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SIMPHS2 has carried out in depth studies in eight selected EU countries. Deliverable 3.1 "Interim report on RMT for disease management - Country Studies Summary" summarises firstly the methods used and the rationale for selection of the countries for deeper analysis; and secondly, it highlights the main findings of the studies. The annexes include the eight reports in alphabetic order: Denmark, Estonia, France, Germany, Italy, Spain, The Netherlands and United Kingdom., JRC.J.3-Information Society

For more than 20 years the Geriatrics Service of the University Hospital of Getafe (Hospital Universitario de Getafe – HUG) has been offering integrated care programmes for older in- and out-patients. These services provide continuous, progressive and coordinated attention to patients at high risk of functional decline, institutionalisation, and hospitalisation, at home or in residential care settings. The objective is to offer the most appropriate care according to the changing needs of the patients. The programme is twofold: for people admitted to the hospital, the care teams responsible for the different phases of the treatment are coordinated through periodic meetings (both physical and remote, the latter to coordinate care with other hospitals) and coordinate with the team in primary care before discharge; for patients who are at home or in residential care facilities, the programme includes follow-up of the patient directly, or in close collaboration with primary care and social care agents when needed., JRC.J.3-Information Society

Renewing Health is a European project (February 2010-December 2013), partly funded by the European Union under the ICT Policy Support Programme, part of the Competitiveness and Innovation framework Programme (CIP), with a total budget of €14 million and European co-financing of €7 million. The project aimed to implement health-related ICT services through large-scale real-life test beds for the validation and subsequent evaluation of innovative eHealth services, using a patient-centred approach and a rigorous common assessment methodology. This case study focuses on the Austrian Partner of the project: the Carinthia region and, more precisely, KABEG (Krankenanstalten Betriebsgesellschaft), the hospital management company in the region. In RENEWING HEALTH, KABEG integrated a set of telemonitoring solutions into their existing systems for two target groups - patients suffering from Diabetes Mellitus Type II and patients suffering from COPD – in order to carry out two pilots to test the effects of the resulting system., JRC.J.3-Information Society

In 2010, the Austrian Social Insurance Institution for Railways and Mining Industry (Versicherungsanstalt für Eisenbahnen und Bergbau, VAEB) started a proof-of-concept diabetes telemonitoring project called DiabMemory, as part of a wider programme called "Health Dialogue" (“Gesundheitsdialog”). DiabMemory allows diabetes patients to track health parameters using a mobile phone and share this data with their General Practitioner (GP). After being diagnosed with type 1 or 2 diabetes in primary or secondary care, patients insured by VAEB are given the opportunity to stay for a period of one to three weeks at a special rehabilitation facility in Breitenstein (Lower Austria) to receive education on all aspects relevant to their health and medical conditions like nutrition, physical activity, and psychological aspects. If they decide to join the programme, they receive the equipment and training on how to use the DiabMemory system and how to integrate it into their everyday lives. After their stay in Breitenstein, participants are able to use DiabMemory without further help. A web-based application allows health professionals responsible for therapy management within the Health Dialogue programme to access patient data and adjust therapy plans when needed. Moreover, they can provide users with motivational messages and feedback can be sent directly to the patient’s mobile., JRC.J.3-Information Society

MOMA is a care model based on a multidisciplinary 24/7 advanced technology call centre for treatment of various chronic diseases. It was established in 2012 by Maccabi Healthcare Services in cooperation with the Gertner Institute. Maccabi Healthcare Services is one of the four authorised health funds providing universal healthcare services in Israel. The MOMA initiative was designed as a technological tool to improve the integration of different services such as long-term care, pharmacy, homecare and hospital care, in coordination with the patient’s primary care physician and other community-based resources. MOMA addresses the needs of chronically ill patients, which Maccabi Healthcare Services considered as patients who should receive special care instead of standard care., JRC.J.3-Information Society

The Veterans Health Administration (VHA) is an agency of the United States Department of Veterans’ Affairs (this Department that has the 3rd largest budget among departments of the US administration). The medical assistance program implemented by the VHA is the largest integrated care system in the US (consisting of 150 medical centres and nearly 1,700 facilities comprising community-based outpatient clinics, community living centres, Veterans’ Centres and domiciliary assistance). It provides comprehensive care to almost 9 million veterans every year. The VHA is centrally administered and fully integrated; its services are funded and provided by the federal government. Therefore the VHA works both as a provider and payer, a rather unusual feature in the US health care structure. In fact, VHA is the only truly national health care system in the US, with hospitals or other facilities in every state and major metropolitan area of the country, as well as in Puerto Rico, the Virgin Islands, Guam, American Samoa and the Philippines. The VHA network is divided into 23 Veterans Integrated Service Networks, or VISNs, i.e. regional systems of care working together to better meet local health care needs and provide greater access to care., JRC.J.3-Information Society

The present inception report aims to describe the process for defining indicators in line with the terms of Work Package 1 of the Technical Annex for "A Monitoring and Assessment Framework for the European Innovation Partnership on Active and Healthy Ageing" (MAFEIP) agreed between DG CNECT and DG JRC. It provides initial thoughts on the shaping of the MAFEIP based on IPTS' own research and taking account of the data and knowledge gained through discussions with the Expert Groups and also provided by the EIP on AHA Action Groups since their inception in June 2012, including: • Information provided by stakeholders in the First Call for Commitment (June 2012) • Knowledge obtained through interaction with partners during the Action Group meetings held between June and November 2012 and information sent by the partners on the monitoring framework of their individual commitments. • Meetings and intensive interaction with the Expert Group on the monitoring framework (June - November 2012) • Results of and decisions made at the 6 November 2012 EIP on AHA 1st Conference of Partners, with objectives and implementation detailed in the final Action Plans. • Information provided by stakeholders in the Second Call for Commitment (February 2013). • Data gathered from Action Groups' partners through the "Survey on the monitoring of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) closed in March 2013. • Data received from the Reference sites (April 2013), more specifically data on the 71 Good Practices submitted by those Reference sites. The objective of this inception report is therefore to propose some initial considerations, both from a theoretical and operational point of view, taking into account the methodological proposal agreed towards the definition of a Monitoring Framework for the EIP on AHA., JRC.J.3-Information Society

