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technological platform, users were: stimulated to perform indoor
physical activity protocol (exergame on tablet); monitored by DOREMI
bracelet (heart rate monitoring); invited to fill diet e-diary, receiving
nutritional advice provided by the expert through the same applica-
tion; tested for balance by item-10 BERG test (DOREMI balance board).
At the end of trial, users underwent the same test battery of baseline.
Results:
In DOREMI population an overall increase in physical activity
was observed, with a significant improvement in hemodynamic
(decrease in blood pressure and HR at 6MWT) and biochemical
parameters (decrease in LDL, triglycerides, total cholesterol). The
overall effect of dietary advice and physical activity protocol on
subject
’
s balance is under investigation.
Key conclusions:
An integrated approach of physical activity and diet,
supported by DOREMI technological platform, represents an innova-
tive approach to stimulate healthy and active ageing of population,
with a potential cost-reduction for European health care systems in
middle-long period.
P-750
ICT solution for balance assessment in elderly: the DOREMI system
validation and applicability
F. Vozzi
1
, L. Fortunati
2
, C. Gallicchio
3
, F. Palumbo
2
, L. Pedrelli
3
,
A. Micheli
3
, E. Ferro
2
, S. Lanzisera
4
, G. Iadicicco
5
, F. Carotenuto
5
,
M. Illario
5
, O. Parodi
1
.
1
Institute of Clinical Physiology, IFC-CNR,
2
Institute
of Science and Information Technology, ISTI-CNR,
3
Department of
Computer Science, University of Pisa,
4
U.F. Recupero e Riabilitazione
Funzionale, ASL 5, Pisa,
5
Department of Translational Medical Sciences,
AOU Federico II, Naples, Italy
Introduction:
Aging process is characterized by decline of body
functions: one of the major risks is represented by falls. Several
screening tools/tests have been used to assess stability. We
describe the integration between single-item Berg scale, Wii Balance
Board and neural networks to create a new platform for balance
assessment.
Methods:
Two cohorts of older people (age 65
–
80) were enrolled
for DOREMI balance assessment. The BERG balance score and
anthropometric parameters (weight, height, BMI) were assessed for
each subject. Group 1 (25 participants) showed a BERG score between
41 and 56; Group 2 (50 participants), enrolled in collaboration with
PERSSILAA project, had awider score (20
–
56) allowing to test accuracy
of DOREMI tool in people having severe instability. Item-10 of BERG
scale has been performed on the Wii balance board, inviting
participant to turn the head to look behind over toward the right
shoulder and then over the left. Data signals have been collected by
custom developed software and analysed by neural network system
for human activity recognition.
Results:
In Group 1, total BERG score estimated using item-10 data
presented a strong correlation with individual total BERG score test; in
Group 2 data analysis is under investigation.
Key conclusions:
DOREMI balance assessment is simple, automated,
cost-effective and time-saving ICT solution for prevention of
frailty. Once validated in a broad range of BERG scale, this system
could objectively predict subjects at higher risks of falls, as well as
improvement in stability and/or positive evolution in physical health
status after specific treatments.
P-751
Robot in the care for the elderly persons
S. Tobis
1
, A. Suwalska
1
, S. Kropinska
1
, A. Tapus
2
, C. Salatino
3
,
P. Barattini
4
, M. Ghrissi
5
, R. Rosso
6
, K. Wieczorowska-Tobis
1
, on behalf
of ENRICHME consortium.
1
Poznan University of Medical Sciences,
Poland;
2
ENSTA ParisTech, Université Paris-Saclay, Paris, France;
3
Fondazione Don Carlo Gnocchi, Milano,
4
Kontor 46, Torino, Italy;
5
Robosoft Services Robots, Bidart, France;
6
Elettronica Bio Medicale,
Vicenza, Italy
Rapid development of new technologies in recent time spawned
interest in their use in care for the elderly. The study was performed
within the project ENRICHME (Horizon 2020) to answer the question
how older people themselves see the possibility of implementing a
robot in their environment. The project
’
s main task is to test the
support of the robot for patients with Mild Cognitive Impairment in
community. For this purpose, the own Users Needs, Requirements and
Abilities Questionnaire (UNRAQ) was used, prepared based on
available literature data and project experts
’
opinions. It was used to
collect opinions on the robot from 327 respondents (including 114
elderly people aged 65+ years) in France, Greece, Italy, Poland and UK.
According to the participants, the elderly are not prepared for dealing
with a robot (only 24.5% held positive opinions regarding whether the
elderly are prepared to interact with a robot and only 26.3%
–
regarding
the statement that the elderly are able to manage with the robot).
However, 52.0% of participants thought that the elderly want to
increase their knowledge about robots to be able to operate them.
Older persons showed a more positive attitude compared to the
younger (p < 0.01). Interestingly, 87.5% of the participants thought that
the robot should instruct the elderly person what to do in case of a
problem with its operation. Our results show that the elderly
realistically evaluated their present abilities to operate the robot, and
express willingness to increase their knowledge using the instructions
provided by the robot.
P-752
Development of a transfer document for the community
pharmacist at hospital discharge
J. Wuyts, M. Vande Ginste, J. De Lepeleire, V. Foulon.
Clinical
Pharmacology and Pharmacotherapy, KU Leuven, Department Public
Health and Primary Care, ACHG, KU Leuven, Leuven, Belgium
Introduction:
In 2013, only 54.6% of Belgian elderly patients had
contact with their general practitioner (GP) in the first week after
hospital discharge [1]. Therefore, the community pharmacist (CP) can
play an important role in continuity of medication management. As
there is currently no structured communication to CPs at hospital
discharge, this research investigatedwhich information CPs would like
to receive to perform adequate medication reconciliation and patient
counseling.
Methods:
First, initiatives for information transfer to the CP were
identified by an international and grey literature review. Next, a
discharge document was developed and presented to 18 healthcare
professionals (9CPs and 9GPs) during semi-structured interviews, and
further optimized.
Results:
Belgian community pharmacists would like to receive a full
medication list containing drug indications, medication registered at
hospital admission and reasons for drug adjustments. GPs acknowl-
edged the benefit of sharing this information with pharmacists. In
contrast to international initiatives, Belgian healthcare professionals
were hesitant to include data on renal function and other lab values in
the transfer document. The final transfer document contains the
following elements: patient characteristics, clinical data (e.g. reason
for hospitalization, comorbidities and allergies) and two comprehen-
sive medication lists, one with drugs at admission and with drugs at
hospital discharge.
Key conclusions:
Consensus was reached on the content of a transfer
document for the CP at hospital discharge. A proof of concept study
will be conducted to investigate the impact of this transfer document
on patient-related outcome measures. Automatic software generation
of this discharge document and electronic transfer will be crucial
elements for success.
Reference
1. Vrijens F, Renard F, Camberlin C, Desomer A, Dubois C, Jonckheer
P, Van den Heede K, Van de Voorde C, Walckiers D, Léonard C,
Meeus P.
De performantie van het Belgische gezondheidssysteem
–
Rapport 2015. Health Services Research (HSR)
. Brussel: Federaal
Kenniscentrum voor de Gezondheidszorg (KCE). 2015. KCE Reports
259A. D/2015/10.273/01.
Poster presentations / European Geriatric Medicine 7S1 (2016) S29
–
S259
S227