MAFEIP

Monitoring and Assessment Framework for the EIP on Active and Healthy Ageing

News & Events

Carewell Use Case Published!

European health systems. The level of complexity of the health and social needs presented by these patients and their careers needs innovative approaches such as integrated and technology supported care programmes, such as CareWell. In particular, this project has focused on the provision of care and support to older people who have complex health and social care needs through ICT‐enabled healthcare services coordination and monitoring, patients' selfmanagement, and informal care givers' involvement.

This use case focuses on the results from the pilot in Osakidetza (Basque Country), which were evaluated by using MAFEIP. Patients were above 65 years‐old and had at least two chronic diseases among Diabetes Mellitus (DM), Heart Failure (HF) and Chronic Obstructive Pulmonary Disease (COPD). It included both males (63%) and females (37%). In this site, the intervention consisted on the one hand of new professional roles and the use of ICT to support communication among the different stakeholders and on the other one on patient empowerment.

Download the Carewell Use Case

Renewing Health Use Case Published!

The objective of Renewing Health was to implement telemedicine services in nine European regions for the validation and subsequent evaluation of these services using a patient-centred approach and a common assessment methodology (MAST). The services should be targeting the telemedicine and treatment of chronic patients suffering from diabetes, Chronic Obstructive Pulmonary Disease (COPD) or Cardio Vascular Diseases (CVD).
The intervention explored specifically in this use case covers remote monitoring and the treatment of chronic patients suffering from diabetes mellitus type 2 (DM2). Type 2 diabetes is usually treated first with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, treatment with insulin is considered (e.g. via pens, injectors or pumps). As part of the intervention group, 74 patients of the region, Thessaly, Greece, were equipped with telemonitoring or measuring devices that were connected to a mobile application and a web-based database. Data were then transmitted to the database and the eHealth centre, giving healthcare personnel the possibility to react and take action at any time.

Download the Renewing Health Use Case

Reduction of Risk of Falling Use Case Published!

Risk of falling has been revealed as one of the most important conditions causing dependency among older people. One in three people over 65 fall at least once a year worldwide. In Spain, between 15% and 32% people over 65 suffered a fall in the last year, representing a cost of more than 2 billion €. Older adults taking physical activity regularly can benefit of a proper maintenance of muscle strength and mass, which helps to retain function and independence, and to prevent falls and other injuries. Concretely, the effectiveness of balance and strength training programs on the reduction of falls has been sufficiently proved.
This use case analyses the impact of a physical exercise program composed by balance and strength training and designed with the aim of reducing the prevalence of falls and its related cost. This program was addressed at 65+ community-dwelling older adults suffering from risk of falling. Patients from 2 healthcare centres in Valencia (Spain) participated in the study.

Download the Reduction of Risk of Falling Use Case

Teleswallowing Use Case Published!

Swallowing difficulties are common following neurological insult or disease (e.g. stroke) and may precipitate aspiration pneumonia, malnutrition, poor rehabilitation, an increased length of hospital stay and a reduction in quality of life. Early identification, assessment and management of dysphagia have demonstrated documented improvements in patient outcomes, and can avoid deterioration in health and subsequent admission to hospital.
The intervention explored in this use case relates to a new Teleswallowing system to allow for remote assessment and management of swallowing difficulties by directing the carer or healthcare professional. This system’s process modification may remove delays in assessment without compromising diagnostic accuracy.

Download the Teleswallowing Use Case

New Issue of MAFEIP Newsletter released!

Through the third issue of this newsletter, we bring you updates about the project activities and progress, as well as news of events in which the MAFEIP tool has been presented.

Download the MAFEIP Newsletter

Kinesis QTUG Use Case Published!

Kinesis QTUG™ is a medical device that assesses an older adults’ falls risk, frailty and mobility with the objective to facilitate the accurate and early identification of patients at risk of falling. This would allow for a timely intervention, which could reduce the incidence of fall-related injury and its associated costs. QTUG automatically analyses patients’ data and compares it with the reference values for the patient’s age and gender. It is based on the Timed Up and Go test (TUG) and it is instrumented with wireless inertial sensors.
This method was tested in Dublin (Ireland) as part of TRIL, a large ageing research project. The assessment targeted community dwelling adults aged 60 years and older. Results showed that the accuracy of this combined method was 68.5%. This value was 66.8% for a method using sensor data alone, and 58.5% when only clinical data was used.
QTUG is a registered Class I medical device in Europe, the United States, Canada and Australia and is being commercialised by Kinesis Health Technologies Ltd.