The SIMPHS research studied the deployment of Integrated Personal Health and Social Care Services (IPHS) by analysing IPHS projects across 20 regions in eight European Countries. An outcome of the research was the identification of eight facilitators (key factors) for IPHS deployment. This report extends the analysis of facilitators to the case of Andalusia, a Spanish region recognised internationally as one of the "Best eHealth regional case studies". The aim was to review cases of Integrated Care in the region, especially those where ICT and IPHS enable integration, so as to identify the role of the eight facilitators in these settings., JRC.J.3-Information Society

This study presents and discusses the status of integrated personal health systems (IPHS) in France. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from France and a substantial secondary data collection., JRC.J.3-Information Society

CUORE is a Heart Failure (HF) Disease Assessment System that makes use of innovative approaches, based on Information Technologies (IT) and portable monitoring devices, for the continuous assessment of HF progression and cardiovascular risk stratification. The system valuates the cardiac condition integrating patient data from different sources with special emphasis in the information obtained for ECG processing. Rather than just evaluate the cardiovascular status, the system also aims to motivate patients to have an active role in their health management and to improve their cardiac condition by promotion of an active lifestyle. In order to make the system usable the methodology adopted to create the final solution is iterative and it involves users in all stages. This paper presents the conceptualization of CUORE as a solution to self care for heart failure out of hospital patients.

In Europe, Cardiovascular Diseases (CVD) are the leading source of death, causing 45% of all deceases. Besides, Heart Failure, the paradigm of CVD, mainly affects people older than 65. In the current aging society, the European MyHeart Project was created, whose mission is to empower citizens to fight CVD by leading a preventive lifestyle and being able to be diagnosed at an early stage. This paper presents the development of a Heart Failure Management System, based on daily monitoring of Vital Body Signals, with wearable and mobile technologies, for the continuous assessment of this chronic disease. The System makes use of the latest technologies for monitoring heart condition, both with wearable garments (e.g. for measuring ECG and Respiration); and portable devices (such as Weight Scale and Blood Pressure Cuff) both with Bluetooth capabilities

Durante años, los países de América Latina y en especial Panamá han sufrido grandes cambios sociales, demográficos y epidemiológicos que han provocado un crecimiento de la incidencia y prevalencia de varias enfermedades crónicas no transmisibles como: las cardiopatías, el cáncer y la diabetes. Actualmente, la suma de estas afecciones causa la mayoría de las muertes y discapacidades en la región. Las necesidades de salud varían de un país a otro, inclusive en el interior de un mismo país o de una misma región debido a factores demográficos, socioculturales, económicos y políticos propios de la región, lo cual favorece la desigualdad en el acceso a los servicios de salud. Este hecho pone de manifiesto un aspecto importante de esta tesis de doctorado, que es facilitar el autocuidado de los pacientes diabéticos en tres zonas rurales de Panamá, contribuyendo de esta manera a la planeación e implantación de nuevos servicios TIC en salud para los pacientes diabéticos de tres zonas rurales de Panamá. El objetivo principal de esta tesis doctoral es desarrollar una contextualización del paciente diabético en zonas rurales de Panamá y modelar su autocuidado mediante el uso de las TIC. A través del modelo se busca mejorar la calidad de vida de los pacientes y propiciar estados de equidad en salud. Se continúa con la implementación del modelo en tres zonas rurales diferentes de Panamá. Se concluye con una fase de validación en la que se demuestra que el enfermo de diabetes aumenta la conciencia de la importancia de su tratamiento mejorando su estado de salud y su calidad de vida. La demostración clínica de este resultado está fuera del ámbito de la tesis doctoral. Abstract Through the years, countries of Latin America, Panama in particular have endured great social, demographic and epidemiologic changes, which in turn caused an increase in the occurrence and prevalence of chronic non transmissible diseases, such as: cardiopathy, cancer and diabetes. The sum of these afflictions causes most of the deaths and disabilities in the region nowadays. The healthcare needs vary from one country to another, furthermore the healthcare needs are different from one rural area to another in a given country or region, due demographic, sociocultural, economic and political factors, this favors the inequality in access to health care services. This facts shows one important aspect of this Ph. D. thesis, which is to facilitate the self-care of diabetic patients in three rural areas of Panama, contributing to the planning and implementation of new ICT services in healthcare for diabetic patients in rural areas of Panama. The primary goal of this Ph.D thesis is to develop a contextualization of the diabetic patient in country side of Panama and to model its self-care by means of the use of the ICT. Through model one looks for to improve the quality of life of the patients and to cause states of fairness in health. It continues with the implementation of ICT through a conceptualized model in three different rural areas of Panama. It concludes with a validation phase which shows how the awareness of the diabetes patient increases, about the importance of his/her treatment for the improvement of health and quality of life. The clinic demonstration of this result is not part of this thesis.

La creciente necesidad de adaptar textos y documentos siguiendo la Metodología de Lectura Fácil es el motivo detrás de la creación del proyecto de FACILE. La aplicación web de FACILE pretende automatizar los pasos de la adaptación y transformación de textos y documentos en textos comprensibles para todos, según las pautas especificadas en la "Norma UNE 153101 EX: Lectura Fácil. Pautas y recomendaciones para la elaboración de documentos". El tema de esta tesis de máster gira en torno al objetivo principal de diseñar una Interfaz de Usuario para dicha aplicación web, implementando la Metodología de Diseño Centrado en el Usuario. Esta tesis se divide en tres partes principales. En primer lugar, una introducción al proyecto y a la API de backend que soporta la lógica de esta aplicación web. En segundo lugar, un análisis de los pasos y métodos aplicados para crear dos diseños iniciales para la interfaz que posteriormente fueron evaluados por un grupo de usuarios finales de esta aplicación, adaptadores de texto profesionales. Por último, esta tesis describe el estado actual del proyecto, desde el diseño final de la interfaz de usuario hasta los futuros pasos que se podrían implementar en este proyecto para su posterior desarrollo y mejora.---ABSTRACT---The increasing need to adapt texts and documents following the Easy-To-Read Methodology is the reason behind the creation of the project of FACILE. FACILE’s web application aims to automate the steps of the adaptation and transformation of texts and documents into understandable texts for everyone, according to the guidelines specified in the “Norma UNE 153101 EX: Lectura Fácil. Pautas y recomendaciones para la elaboración de documentos”. The subject of this master’s thesis revolves around the main objective of designing a User Interface for such web application, implementing a UserCentered Design Methodology. This thesis is divided into three main parts. First, an introduction to the project and the back-end API supporting the logic of this web application. Secondly, an analysis of the steps and methods applied to create two initial designs for the interface that later were evaluated by a group of end users of this application, professional text adapters. Finally, this thesis describes the current state of the project, from the final user interface design to the future steps that could be implemented in this project to be further developed and improved.

