SHAPES: Supporting Multimorbid Older People

Prof Michael Scott

Status: Completed

Conditions: Diabetes; Diabetes Mellitus; Heart Failure

Treatments: Device: SHAPES app

Study type: Interventional

Funder types: Other

Identifiers

NCT05249062

NT21-SHAPES

284743 (Other Identifier)

857159 (Other Grant/Funding Number)

Details and patient eligibility

About

The Smart & Healthy Ageing through People Engaging in Supportive Systems (SHAPES) Innovation Action is a Horizon 2020, EU-wide project looking at how technology can enable the older population to live healthier lives at home. It involves the development, piloting and deployment of a large scale, EU-standardised open platform. This platform will integrate with a wide-range of technological, organisational, clinical, educational and societal solutions seeking to facilitate long-term healthy and active aging.

Within this project are 7 pilot themes investigating various potential uses of the platform, in Northern Ireland we are leading on medicines control and optimisation.

This pilot is focused on identifying, managing and improving deficiencies in adherence to medicines and treatments of older individuals living with permanent or temporary reduced functions or capabilities due to chronic, age-related illnesses and living at home. Digital Solutions (including blood pressure monitors, pulse oximeters, weight scales and glucometers) will be used to enable self-monitoring of the individual's physiological parameters. Data will also be used to develop an algorithm to help predict decompensations in participants with heart failure and dynamic personal ranges will also be developed. In the future this may enable early opportunities to adjust medicines and treatments so as to deliver safer and more effective use of medicines in-home, however, in this pilot there will be no changes to treatment.

The target population is composed of older individuals (+65 years) living at home with heart failure and/or diabetes. We aim to recruit 30 people (for 3 months) to our pilot in Northern Ireland. We are working closely with colleagues in Spain, Czech Republic, Cyprus and Germany to run similar pilots within their healthcare systems.

Enrollment: 4 patients

Sex: All

Ages: 60 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Northern Health and Social Care Trust service user

• ≥60 years

• Diagnosed with heart failure and/or diabetes mellitus (treatment includes regular self-monitoring of blood glucose)

• Lives at home or in supported living accommodation (category 1 or 2).

  • Category 1 - self-contained accommodation for the more active elderly, which may include an element of scheme supervisor support and/or additional communal facilities
  • Category 2 - scheme supervisor supported self-contained accommodation for the less active elderly, which includes the full range of communal facilities

• Has stable self-reported Wi-Fi connection at home

• Has access to an appropriate android smartphone or tablet

• Android device running version 8 or above; supports Wi-Fi; supports BLE; front facing camera for facial recognition

• Self-reported stable disease state, the participant feels well enough to take part in the pilot

• Self-reported confident user of smartphone/tablet

Exclusion criteria

• Participant report of cognitive impairment
• Wears an electronic medical device or implant (e.g. pacemaker, electrocardiogram)

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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4 participants in 1 patient group

intervention

Experimental group

Description:

The intervention being piloted in this study is a novel system of supporting older individuals with multiple long-term conditions to self-manage their chronic conditions through the daily use of a digital health product that can also facilitate the remote monitoring of a person's health status.

Treatment:

Device: SHAPES app