Psychol Aging 24:681–695CrossRefGoogle Scholar
  17. 17.
    Pot AM, Willemse BM, Horjus S (2012) A pilot study on the use of tracking technology: feasibility, acceptability, and benefits for people in early stages of dementia and their informal caregivers. Aging Ment Health 16:127–134CrossRefGoogle Scholar
  18. 18.
    Prince M, Jackson J (2009) International AD: world alzheimer report 2009. In: Alzheimer’s disease international.
  19. 19.
    Reisberg B, Ferris S, De Leon M, Crook T et al (1988) Global deterioration scale (GDS). Psychopharmacol Bull 24:661Google Scholar
  20. 20.
    Schulz RS, Sherwood PR (2008) Physical and mental health effects of family caregiving. Am J Nurs 108:23–27CrossRefGoogle Scholar
  21. 21.
    Tadiran Life Care Aerotel Medical Systems (2007)
  22. 22.
    Tchalla AE, Lachal F, Cardinaud N et al (2013) Preventing and managing indoor falls with home-based technologies in mild and moderate Alzheimer’s disease patients: pilot study in a community dwelling. Dement Geriatr Cogn Disord 36:251–261CrossRefGoogle Scholar
  23. 23.
    Woods B, Aguirre E, Spector AE et al (2012) Cognitive stimulation to improve cognitive functioning in people with dementia. Cochrane Database Syst Rev 15:2 CD005562Google Scholar
  24. 24.
    Yardley L, Beyer N, Hauer K et al (2005) Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing 34:614–619CrossRefGoogle Scholar
  25. 25.
    Zarit S (2006) Assessment of family caregivers: a research perspective. Family Caregiver Alliance, San Francisco, CAGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • S. Anzivino
    • 1
    • 2
  • G. Nollo
    • 1
    • 2
  • V. Conotter
    • 3
  • G. M. A. Guandalini
    • 4
  • G. Conti
    • 5
  • F. Tessarolo
    • 1
    • 2
    Email author
  1. 1.IRCS-HTA GroupPAT-FBKTrentoItaly
  2. 2.BIOTech-DII, University of TrentoTrentoItaly
  3. 3.SOCIAL IT SrlTrentoItaly
  4. 4.Azienda Provinciale per i Servizi SanitariTrentoItaly
  5. 5.Trilogis S.R.LRoveretoItaly

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