La populación del mundo occidental está envejeciendo y el deterioro cognitivo y mental en los adultos son cada vez más frecuentes y graves para nuestra sociedad. Si bien la tecnología se vuelve insustituible en nuestras vidas y el procesamiento de datos e información se vuelve más rápido cada año, la capacidad de procesamiento de información de la mayoría de las personas empeora constantemente a medida que envejecen. El deterioro cognitivo es un problema común en los adultos mayores y conduce a graves problemas de salud física y mental y puede limitar en gran medida la independencia de una persona en su vejez. Muchos estudios sugieren que la estimulación mental, una activa vida social y la actividad física pueden reducir la progresión del deterioro cognitivo. Como reconocimiento de estos asuntos, el Ayuntamiento de Madrid fundó el Centro para la Prevención del Deterioro Cognitivo. Como parte de esta iniciativa, en colaboración con la Universidad Politécnica de Madrid, se ha desarrollado una plataforma web que los adultos mayores pueden utilizar para obtener estimulación cognitiva mediante la superación de diferentes actividades mentalmente desafiantes. Esa estimulación cognitiva podría ayudar a aliviar la progresión del deterioro mental y cognitivo. Al mismo tiempo, puede proporcionar a los psicólogos una forma de analizar los datos recopilados de estas actividades para obtener una idea del estado de sus pacientes y prescribir tratamientos en consecuencia. Esta tesis primero documenta los fundamentos teóricos sobre los que se sustenta la concepción de la plataforma. Luego, se especifica el estado del proyecto al inicio del trabajo de tesis de máster. Después se define y explica el alcance del desarrollo planeado para la tesis. Una de las principales preocupaciones del trabajo fue apoyar un estudio científico en el Centro de Prevención del Deterioro Cognitivo. Para dicho estudio fue necesario implementar algunas funcionalidades específicas. Estas funcionalidades incluyen un sistema para administrar y guiar el progreso de los usuarios con planes de trabajo personalizados, la visualización y la contextualización de los datos de la actividad del usuario y las herramientas para un examen inicial y una evaluación de la capacidad cognitiva de un usuario. Todas estas características se implementaron con éxito y estuvieron listas a tiempo para facilitar el estudio. En general, se consideró importante que las características que respaldan el estudio también proporcionaran valor a la plataforma más allá del estudio científico. Luego, la tesis documenta un cierto periodo de desarrollo de la plataforma y los resultados de este período desde una perspectiva de desarrollo de software e ingeniería informática. Explicaremos cómo se implementaron las características mencionadas, las tecnologías que se usaron. Además, mostramos cómo se dividió el alcance del proyecto en iteraciones viables y cómo cada iteración aportó valor a la plataforma. Finalmente, esta tesis explora futuras líneas de trabajo futuro, centrándose en cómo se pueden implementar nuevas mejoras en la plataforma.---ABSTRACT---The population of the western world is aging and mental and cognitive impairments in older adults are becoming more common and more serious for our society. While technology makes itself irreplaceable in our lives and information and data processing become faster every year, most people’ capability for information processing steadily becomes worse as they age. Cognitive decline is a common issue in older adults and leads to serious physical and mental health problems and can greatly limit a person’s independence in their old age. Many studies suggest that mental stimulation, rich social lives, and physical activity may reduce the progression of cognitive impairment. As a recognition of these issues, the City of Madrid founded the Center for Prevention of Cognitive Impairment. As part of this initiative, in collaboration with the Technical University of Madrid, they have developed a web platform for older adults to get substantial cognitive stimulation from different challenging activities that could help alleviate the progression of mental and cognitive decline. At the same time, it can give psychologists a way to analyze the data gathered from these activities to get an insight into their patients’ mental state and prescribe treatments accordingly. This thesis first documents the theoretical foundations and backgrounds upon which the conception of the platform is based. Then, the state of the project at the beginning of the work on the master thesis is outlined. After that the development scope for the thesis is defined and explained. One of the main concerns of the work was to support a study at the Center for Prevention of Cognitive Impairment. For this study some specific features needed to be implemented. These features include a system to manage and guide users progress with customized work plans, visualization, and contextualization of user activity data, and tools for an initial evaluation of the user’s cognitive ability. All of these features were successfully implemented and were ready in time to facilitate the study. Generally, it was considered important that the features that support the study also provide value to the platform beyond the study. Then, the thesis documents a certain period of development of the platform and the results of this period from a software development and information technology perspective. We will point out how the mentioned features were implemented, the technologies that were used. Additionally, we will explain how the scope was broken down into workable iterations and how each iteration was implemented and brought value to the platform. Finally, this thesis explores future work, focusing on which new enhancements could be implemented in the platform.

Según la Confederación Autismo España, el trastorno del espectro del autismo, o TEA, «es un trastorno de origen neurobiológico que afecta a la configuración del sistema nervioso y al funcionamiento cerebral, dando lugar a dificultades en dos áreas principalmente: la comunicación e interacción social y la flexibilidad del pensamiento y de la conducta». Habitualmente, el TEA lleva asociado diversos problemas concretos del aprendizaje como la organización del tiempo, la planificación del estudio o la falta de motivación. Por eso, a lo largo de este proceso de análisis e identificación de usuarios, se investigará cómo se manifiestan estas dificultades, observando casos reales y realizando entrevistas a padres, docentes y alumnos. Toda la información recogida se utilizó en la realización del diseño de un sistema de gestión de alumnado y adaptación de contenido a sus necesidades según sus gustos y preferencias, totalmente orientado a ser utilizado por el profesorado. El diseño y sus distintas fases de prototipado fueron evaluados satisfactoriamente. ABSTRACT According to the Confederación Española Autismo (Spanish Autism Confederation), autism spectrum disorder, or ASD, "is a neurobiological disorder that affects the configuration of the nervous system and brain functioning, giving rise to difficulties in two main areas: communication and social interaction and flexibility of thought and behaviour." Typically, ASD is associated with various specific learning problems such as the organisation of time, study planning or lack of motivation. Therefore, throughout this process of analysing and identifying users, we will investigate how these difficulties manifest themselves, observing real cases and conducting interviews with parents, teachers and students. All the information collected was used in the realisation of the design of a student management system and adaptation of content to their needs according to their tastes and preferences, totally oriented to be used by teachers. Both the design and its prototypes were successfully tested.

