Given the growing number of older people, society as a whole should ideally provide a higher quality of life (QoL) for its ageing citizens through the concept of personalised ageing. Information and communication technologies (ICT) are subject to constant and rapid development, and can contribute to the goal of an improved QoL for older adults. In order to utilise future ICT solutions as a part of an age-friendly smart environment that helps achieve personalised ageing with an increased QoL, one must first determine whether the existing ICT solutions are satisfying the needs of older people. In order to accomplish that, this study contributes in three ways. First, it proposes a framework for the QoL of older adults, in order to provide a systematic review of the state-of-the-art literature and patents in this field. The second contribution is the finding that selected ICT solutions covered by articles and patents are intended for older adults and are validated by them. The third contribution of the study are the six recommendations that are derived from the review of the literature and the patents which would help move the agenda concerning the QoL of older people and personalised ageing with the use of ICT solutions forward. Original article at MDPI; DOI: http://dx.doi.org/10.3390/ijerph17082940 (This article belongs to the Special Issue Feature Papers "Age-Friendly Cities & Communities: State of the Art and Future Perspectives")
MULTIFILE
Older people today are more likely to age in their own private living environment. However, many face declining health and/or other issues that affect their ability to live independently and necessitate additional support. Such support can be provided by formal networks, but a considerable part can also be offered by informal networks of older people themselves. Going beyond these networks, older people can additionally and perhaps even more substantially benefit from vital communities. Nevertheless, even though this term is increasingly common in the literature, its meaning remains indistinct. A more thorough understanding of this concept might provide valuable knowledge that health care professionals, researchers and community workers can use to offer meaningful and effective support. The purpose of this paper is to draw on existing empirical research on vital communities to build knowledge of the different descriptions and dimensions of the concept. Arksey and O’Malley’s scoping review methodology was adopted. Our search, conducted on 23 March 2020 and updated on 06 January 2021, yielded 4433 articles, of which six articles were included in the scoping review. We deduced that the conceptualisation of a vital community is based on three dimensions: the aim of a vital community, the processes behind a vital community and the typical characteristics of a vital community. None of the selected studies have mapped all three dimensions. Nevertheless, we assume that understanding all three matters when vital communities aim to contribute to the quality of life of people ageing in place.
Population ageing has been a focus of research since the 1960s (Michael et al. 2006), and it has become a domain of international discussions, debates and research throughout a myriad of disciplines including housing, urban planning and real estate (Buffel and Phillipson 2016, van Bronswijk 2015, Kort 2017). Kazak et al. (2017) described how the ageing population has a profound impact on the real estate market, which is transforming in terms of availability of retirement accommodation for older people including accessibility, adaptability, and the availability of single-floor dwellings. Older people usually have a strong connection with the environment they understand and know well (van Hoof et al. 2016), enabling them to spend the latter years of their life in a familiar setting, which, in turn, influences their self-confidence, independence and the potential to successfully age in place. Older people are encouraged to continue living in their homes a familiar environment to them, instead of moving to an institutional care facility, and this is referred to as “ageing-in-place” (van Hoof 2010). This can be supported by creating a functional and spatial structure of cities that are friendly to older people (van Hoof et al. 2018, van Hoof and Kazak 2018). In the domain of environmental design, a series of home modifications can be identified. The most frequently encountered measures in and around the home are adaptations to improve the accessibility of the home (i.e., removal of barriers such as thresholds, installation of stair lifts in multi-storey homes, and the replacement of bath tubs by walk-in showers,). Separately from these expensive measures and adaptations, simple handgrips can improve the accessibility, safety and mobility of older people (van Hoof et al. 2010, van Hoof et al. 2013). A further concern that should be considered within the living environment is the lack of storage space for wheeled walkers and mobility scooters (including a place to charge batteries) whilst living in an apartment block with limited space to manoeuvre on corridors (Kazak et al. 2017). However, with