Download the Kinesis QTUG Use Case

Therapeutic Guideline (TG) for treatment of Dementia Use Case Published!

Antipsychotic drugs or neuroleptics are often used to treat the behavioural and psychological symptoms of dementia (BPSD) despite an increasing evidence of potential harms associated with the use of these drugs. Nevertheless, between 20% and 50% of dementia patients are still being prescribed neuroleptics, whereas those living in nursing homes have significantly greater rates compared with those individuals living in the community.
The Therapeutic Guideline (TG) for treatment of BPSD was created by a multidiscipliary team in the region to reduce the number of neuroleptics in nursing home patients with dementia. Patients from 7 nursing homes in Arenys de Mar (Barcelona, Spain) participated in the study, where their family physician and primary care pharmacist conducted a medication review and elaborated a therapeutic plan (TP) per patient based on the guideline. The TP focused on alternatives to drugs for the management of BPSD, leading to a reduction in the prescription of neuroleptics.

Download the Therapeutic Guideline for Treatment of Dementia Use Case

United4Health Use Case Published!

The United4Health project, UNIversal solutions in TElemedicine Deployment for European HEALTH care (U4H), tested telehealth services targeting the three main chronic diseases found among the EU population: diabetes, COPD, and CHF. Concretely, the 3 services offered were: life–long management of diabetes, short-term follow-up after hospital discharge for COPD patients, and remote monitoring of congestive heart failure.
This case covers the telehealth service for patients living with COPD, which has the aim to provide an alternative way to support self-management through the provision of an appropriate level of tele-monitoring that is flexible and can respond with fluctuations in their health status and thus avoid future emergency hospital admissions due to a COPD exacerbation. The project aims at assessing the benefits that the tele-monitoring service can bring to patients suffering from this condition, their informal carers, and healthcare professionals, as well as the return on investment that it can provide to health authorities and health insurers.
In particular, this use case focuses on the trial from Galicia (Spain) implemented by SERGAS, the regional health department.

Download the United4Health Use Case

MasterMind (Aragon) Use Case Published!

The MasterMind project aimed at making high quality treatment for depression more widely available for adults suffering from the illness through the use of ICT. This analysis focuses on the pilot of one of the services (cCBT) in the site of the Aragón Healthcare Service (SALUD), the public healthcare provider for the Aragonese region.
During the period of the intervention participants had one face-to-face training session and several online sessions (the plan was 8 online sessions, but not all participants completed them). The evaluation used a one-group pre-trial-post-trial study design and it followed the dimensions of the Model for ASessment of Telemedicine (MAST).

Download the MasterMind (Aragon) Use Case

VPH-OP Use Case Published!

The VPH-OP can be defined as a decision support system for the prediction of the risk of fracture in osteoporotic patients, and for related in-silico biomedical research.
VPH-OP aims to develop a multi-scale modelling technology based on conventional diagnostic imaging methods that makes it possible, in a clinical setting, to predict for each patient the strength of his/her bones, how this strength is likely to change over time, and the probability that the patient will overload his/her bones during daily life. With these three predictions, the evaluation of the absolute risk of bone fracture will be much more accurate than any prediction based on external and indirect determinants, as it is current clinical practice.

Download the VPH-OP Use Case

MasterMind (cCVC) Use Case Published!

The objective of the MasterMind project is to make high quality treatment for depression more widely available for adults suffering from the illness through the use of ICT. This analysis focuses on the trial of the service cCVC (Video conference for Collaborative Care and treatment of depression) in Badalona Serveis Assistencials (BSA). The cCVC service is targeted at patients aged 18 or older diagnosed by Major Depressive Disorder (MDD) within mild to moderate states. The objective is to use video conference services and networks to facilitate the cooperation between specialists and GPs in the treatment of depression.
The present use case focuses on the results from the pilot in Badalona Serveis Assistencials (BSA).