A Design System is a single source of truth for an organisation’s products helping designers and developers realise an idea in an efficient workflow. Sometimes, a Design System can become inefficient, leading to problems like increasing design inconsistencies, delayed design workflow, unclear design guidelines, and increasing use of UI elements outside the Design System. A similar set of problems were identified in a rapidly growing electronics software startup, and out of all the Design System components, a checkbox is picked to showcase the redesign process. This led to the research question, “What are the key design challenges faced while redesigning a fragmented checkbox component in a startup?”. To tackle such problems, some methods like: Design System audit, stakeholder interviews, dot voting, secondary research, ideation, survey, and diary studies were used to gather insights. Five to ten internal stakeholders took part in most of the research activities. Four prominent challenges were discovered during the entire incremental redesign process. First is the difficulty in locating multiple instances of a UI component from various design files. Second is the difficulty in manually replacing the old with new UI components to visualise them in the context of many UI components and screens. The third is the difficulty in evaluating the redesigned UI components. Last is the challenge of transitioning the current UI screens with new UI components in bulk. It is challenging from the state of discovery until the test and transition. Consistent documentation and bulk action Figma plugins such as Similayer can be useful for a smooth transition.

The increase of the older population has a social and economic impact on our society. In addition, with the COVID-19 crisis, older adults are being forced to stay home for longer amounts of time and their disconnection from external assistance services is increasing, therefore smart home/eHealth technology is gaining more importance among this population. Nonetheless, older adults may experience difficulties while interacting with the technologies, preventing them from benefiting from technological advances and from fulfilling their social needs. Thus, to better apply these technologies to older adults’ lives, it is important to identify the practical needs of the elderly for technology, and it is necessary to study which acceptance factors are to be considered. Many studies have analyzed acceptance factors for this particular population. However, there is not yet a consensual framework to be used in further development and the search for solutions. To propose an Integrated Acceptance Framework (IAF) for the older user’s acceptance of eHealth, the research was conducted in two steps. The first step aimed to analyze the residentially-based lifestyles (RBL) of older adults and segment them to compare and analyze the real needs of smart home functions for each group. To identify a person’s RBL, a questionnaire was designed to include questions about activities at home, social events, quality of life, etc. This research was conducted in two countries: South Korea (2020) and Spain (2021). In South Korea, 271 older Koreans participated and five groups with different characteristics were clustered as a result of the analysis on RBL: 1) Tired of housework; 2) Just rest; 3) Poor quality of life; 4) Active at home; 5) High quality of life and good health. In Spain, a total of 102 valid responses were analyzed, and four clusters emerged according to the information provided by the older adults who participated in the survey: 1) High quality of life and independent life; 2) Poor quality of life; 3) Social centered life; 4) Creative and personal-centered hobbies at home. These two studies showed that the priority of required functions for each group was found to be significantly different. Namely, in the case of having different RBL, they had different priorities and necessities for smart home functions. However, all groups showed high interest in health care-related technologies. Accordingly, we decided to focus the scope of IAF on eHealth technology, among all the possible smart home technologies. This study proved that an analysis based on RBL provides practical data for smart home research. As a result of this step, a method was presented to analyze users’ needs for smart home technology through segmentation by RBL. The second step aimed to establish an Integrated Acceptance Framework (IAF) for eHealth, which is considered the most necessary service among the smart home functions in old age. To this end, a meta-analysis of the current state of research was conducted, highlighting the areas where specific measures are needed to facilitate e-Health acceptance. As the result, five dimensions (i.e., personal, user-technology relational, technological, service-related, environmental) emerged with a total of 23 factors. To determine the impact of the factors of the proposed framework, some criteria were defined for evaluating the evidence from the studies that have extracted factors. Through this process, the impact of each factor in the IAF was added to the framework proposal. This study not only suggested IAF, but also developed questionnaires to explore each of 23 factors for both pre-use and post-use situations, and applied the post-use one to survey the participants in a European project focused on frail older population, the POSITIVE project. It also characterized the different ways in which IAF can be used as an explanatory and predictive tool, with the goal of facilitating the adoption of e-Health technology in the older age, identifying the relevant barriers and facilitators to be considered, and allowing a better adaptation to the real user needs. In summary, three questionnaires (RBL, Preference in smart home functions, IAF) were developed, a method to analyze the technology needs of a specific population was defined and demonstrated in two different countries, an integrated acceptance framework for e-Health in the older population was defined, and a method to manage specific adoption situations was also presented. This study contributes academically and practically to the future study on Smart homes/eHealth for the elderly. ----------ABSTRACT---------- El aumento de la población mayor tiene un impacto social y económico en nuestra sociedad. Además, con la crisis del COVID-19, los adultos mayores se están viendo obligados a quedarse en casa por más tiempo y su desconexión con los servicios de asistencia externa es cada vez mayor, por lo que la tecnología de hogar inteligente/eHeath está más importante entre esta población. Sin embargo, los adultos mayores pueden experimentar dificultades al interactuar con las tecnologías, lo que les impide beneficiarse de los avances tecnológicos y satisfacer sus necesidades sociales. Por lo tanto, para aplicar mejor estas tecnologías a la vida de los adultos mayores, es importante identificar las necesidades prácticas de tecnología de las personas mayores, y es necesario estudiar qué factores de aceptación se aplican. Muchos estudios han analizado los factores de aceptación para esta población en particular. Sin embargo, todavía no existe un marco consensuado para ser utilizado en el desarrollo posterior y la búsqueda para soluciones. Para presentar un Integrated Acceptance Framework (IAF) para la aceptación de eHealth por parte de los usuarios mayores, la investigación se lleva a cabo en dos fases. La primera fase tiene como objetivo analizar los estilos de vida residenciales (RBL) de los adultos mayores y segmentarlos para comparar y analizar las necesidades reales de las funciones del hogar inteligente para cada grupo. Para identificar el RBL de una persona, se diseñó un cuestionario que incluía preguntas sobre actividades en el hogar, eventos sociales, calidad de vida, etc. Esta investigación se realizó en dos países: Corea del Sur (2020), España (2021). En Corea del Sur, participaron 271 coreanos mayores y los cinco grupos con diferentes características se agruparon como resultado de la encuesta sobre RBL: 1) Cansado de las tareas del hogar; 2) Solo descansa; 3) Mala calidad de vida; 4) Activo en casa; 5) Alta calidad de vida y buena salud. En España, se analizaron un total de 102 respuestas válidas y surgieron cuatro clusters según la información proporcionada por los adultos mayores que participaron en la encuesta: 1) Alta calidad de vida y vida independiente; 2) Mala calidad de vida; 3) Vida centrada en lo social; 4) Pasatiempos creativos y personales en el hogar. Estos dos estudios muestran que la prioridad de las funciones necesarias para cada grupo resultó ser significativamente diferente. Es decir, en el caso de tener diferentes RBL, tenían diferentes prioridades y necesidades para las funciones del hogar inteligente. Sin embargo, todos los grupos mostraron un alto interés en las tecnologías relacionadas con el cuidado de la salud. Por lo tanto, pudimos especificar el alcance de IAF como tecnología de eHealth entre las tecnologías de hogares inteligentes. Este estudio demostró que el análisis con RBL proporciona datos prácticos para la investigación de hogares inteligentes. Este estudio presenta un método para analizar las necesidades de los usuarios de una tecnología a través de una segmentación por RBL. La segunda fase tiene como objetivo establecer un Integrated Acceptance Framework (IAF) de eHealth, que se considera el servicio más necesario entre las funciones del hogar inteligente para mayores. Como resultados, surgieron cinco dimensiones (personal, relacional usuario-tecnología, tecnológica, relacionada con el servicio, ambiental) con un total de 23 factores. Para analizar detalladamente el impacto de los factores del marco propuesto, se presentan los criterios para evaluar la evidencia de los estudios que han extraído factores. A través de este proceso, se ha presentado el impacto de cada factor en el IAF, además de la propuesta marco. En consecuencia, este estudio presenta un metanálisis del estado actual de la investigación, destacando las áreas en las que se necesitan medidas específicas para facilitar la aceptación de la e-Salud. Este estudio no solo construyó el marco IAF, sino que también desarrolló un cuestionario para cada uno de los 23 factores para situaciones previas y posteriores al uso, y lo aplicó a la encuesta posterior al uso de un proyecto europeo centrado en personas mayores frágiles, el proyecto POSITIVE. Para finalizar, se plantean una serie de trabajos futuros aplicando IAF. Además, se desarrollaron tres cuestionarios (RBL, Preferencia de funciones de hogar inteligente, IAF) a través del 3-paso estudio, y también se presentó un método para analizar las necesidades de tecnológicas para una población específica y un método de 4 pasos ejecutados para construir y analizar un marco de aceptación. Este estudio contribuye tanto al conocimiento como a la aplicación en el área de las Smart homes/eHealth para personas mayores.

