An Evidence-Based Approach To Digital Inclusion for Health

This report is the first deliverable of the ?Digital Inclusion and Social Knowledge Media for Health: Frameworks and Roadmaps? project. It discusses the concept of social and digital exclusion and suggests that a focus on the digital mediation of social processes may provide more purchase for public service providers. This focus leads to the consideration of the way in which digital services might support a range of health-related factors which are both directly and indirectly linked to specific health outcomes. The report discusses some examples in the light of a consideration of the specific (and spatial) health needs and priorities of Solihull Care Trust. The report concludes with suggestions for directions for future research and development

A Living Lab Facility on Safety in Homes among the Elderly and Elderly Disabled: A Literature Review

The study aimed to improve safety in the home environment for the elderly to live independently. The focus was discussing the measures of safe environment that promoted health, safety and security of the elderly. The study described the constituents of a safe home environment and approaches that safe environment promoted health of the aging. The objective was to utilize the results to advance safety in homes and assist the development of a living laboratory in the Ostrobothnia region. There is evident urgency for preventive health care measures that reduce injuries. The major hindrance in reducing falls was the inadequacy of facilities in homes for safety. Housing designs were inconsiderate of the elderly population. As a result, majority of this population were enrolled into rehabilitation institutions prematurely. A literature review with content analysis was established. The databases included Ebrary, CINAHL, Ovid, SAGE Premier and Science Direct as well as reliable electronic publications. These included WHO and Statistics Finland. The elderly safety was improved through modification of simple measures (grab bars, adequate light and non-slippery floor) and introduction of emerging advanced technology. Emerging care technologies were designed to enhance and maintain the well-being and independence of the aged. Technologists were to acknowledge pre-existing practices by enhancing them rather than replacing them. The recommendations include data on statistics that evaluated the safeness of the technologies and their direct correlation to the nursing profession

Mobile Health Care over 3G Networks: the MobiHealth Pilot System and Service

Health care is one of the most prominent areas for the application of wireless technologies. New services and applications are today under research and development targeting different areas of health care, from high risk and chronic patients’ remote monitoring to mobility tools for the medical personnel. In this direction the MobiHealth project developed and trailed a system and a service that is using UMTS for the continuous monitoring and transmission of vital signals, like Pulse Oximeter sensor , temperature, Marker, Respiratory band, motion/activity detector etc., to the hospital. The system, based on the concept of the Body Area Network, is highly customisable, allowing sensors to be seamlessly connected and transmit the monitored vital signal measurements. The system and service was trialed in 4 European countries and it is presently under market validation

Universal access to mobile telephony as a way to enhance the autonomy of elderly people

The rise of mobile telephony has opened a vast diversity of new opportunities for older people with different levels of physical restrictions due to ageing. Mobile technology allows not only ubiquitous communications but also anytime access to some services that are vital for elderly people's security and autonomy. Nevertheless, with the numerous advantages, remote services can also introduce important social and ethical risks for this group of users. This paper tries to analyse the novelties that mobile technology may introduce into the lives of older users, points out some dangers and challenges arising from the use of these technologies and revises some future applications of the present mobile technologies.Ministerio de Ciencia y Tecnología TIC2001-1868-C03-0

Russia: Case Study on Human Development Progress Toward the MDGs at the Sub-National Level

human development, millennium development goals, mdgs

Mobile Communication for Older People: New Opportunities for Autonomous Life

The fast diffusion of mobile telephony is opening a vast diversity of new opportunities for older people with different levels of physical restrictions due to ageing. Mobile technology not only allows ubiquitous communications but also anytime access to some services that are vital for their security and autonomy. Together with the numerous advantages, remote services can also mean important social and ethical risks for this group of users making indispensable that these risks are detected, analysed and avoided. Therefore, this paper analyses the novelties that mobile technology has introduced into the lives of older users, points out some dangers and challenges arising from the use of these technologies and revises some future applications of the present mobile technologies

Welfare technology interventions among older people living at home—A systematic review of RCT studies

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.The main goal of health services is for the elderly to maintain their mental and physical health and live at home independently for as long as possible. Various technical welfare solutions have been introduced and tested to support an independent life. The aim of this systematic review was to examine different types of interventions and assess the effectiveness of welfare technology (WT) interventions for older people living at home. This study was prospectively registered in PROSPERO (CRD42020190316) and followed the PRISMA statement. Primary randomized control trial (RCT) studies published between 2015 and 2020 were identified through the following databases: Academic, AMED, Cochrane Reviews, EBSCOhost, EMBASE, Google Scholar, Ovid MEDLINE via PubMed, Scopus, and Web of Science. Twelve out of 687 papers met the criteria for eligibility. We used riskof-bias assessment (RoB 2) for the included studies. Based on the RoB 2 outcomes that showed a high risk of bias (>50%) and high heterogeneity of quantitative data, we decided to narratively summarize the study characteristics, outcome measures, and implications for practice. The included studies were conducted in six countries, namely the USA, Sweden, Korea, Italy, Singapore, and the UK. One was conducted in three European countries (the Netherlands, Sweden, and Switzerland). A total of 8437 participants were sampled, and individual study sample sizes ranged from 12 to 6742. Most of the studies were two-armed RCTs, except for two that were three-armed. The duration of the welfare technology tested in the studies ranged from four weeks to six months. The employed technologies were commercial solutions, including telephones, smartphones, computers, telemonitors, and robots. The type of interventions were balance training, physical exercise and function, cognitive training, monitoring of symptoms, activation of emergency medical systems, self-care, reduction of death risk, and medical alert protection systems. The latter studies were the first of their kind and suggested that physician-led telemonitoring could reduce length of hospital stay. In summary, welfare technology seems to offer solutions to supporting elderly people at home. The results showed a wide range of uses for technologies for improving mental and physical health. All studies showed encouraging results for improving the participants’ health status.publishedVersio

Mobile Communication for People with Disabilities and Older People: New Opportunities for Autonomous Life

The fast diffusion of mobile telephony is opening a vast diversity of new opportunities for people with different levels of physical restrictions, these due to disability or ageing. For this people mobile technology not only allows ubiquity for communications but also anytime access to some services that are vital for their security and autonomy. Together with the numerous advantages, remote services can also mean important social and ethical risks for this group of users making indispensable that these risks are detected, analysed and avoided. Therefore, this paper analyses the novelties that mobile technology has introduced into the lives of users with disabilities and older people, points out some dangers and challenges arising from the use of these technologies and revises some future applications of the present mobile technologies