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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.


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


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.


ICT solution for balance assessment in elderly: the DOREMI system

validation and applicability

F. Vozzi


, L. Fortunati


, C. Gallicchio


, F. Palumbo


, L. Pedrelli



A. Micheli


, E. Ferro


, S. Lanzisera


, G. Iadicicco


, F. Carotenuto



M. Illario


, O. Parodi




Institute of Clinical Physiology, IFC-CNR,



of Science and Information Technology, ISTI-CNR,


Department of

Computer Science, University of Pisa,


U.F. Recupero e Riabilitazione

Funzionale, ASL 5, Pisa,


Department of Translational Medical Sciences,

AOU Federico II, Naples, Italy


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



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.


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.


Robot in the care for the elderly persons

S. Tobis


, A. Suwalska


, S. Kropinska


, A. Tapus


, C. Salatino



P. Barattini


, M. Ghrissi


, R. Rosso


, K. Wieczorowska-Tobis


, on behalf

of ENRICHME consortium.


Poznan University of Medical Sciences,



ENSTA ParisTech, Université Paris-Saclay, Paris, France;


Fondazione Don Carlo Gnocchi, Milano,


Kontor 46, Torino, Italy;


Robosoft Services Robots, Bidart, France;


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%


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.


Development of a transfer document for the community

pharmacist at hospital discharge

J. Wuyts, M. Vande Ginste, J. De Lepeleire, V. Foulon.


Pharmacology and Pharmacotherapy, KU Leuven, Department Public

Health and Primary Care, ACHG, KU Leuven, Leuven, Belgium


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



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.


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.


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