The SmarTerp project is an Innovation Activity funded by the European Union in the framework of the EIT Digital BP2021 to develop a Remote Simultaneous Interpreting system endowed with Computer-Assisted Interpreting (CAI) tools. The sector of CAI tools has seen a rise in interest since the COVID-19 pandemic spread. Although the interpretation market has seen a relatively steady increase in demand over the years, the conferences and the simultaneous interpretation have been conducted traditionally on-site, requiring Conference Organizers to manage the physical transfer of the needed interpreters to the conference location. COVID-19 and the advancements in telecommunication technologies now forced and allowed, the interpretation market to welcome in the landscape CAI solutions that allow to accomplish a technological turn on the way the interpreter professionals experience remote working and the way interpretation services are provided. In this changing context, SmarTerp tries to assess and fulfill the needs of their clients, such as Conference Organizers (CO) and Language Service Providers (LSP), as well as including their users, Oral Language Interpreters (OLI), and Sign Language Interpreters (SLI). Likewise, the SmarTerp agenda focuses on accessibility and inclusion of Visually Impaired OLIs and Deaf people that will experience the result of the interpretation services.

Women are still strongly underrepresented in the ICT field. It is worrying that even children can hold stereotypes about gender and technology, which discourage girls from engaging with technology early in their development. Previous research has found that encouraging collaboration and the integration of storytelling in programming are successful approaches for introducing girls to coding. In practice, children often collaborate with friends since they tend to engage in the same activities. This study explores how existing friendship influences collaboration between preadolescent girls participating together in a storytelling-motivated programming experience. Results reveal that when girls collaborate with a friend, they feel comfortable and confident to express their ideas and to reject or elaborate on their friend’s suggestions. The openness of friends towards each other and the social setting of friendship may impact collaboration. Role assignment in the form of task allocation supported productive collaboration, while dominance impeded it. The project indicates that the design of solutions that aim to motivate programming through storytelling has to provide enough support in adding narration elements through code. Additionally, it proposes suggestions for the design of inclusive workshops and hackathons.