increasing demands for care, it is not always possible to remain living in one’s own home and moving into a residential or nursing facility is the only remaining option; whereby, specialist and/or nursing care can be accessed and provided in these living environments (van Hoof et al. 2009). Policy principles within long-term care aim to provide a home from home environment for their residents (Moise et al. 2004). Several specialised housing models have been developed in order to facilitate this person-centred care approach, as more traditional institutional settings often do not match with the new holistic and therapeutic goals (Verbeek 2017). Radical alterations have been made in comparison with traditional nursing homes, implementing changes in the organisational, physical and social environment of settings (Verbeek et al. 2009, van Hoof et al. 2009). For example, smaller groups of older people (six to seven persons) form a household, with nursing staff having integrated tasks, including assistance with activities of daily living, preparing meals, organising activities and doing household chores together with residents. Daily life is mainly determined by residents and nursing staff, and the physical environment resembles an archetypal house. With this distinct increase and popular notion of the role real estate plays in ageing-in-place and living well in old age, there is also a shifting focus regarding participation, activation, and helping each other. Home modifications and the home environment itself have a profound influence on the care provided and received at home. In short, the fewer barriers there are at home, the easier and less onerous responsibilities placed on the family carer(s) (Duijnstee 1992). Family carers themselves need such environmental interventions that support care, and a sense of community and belonging. Enabling one to age-in-place and to successfully age requires more than a simple occupational therapeutic approach of environmental interventions. It requires innovative new housing encompassing suitable technology arrangements that can facilitate and enable older adults to live comfortably into old age, preferably with others and offer family members (i.e., children, grandchildren and spouse). Furthermore, interconnecting technology into such environments can offer family members the option and opportunity to monitor their loved one remotely whilst all actors know there are additional safety barriers in place. This chapter discusses and provides innovative examples from a Dutch social housing association and their practices, which illustrates a new approach to environmental design that focuses more on building new communities in conjunction with the building itself, as opposed to the occupational therapeutic approaches and environmental support. First, we take a closer look at why we care for each other, which is the basis of the participation society, in which we must look after people who are near to us. This should ideally be at the basis of new housing arrangements -in which people are stimulated to meet, engage, survey and care- that social housing associations are developing, retrofitting and developing.
Digitalisation has enabled businesses to access and utilise vast amounts of data. Business data analytics allows companies to employ the most recent and relevant data to comprehend situations and enhance decision-making. While the value of data itself is limited, substantial value can be directly or indirectly uncovered from data. This process is referred to as data monetisation. The most successful stories of data monetisation often originate from large corporations, as they have adequate resources to monetise their data. Notably, many such cases arise from prominent Big Tech companies in North America. In contrast, small and medium-sized enterprises (SMEs) have lagged behind in utilising their digital data assets effectively. They are frequently constrained by limited resources to build up capabilities and fully exploit their data. This places them at a strategic disadvantage, particularly as digitalisation is progressively reshaping markets and competitive relationships. Furthermore, the use of digital technologies and data are important in addressing societal challenges such as energy conservation, circularity, and the ageing of the population. This lag has been highlighted by SMEs we have engaged with, where managing directors have indicated their desire to operate based on data, but their companies lack the know-how and are unsure of ‘where to start’. Together with eight SMEs and other partners, we have defined a research project to gain insight into the potential and obstacles of data monetisation in SMEs. More specifically, we will explore how SMEs can transform data into strategic assets and create value. We attempt to demonstrate the journey of data monetisation and illustrate different possibilities to create value from data in SMEs. We will take a holistic approach to examine different aspects of data monetisation and their associations. The outcomes of this project are both practical and academic, such as an SME handbook, academic papers, and case studies.
