In this paper, we present the design of a mHealth application that is specifically targeted to caregivers and persons with mild to moderate dementia. The result is CAREGIVERSPRO-MMD: a tool integrating a broader diagnostic approach, incorporating the live-in family caregiver-patient dyad and considering this dyad as the unit of care. CAREGIVERSPRO-MMD will provide value-added services based on social networks, tailored interventions, clinical strategies and gamification for improving the quality of life for people living with dementia and their caregivers, allowing them to live in the community for as long as possible. CAREGIVERSPRO-MMD is an EU project funded under the H2020 program.
Keywords. mHealth, active and assisted living, mild cognitive impairment, caregiver, dementia, social network.
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1.1 The Old-age Dependency Ratio
The ratio of working-age people to the people over 65 years of age is expected to drop in the EU from 4 to 2. The increase in the total age-dependency ratio (people aged 14 and below and aged 65 and above over the population aged 15-64) is projected to be even larger, rising from 49.3% in 2010 to 77.9% in 2060. This will directly reduce the growth rates of the European economies by slowing the growth of the capital stock and by weakening the productivity of the labour force. Thus, a smaller tax base and less tax revenues are expected. In addition, the current tax-financed systems of social pensions and healthcare will require substantial increases in the already high tax rates. Continued increases in longevity will ensure that the old-age dependency ratio, which measures the number of elderly people as a share of those of working age, will rise sharply in most countries over the next 40 years. Most of the rise in the old-age dependency ratio is expected by the early 2030s, that makes the next two decades as a time of transition in :
- public policies affecting the elderly like Social Security and Medicare;
- how we start building systems that can support families and communities in providing assistance and care for the elderly who need it.
Due to an ageing population, the public provision of long-term care poses an increasing challenge to the sustainability of public finances in the EU. The ageing of population is expected to put pressure on governments to provide long-term care services as old people often develop multi-morbidity conditions, which require long-term medical care and assistance with a number of daily tasks. Health trends among the elderly are mixed: severe disability is declining in some countries but increasing in others, while mild disability and chronic disease are generally increasing. This situation is comparable in many societies around the world. The structure of this paper is the following. In x2 we will address related work explaining relevant mHealth platforms implemented to give support to elder individuals in their Activities of Daily Living. Section 3 will develop the CMMD architecture, deployment and its goals. In x4 we explain the objectives of the pilot study and give insight information about the CAREGIVERSPRO-MMD stakeholders. In x5 we will discuss our conclusions and comment the future work.