El Centro de Prevención de Deterioro Cognitivo del Ayuntamiento de Madrid presta sus servicios a toda la población que presente alteraciones cognitivas o de memoria. El término deterioro cognitivo describe una etapa intermedia comprendida entre la función cognitiva normal y la demencia o Alzheimer. Actualmente el Ayuntamiento de Madrid está trabajando, en colaboración con el Laboratorio de Ageing Lab de la Universidad Politécnica de Madrid, y el Hospital Universitario de Getafe, en un proyecto cuya finalidad es la mejora y mantenimiento de una plataforma online ya existente, para la ejecución de tareas de estimulación cognitiva. Dicha plataforma permite mantener un registro de la evolución de los usuarios en el desempeño de las tres áreas principales: lenguaje, atención y memoria. Los usuarios pueden acceder a dicha plataforma, bien a través de ordenadores personales, o bien desde dispositivos móviles. Actualmente, la plataforma consta de diversas pruebas, implementadas mediante tecnología HTML, JavaScript, CSS y PHP. Además se hace uso de una Base de Datos MySQL, que almacena los datos necesarios para el funcionamiento de las pruebas que lo requieren y, adicionalmente, almacena el progreso de la realización de los ejercicios de los usuarios registrados. Este trabajo presenta la mejora de dicha plataforma online, ampliando la base de datos de las pruebas, corrigiendo el software y la implementación de los ejercicios, y mejorando la adaptación a las diversas pantallas. Finalmente, se ha realizado una prueba de usabilidad en el Centro de Prevención de Deterioro Cognitivo de Madrid, analizando los resultados para una mejora futura de la plataforma.---ABSTRACT---The Centro de Prevención de Deterioro Cognitivo of the Madrid City Council provides its services to the entire population with cognitive or memory disorders. The term cognitive impairment describes an intermediate stage between normal cognitive function and dementia or Alzheimer's disease. Madrid City Council is currently working, in collaboration with the Ageing Lab of the Universidad Politécnica de Madrid and the Hospital Universitario de Getafe, on a project aimed at improving and maintaining an existing online platform for carrying out cognitive stimulation tasks. This platform makes it possible to keep a record of the evolution of users in the performance of the three main areas: language, attention and memory. Users can access this platform either through personal computers or from mobile devices. Currently, the platform consists of several tests, implemented through HTML, JavaScript, CSS and PHP technology. In addition, a MySQL database is used to store the necessary data for the operation of the tests that require it and, additionally, stores the progress of the registered users' exercises. This work presents the improvement of this online platform, expanding the database of tests, correcting the software and the implementation of the exercises, and improving the adaptation to various screens. Finally, a usability test was carried out at the Centro de Prevención de Deterioro Cognitivo in Madrid, analysing the results for future improvement of the platform.

En el desarrollo de esta tesis la motivación se centra como el tema principal, en ella se va a tratar el modelado y gestión de la motivación en sistemas computacionales. La motivación se define de muchas formas por distintos autores, ha sido definida por (Woolfolk, 2006) como un estado interno que activa, dirige y mantiene la conducta de la persona hacia metas o fines determinados. Por este motivo, la motivación se identifica como una característica importante en la vida de las personas, una persona motivada puede alcanzar los objetivos que se proponga con una probabilidad más elevada de éxito. Uno de los principales objetivos de la tesis es conocer desde un punto de vista motivacional a cada usuario y que un sistema informático sea capaz de extraer esta información motivacional de forma automática. Para ello, en primer lugar, se ha definido un modelo motivacional general que representa las diferentes características motivacionales de una persona, en este proceso se ha realizado un estudio de las diferentes contribuciones motivacionales en la literatura al respecto de este particular y se ha compuesto un modelo motivacional. Este modelo se fundamenta en dos estrategias motivacionales: el modelado de los rasgos motivacionales y el de un perfil de jugador basado en la estrategia de la gamificación. Una vez definido este modelo motivacional, el siguiente paso ha sido definir una prueba de diagnóstico motivacional en forma de videojuego que sea capaz de extraer el modelo motivacional de los usuarios a través de una prueba de comportamiento objetiva. Los resultados obtenidos de la prueba que se ha realizado con usuarios reales muestran una gran capacidad de modelado motivacional de la prueba diagnóstica, siendo más concluyentes los resultados relacionados con el modelado de los rasgos motivacionales. Por otro lado, y siguiendo el mismo objetivo, se ha definido otra prueba diagnóstica motivacional orientada a personas mayores de 75 años, adaptando dicha prueba objetiva a las necesidades y métodos de interacción adecuados a este colectivo. Existen dos motivos para realizar esta parte de la investigación, en primer lugar, debido a que los investigadores tienen un conocimiento previo basado en el trabajo con personas mayores de 75 años, conocen que este grupo de personas tienen una serie de necesidades distintas a un público más joven y necesitan de estas adaptaciones para que la prueba diagnóstica pueda ser realizada por ellos. Y, en segundo lugar, que todo el trabajo que se ha generado en la tesis se pretende aplicar a un proyecto de investigación denominado Active-UP (PID2019-108408RB-C21) y que consiste en un sistema de personalización para mejorar la adopción de pacientes frágiles y pre-frágiles en la Comunidad de Madrid, los cuales tienen más de 75 años. Los resultados obtenidos en la prueba que se ha realizado con usuarios reales muestran que es una gran primera aproximación al modelado motivacional de los usuarios, pero que es necesario seguir refinando la prueba diagnóstica para este conjunto de usuarios. El segundo bloque de la tesis se centra en la gestión de la motivación en sistemas computaciones que ha sido modelado anteriormente. En la actualidad se han identificado una gran cantidad de aplicaciones o sistemas informáticos que tienen un objetivo claro centrado en la consecución de los distintos objetivos de los usuarios, como puede ser hacer deporte, dejar de fumar o realizar todas las sesiones de una rehabilitación sanitaria, etc. pero que carecen de un soporte motivacional para sus usuarios. Esto conlleva que una cantidad de usuarios no completen sus objetivos y abandonen sus metas a alcanzar. Y aquellos sistemas que si tienen incluida un soporte motivacional es muy estricto y dependiente del contexto y, por lo tanto, muy difícil de reutilizar en otro tipo de sistemas. Una vez identificada la problemática y con el objetivo de completar este vacío, se ha diseñado una arquitectura software motivacional capaz de dar soporte motivacional a una gran cantidad de aplicaciones en forma de un módulo independiente solamente especializado en la motivación. Esta arquitectura tiene como piedra angular una ontología motivacional, que almacena toda la información y modela el conocimiento de los diferentes contextos motivacionales de los usuarios en cualquier tipo de aplicación software. La ontología define el modelado y la gestión de la motivación en el sistema y permite la personalización de la motivación en función de las necesidades de los usuarios y de su desempeño realizado a lo largo del programa para cumplir sus objetivos. La ontología tiene tres niveles de especialización a la hora de modelizar los diferentes escenarios motivacionales, permite modelar la Ontología motivacional de forma genérica, la Ontología especializada para un Programa de Cambio concreto y, por último, la Ontología especializada para un usuario de un Programa de Cambio. La arquitectura se ha definido de forma genérica para permitir su uso en cualquier tipo de actividad, campo de estudio o área de aplicación. La arquitectura ofrece un sistema de configuración del módulo motivacional que permite personalizar a través de diferentes opciones la gestión de la motivación de los usuarios en la arquitectura. Se considera que la creación de esta arquitectura es un avance en la definición y gestión de la motivación en sistemas computacionales. ----------ABSTRACT---------- In the development of this thesis, motivation is focused as the main theme, it will deal with the modeling and management of motivation in computer systems. Motivation is defined in many ways by different authors, it has been defined by (Woolfolk, 2006) as an internal state that activates, directs and maintains the behavior of the person towards specific goals or ends. For this reason, motivation is identified as an important characteristic in people's lives, a motivated person can achieve the goals that he sets out with a higher probability of success. One of the main objectives of the thesis is to know from a motivational point of view each user and that a computer system is capable of extracting this motivational information automatically. To do this, in the first place, a general motivational model has been defined that represents the different motivational characteristics of a person, in this process a study of the different motivational contributions has been carried out in the literature in this regard and a motivational model formed by two motivational strategies that are the modeling of motivational traits and a player profile based on the gamification strategy. Once this motivational model has been defined, the next step has been to define a motivational diagnostic test in the form of a video game that is capable of extracting the motivational model of users through an objective behavior test. The results obtained from the test carried out with real users show a great capacity for motivational modeling of the diagnostic test, the results related to the modeling of motivational traits being more conclusive. On the other hand, and following the same objective, another motivational diagnostic test has been defined aimed at people over 75 years of age, applying a set of adaptations and design methods focused on this group to ensure that the diagnostic test is adapted to the needs of older people 75 years. There are two reasons for carrying out this part of the research, firstly, because the researchers have prior knowledge based on working with people over 75 years of age, they know that this group of people have a series of different needs than a younger audience, and they need these adaptations so that the diagnostic test can be performed by them. And, secondly, that all the work that has been generated in the thesis is intended to be applied to a research project called Active-UP (PID2019-108408RB-C21) and that it consists of a personalization system to improve patient adoption of frail and pre-fral older adults in the Region of Madrid which is more than 75 years old. The results obtained in the test carried out with real users show that it is a great first approach to motivational modeling of users, but that it is necessary to continue refining the diagnostic test for this particular group. The second block of the thesis focuses on motivation management in computer systems which has been modelled previously. At present, a large number of applications or computer systems have been identified that have a clear objective focused on the achievement of the different objectives of the users, such as playing sports, quitting smoking or performing all the sessions of a health rehabilitation, etc., but that lack motivational support for their users. This leads to a number of users not completing their objectives and abandoning their goals to be achieved. And those systems that do have a motivational support included are very strict and context-dependent and, therefore, very difficult to reuse in other types of systems. Once the problem has been identified and with the aim of filling this gap, a motivational software architecture has been designed that is capable of giving motivational support to a large number of applications in the form of an independent module that only specialises in motivation. This architecture has as a cornerstone a motivational ontology, which stores all the information and models the knowledge of the different motivational contexts of the users in any type of software application. The ontology defines the modelling and management of motivation in the system and allows the personalisation of motivation according to the needs of the users and their performance throughout the programme to achieve their objectives. The ontology has three levels of specialization when it comes to modelling the different motivational scenarios, it allows modelling the Motivational Ontology in a generic way, the specialized Ontology for a specific change programme and, finally, the specialized Ontology for a user of a change programme. The architecture has been defined in a generic way to allow its use in any type of activity, field of study or area of application. The architecture offers a system for configuring the motivational module that allows the management of user motivation in the architecture to be personalised through different options. The creation of this architecture is considered an advance in the definition and management of motivation in computer systems.