Download the MasterMind Use Case (cCVC)

New Issue of MAFEIP Newsletter released!

Through the second issue of this newsletter, we bring you updates about the project activities and progress, as well as news of events in which the MAFEIP tool has been presented.

Download the MAFEIP Newsletter

MasterMind (cCBT) Use Case Published!

The objective of the MasterMind project was to make high quality treatment for depression more widely available for adults suffering from the illness through the use of ICT. This use case focuses on one of the two services included in the project, the cCBT (Guided cCBT for treatment of depression). The service targeted patients aged 18 or older diagnosed with depression and its contents were divided into seven mandatory modules and an extra one, meant to be self-administered approximately at a rhythm of one per week. This resource was expected to improve the delivery of psychological interventions in general practice.
The present use case focuses on the results from the pilot in Badalona Serveis Assistencials (BSA).

Download the MasterMind (cCBT) Use Case

VPH-DARE@IT Use Case Published!

VPH-DARE@IT aims to provide a systematic, multifactorial and multiscale modelling approach to understanding dementia onset and progression. The project started in January 2013 and will run until July 2017. It was co‐funded by the European Commission under the Framework Programme 7 with a consortium of 20 partners from six member states.
When it comes to the study design for the VPH-DARE@IT technology scenarios for improved dementia care management, the main source of data in the project are large and comprehensive retrospective study cohorts that are public or available through the lead project partners. Since these retrospective cohorts share similar data sources, modelling across cohorts is feasible. 14 cohorts with 8,367 patients were used. In addition, prospective patient cohorts with 230 patients have been collected by three clinical sites.

Download the VPH-DARE@IT Use Case

MD-Paedigree Use Case Published!

The EU project MD-Paedigree aims to develop a set of reusable and adaptable multi‐scale models for more predictive, individualised, effective and safer paediatric healthcare, being scientifically and technologically supported by one of the leading industrial actors in medical applications in Europe operating in conjunction with highly qualified SMEs and some of the most experienced research partners in the VPH community.
The concrete intervention explored in this use case is a model scenario for improved paediatric cardiomyopathy care – a set of chronic and often progressive diseases in which the heart muscle (myocardium) is abnormally enlarged, thickened and/or stiffened. 200 children with cardiovascular disease have been analysed in the project in order to provide clinical and cardiac structural, geometrical and functional data to build the heart model and to validate it afterwards.

Download the MD-Paedigree Use Case

BeyondSilos Use Case Published!

The main aim of the project BeyondSilos was to enable the delivery of integrated care to older European citizens to support them to live independent lives in the community by providing the ICT tools necessary to integrate care pathways across organisations and locations, in particular between social and health care providers. One of the key areas of the integration was to provide common access to home platforms for all the cross-sectorial care teams in order to improve care coordination and, therefore, the continuity of care.
In particular, this use case includes the analysis of the results achieved at Badalona Serveis Assistencials (BSA) in the frame of BeyondSilos by means of the MAFEIP tool.

Download the BeyondSilos Use Case

11 May 2017

MAFEIP Workshop at the eHealth Week 2017

A training workshop on MAFEIP tool is planned on the 11th May 2017, from 14:00 to 15:00.

The MAFEIP tool will be presented at the eHealth Week 2017, which will be held in Malta from 10 to 12 May. The purpose of the MAFEIP workshop organized there is twofold: 1) to give a brief introduction of the MAFEIP study and the theory underlying the MAFEIP model and, 2) to train the attendees in the use of the tool through practical case studies.

For more information

10 May 2017

MAFEIP Workshop at the 3rd WHO Global Forum on Medical Devices 2017

A training workshop on MAFEIP tool is planned on the 10th May 2017.

A MAFEIP Workshop will be organized at the 3rd WHO Global Forum on Medical Devices, which will be held in Geneva from 10 to 12 May 2017. The MAFEIP session will give a brief introduction in the theory underlying cots-utility analysis. Subsequently, the attendees will be guided in a practical experience designed to give then a first grasp of the kind of information that they need in order to start an assessment of healthcare technologies in their context.