The Hanzehogeschool Groningen (HUAS hereafter) is a University of Applied Sciences that is strongly inspired by the challenges of the North Netherlands region and firmly embedded in the city of Groningen in particular. HUAS has a strong track record in education, and practice-based research, and is dedicated to enhancing innovation and entrepreneurship. HUAS currently has 31,000 students Bachelor and Master students in 70 teaching programs. The 3.000 member of staff forming 17 schools and 7 centres of applied research collaborate to offer a cutting-edge teaching-based research. HUAS took the challenge to develop a strong research capacity with 67 professors, and an increasing number of researchers at various levels, supported by dedicated technical and administration support staff. PhD research thesis are co-supervised in collaboration with various universities in the Netherlands and abroad. HUAS positions itself as an Engaged and Versatile university, both in education and research. In line with this, the overall strategic ambitions of HUAS are to develop suitable learning pathways with recognised qualifications; to conduct applied research with a visible impact on education and society; and to be an adaptive, versatile and approachable organisation. HUAS links these strategic ambitions to three strategic research themes: Energy, Healthy Ageing and Entrepreneurship and four societal themes: strengthening a liveable and sustainable North Netherlands; transition to a healthy and active society; digital transformation; and energy transition and circularity. These four challenges define the focus of HUAS education and research.One of the societal themes is explicitly linked to the region: strengthening a liveable and sustainable North Netherlands. North Netherlands is a powerful, enterprising region with the city of Groningen as the healthiest city in the Netherlands. The region is a front runner in the energy transition, has a European exemplary role in the field of active and healthy ageing, and as an agricultural region, has many opportunities for the development of the circular economy and consequently the development of biobased construction material to mitigate climate change. Cooperation with different groups and stakeholders in the region is central in HUAS’s strategy. HUAS is part of extensive local and regional networks, including the University of the North and Akkoord van Groningen. As such, HUAS is well- connected to the research ecosystem in North Netherlands.HUAS has the ambition to better align, connect & develop on a local as well as a regional, national and international levels. Many of the challenges the North is faced with are also relevant in the EU context. Therefore, HUAS is a strong advocate and actor on engaging in European projects. HUAS monitors regularly the EU’s priorities and aligns its research between these priorities and its immediate societal needs. The EU provides a range of funding opportunities that fulfil our ambition as a research and teaching university and responds directly to our challenges from social, energy, and digital transformation. Indeed, over the last decade, HUAS has been successful in European programmes. In the Horizon 2020 programme, HUAS was part of five approved projects. In Horizon Europe so far two projects were granted. HUAS has performed particular well in the EU societal challenge for a secure, clean and efficient energy system. Examples of this are Making City (https://makingcity.eu/) focussing on the developing Positive Energy Districts, and IANOS (https://ianos.eu/) about the decarbonisation of islands. In addition to EU research and innovation schemes, HUAS has a considerable track record in projects funded by the Interreg schemes. In particular, these types of projects have strong links with region, and partners in the region. Currently, EU participation and involvement of HUAS is mainly concentrated in one field: sustainability & energy. In order to further disseminate to other parts of the university, only a well-designed strategy will allow the various research centres to better reach European fundings and satisfy the university’s ambitions. However, so far, no structured mechanism is in place internally to guide the research community and regional stakeholders how to reach European collaboration with confidence. Therefore, this pilot project aims to develop a strategic framework to enhance the participation of all parties at HUAS, including a pilot project that will lead to improvement and validation.
In Europe nearly 10% of the population suffers from diabetes and almost 1% from Rheumatoid Arthritis which can lead to serious problems with mobility and active participation, especially in the ageing population. Pedorthists deliver personalised designed and manufactured orthopaedic footwear or insoles for these patients. However, despite their often laborious efforts upfront, the industry has very little means to quantify how successful the fitting and function of a shoe is. They have to rely on subjective, qualitative measures such as client satisfaction and diminishing of complaints. Although valuable, the need for objective quantitative data in this field is growing. Foot plantar pressure and shear forces are considered major indicators of potential foot problems. Devices to measure plantar pressure slowly gain terrain as providers of objective quantitative data to guide orthotic design and manufacturing. For shear forces however, measuring devices are not yet commercial available. Although shear forces are considered as a major contributor to ulcer formation in diabetic feet, their exact role still requires elucidation and quantification. This project aims to develop a prototype of an in-shoe wearable device that measures both shear forces and pressure using state-of-the-art developments in sensor technologies, smart textiles and wireless data transfer. The collaboration of pedorthists’ small and medium-sized enterprises (SME)’s with medical device engineering companies, knowledge institutes,technical universities and universities of applied sciences in this project will bring together the different fields of expertise required to create an innovative device. It is expected that the tool will be beneficial to improve the quality of pedorthists’ services and potentially reduce health insurance costs. Furthermore, it can be used in new shear forces research and open new business potential. However, the eventual aim is to improve patient care and help maintain personal mobility and participation in society.