A pesar de la creciente popularidad de los eventos musicales transmitidos en vivo durante los últimos años, no ha habido mucha investigación sobre el impacto que las interacciones desarrolladas durante dichos eventos tienen en la experiencia de usuario de la audiencia. Este Trabajo de Fin de Máster se centra en explorar los efectos que una particular interacción iniciada por el intérprete y controlada por la audiencia, como es poder votar por la siguiente canción, tiene durante un evento musical. El estudio de los usuarios siguió un diseño experimental entre sujetos para estimar las consecuencias de esta interacción, utilizando un prototipo móvil con dos condiciones que varían en el nivel de interactividad disponible: poder o no poder votar. La recogida de datos se llevó a cabo mediante una entrevista semi-estructurada, un cuestionario demográfico y el Cuestionario de Experiencia de Usuario (UEQ). Los resultados indican que la inclusión de la interactividad tiene una influencia positiva sobre la experiencia de usuario. Además, la experiencia más interactiva obtuvo resultados notoriamente mejores en el análisis del UEQ y fue percibida por los usuarios como más motivadora y atractiva, en comparación a la experiencia alternativa. Esto se vio reflejado también en las respuestas de las entrevistas, donde la mayoría de participantes expresaron interés en la experiencia y predisposición a repetir otra vez en el futuro.---ABSTRACT---Although live stream music events have been gaining popularity in recent years, there has not been much research on the impact the interactions unfolding during the event have on the user experience of the audience. This thesis focuses on the effects that a particular performer-initiated and audience-controlled interactivity, such as being able to vote for the next song, has during the music event. The user study followed an experimental between-subjects design to estimate the consequences of this interaction using a mobile prototype with two different conditions that differ in the level of interactivity available, from voting to excluding the vote. Data collection consisted of a semi-structured interview, a demographic questionnaire and the User Experience Questionnaire (UEQ). The findings showed that the inclusion of interactivity had a positive influence on the audience experience. Furthermore, the interactive experience obtained noticeable better results in the UEQ analysis and was perceived significantly more motivating and engaging than the less interactive stream. Insights from the interviews corroborated these results, with most participants expressing interest in the experience and willingness to repeat in the future.