For more information about the conference and the programme

4 May 2017

MAFEIP Workshop at the Forum PA Puglia 2017

A training workshop on MAFEIP tool is planned on the 4th May 2017, from 16:30 to 18:30.

A MAFEIP Workshop will be organized at the Forum PA Puglia 2017, which will be held in Bari from 4 to 5 May 2017. The purpose of the Session is to present the work done on the MAFEIP study to identify any contribution that stakeholders involved in the EIP may provide for the improvement of the tool in view of the relevance of this framework in supporting the monitoring of EIP on AHA objectives.

For more information about this event

Overview of Questions and Input required - Data collection codebook

In order to facilitate the data collection process, we have created the following template with all the inputs required to utilise the MAFEIP Tool.

Download the Data Collection Codebook

A new Policy Dashboard is available on the EIP on AHA

Access to the portal

This policy dashboard presents, through an integrated geographical visualisation, all the key activities of the EIP on AHA. It displays information on the EIPonAHA activities (commitments, good practices and reference sites), together with contextual indicators extracted from official statistics related to Active and Healthy Ageing. When displaying EIPonAHA activities, the dashboard shows their territorial coverage as indicated in the Commitment Tracker, not only the location of the main organisation. As such, the darkness of the colour represents how many activities have an impact on the territorial unit, whether they are national, regional, or covering multiple localities. In order to explore the data from a specific territorial unit, just zoom on the area and click on it.

27 February 2017

MAFEIP presented at a workshop in Girona in February 2017

A training workshop on MAFEIP tool is planned on the 27th February 2017.

The MAFEIP study team conducted a workshop in order to inform potential users about the tool, its scope and functionalities, and promote its uptake by providing different support mechanisms. The workshop was held on 27th February 2017 in Gerona, Spain in the context of the final conference of EU integrated care projects CareWell and BeyondSilos. More than 20 representatives of EU organisations dealing with integrated care and other active and healthy ageing topics attended the event. They were introduced to the study and the MAFEIP tool by Francisco Lupiáñez-Villanueva and Ruth Vilar, OpenEvidence. The participants benefitted from the experience gathered by assessing a concrete fall prevention intervention presented as a case study by Dr. Leandro Pecchia, University of Warwick. Strahil Birov from empirica presented the different support mechanisms which are the disposal of any organisation interested in using MAFEIP to assess their innovations in active and healthy ageing. An open discussion followed to allow participants to provide feedback and to better understand their needs and expectations.

The audience’s comments were generally positive and showed curiosity in using MAFEIP. Some participants were confused what the tool is exactly for, alluding to the necessity of clear information and materials to promote MAFEIP effectively. In terms of scope, it was noted that some of the EIP on AHA commitments are not applicable to MAFEIP, as they are not related to delivering a service. The specific domain for interventions relating to integrated care was seen as complex, which makes the use of a new tool hard. It was suggested to liaise with the Action Groups (AGs) of the EIP on AHA, by delivering similar workshops, webinars and presentations as part of the meetings of the AGs. The study team will take the suggestions and comment into account and engage with the key stakeholder though more events whenever the opportunity arises.

Download the PDF of the workshop

24 February 2017

MAFEIP Presentation and Training Workshop at AETS Meeting

A training workshop on MAFEIP tool is planned on the 24th February 2017 in Madrid.

The Health Technology Assessment Agency (AETS) of the Instituto de Salud Carlos III organizes a meeting aimed at the sector's leading experts in this field as well as representatives from the European Commission and the Autonomous Communities to analyze the role of innovation in active and healthy ageing. The MAFEIP tool will be presented in this meeting as a reference framework that enable public and private stakeholders to estimate the health and social outcomes provided by on-going innovative initiatives. The meeting will include the presentation of the MAFEIP study and a training workshop to familiarise the users with the tool.
To register to the workshop please contact aets-info@isciii.es

Read more

See the programme of the AETS Meeting

7 December 2016

MAFEIP Presentation at the EU Summit

The MAFEIP tool was presented to the audience at the European Summit on Digital Innovation for Active and Healthy Ageing, which was held in December 2016.