La administración de inmuebles alquilados para una persona particular, como la parte arrendadora, puede suponer grandes dificultades a la hora de organizar todos los datos administrativos necesarios y, en particular, gestionar todos los gastos que produzca el inmueble, así como la correcta supervisión de todos los ingresos realizados por parte del arrendatario. Por otro lado, por parte de los arrendatarios, puede suponer un problema llevar el control de todos los recibos pagados y/o pendientes de abono al arrendador, así como una comunicación rápida y sencilla con el arrendador, esencial para una buena estancia de alquiler. El objetivo principal de este trabajo es diseñar y desarrollar una aplicación web para la gestión de los inmuebles alquilados, facilitando al arrendador, el control de los pagos, el soporte con modelos de documentación para realizar las tareas básicas de arrendador, la obtención de los datos necesarios para la declaración de la renta o la realización de todas las tareas administrativas relativas a los inmuebles y a sus inquilinos, además de aportar al arrendatario una herramienta para llevar el control de sus recibos y poder comunicarse con el arrendador de manera eficaz.---ABSTRACT---The administration of rented real estates for a particular person, as the leasing part, may involve great difficulties in organizing all the necessary administrative data and, in particular, managing all the expenses produced by the property, as well as the proper supervision of all revenue made by the lessee. On the other hand, on the part of the tenants, it may be a problem to take the control of all the receipts paid and / or pending payment to the lessor, as well as a quick and simple communication with the lessor, essential for a good rental stay. The main objective of this work is to design and develop a web application for the management of rented real estate, facilitating the lessor, the control of payments, the support with documentation models to perform the lessor`s basic tasks, obtaining the necessary data for the income tax declaration or the realization of all the administrative tasks related to the real estate and its tenants, in addition to providing the lessee with a tool to keep track of their receipts and be able to communicate with the landlord effectively.

This Master Thesis is focused on a research on the field of digital financial services focused on money transfer and payments. The main purpose of the work is to analyse and understand what is happening now in the industry, and how it has evolved so we can define some direction for the next steps. The thesis has been developed while working at the company Vipera Ibérica S.L., which is specialized in the development of digital payment methods. For this, a user-centered design approached has been used, dividing the research process in two parts: desk research and user interviews. The analysis of the entire research has led to several conclusions on how these services are approached, and also some ideas on what the next steps would be to take. The conclusions of this Master Thesis will provide some initial points in which to base the design of new concepts in money transfer and payment services or iterate existing ones.

There is a need for innovative healthcare applications: the world is ageing and de-greening, resulting in a decreased working class and a significant shortage of staff in healthcare. Technology seems to provide the solution for this problem. One of these technologies is virtual reality, since it has potential to induce realistic psychological and behavioural responses. However, this technology needs to be implemented in healthcare institutions before it can reach the patient. Therefore, this study focusses on what companies can do to support practitioners to implement their technology. The technological example used throughout this study is Reducept, a virtual reality application for people suffering from chronic pain. First, barriers and facilitators are identified through a literature review, direct observations and interviews with healthcare professionals. Since barriers are always present, facilitators can be implemented by companies to reduce these barriers. An ordered list is created of estimated costefficiency per facilitator to help companies decide which combinations of facilitators can be implemented within their business to support the implementation process. Moreover, the inclusion of these facilitators need to be communicated to the healthcare professional. A practical example of this, in the form of a website, is included within this study. Together with stakeholders and through a user-centred design process, wireframes for the website of Reducept are created. Companies need to focus on deciding who their product is suitable for, which will give practitioners more confidence for implementation without thorough clinical evidence. In addition, companies should raise awareness for their technology by focussing on the needs of the practitioner. In general, collaborating with practitioners in both these aspects is crucial for success.

El trabajo que viene a continuación está centrado en la creación de una plataforma para la búsqueda de colaboradores en proyectos, en la que los usuarios podrán crear ideas de proyectos o colaborar en proyectos ya existentes. Para conseguir una plataforma final, se seguirá un desarrollo iterativo, en le que se creará un prototipo, se evaluarán y se analizara para después corregir posibles fallos y empezar de nuevo el proceso, hasta conseguir una plataforma totalmente usable. Para comenzar se realizará un análisis de los usuarios para poder obtener los distintos tipos de perfiles y como se usará la plataforma. Posteriormente, se realizará un prototipo de bajo nivel con unas determinadas pruebas para evaluar la usabilidad. Tras la evaluación con usuarios se corregirán los fallos obtenidos de las pruebas con usuarios y se repetirá el proceso. Tras la primera evaluación se realizará un segundo prototipo en un entorno real, un navegador web, consiguiendo así un producto lo más real posible. Finalizado el proceso de implementación de la plataforma se volverán a realizar pruebas con usuarios, y por último se evaluará si la plataforma realizada cumple con los objetivos.---ABSTRACT---The following work is focused on creating a platform for searching for project partners, where users can create project ideas or collaborate on existing projects. In order to achieve a final platform, an iterative development will be followed, in which a prototype will be created, evaluated and analyzed and then corrected possible failures and restart the process, until you get a fully usable platform. To start with, an analysis will be made of the users in order to obtain the different types of profiles and how the platform will be used. Subsequently, a low level prototype will be performed with certain tests to evaluate usability. After the user assessment, the failures obtained from the user tests will be corrected and the process will be repeated. After the first evaluation a second prototype will be performed in a real environment, a web browser, thus achieving a product as real as possible.Once the implementation process of the platform has been completed, user tests will be carried out again, and it will finally be assessed whether the platform implemented meets the objectives.

Despite various safety regulations and procedures, work accidents remain a significant problem in the global process industry as well as the Swedish steel industry. In order to address personal safety and safety culture, wearable alert systems based on Internet of Things (IoT) technology were prototyped and tested with steel workers in iterative workshops following the Constructive Design Research approach. Results show that interactive textile patches worn on the protection gear are a simple way of transmitting personal alerts with light. Another crucial design factor is to enable the communication between the worker, peers and the control room. The visual design can positively impact the acceptance of the patch, but only adds minimal value to the safety culture. The present study contributes to the field research by approaching work place safety and culture with new, innovative IoT and e-textile technologies. Trots olika säkerhetsbestämmelser och förfaranden förmlir arbetsolyckor ett betydande problem i den globala processindustrin såväl som den svenska stålindustrin. För att ta itu med personlig säkerhet och säkerhetskultur, ett bärbart varningssystem baserade på Internet of Things (IoT)-teknologi prototyperades och testades med stålarbetare i iterativa workshops enligt Constructive Design Research-metoden. Resultat visar att interaktiva textillappar som bärs på skyddsutrustningen är ett enkelt sätt att överföra personliga varningar med ljus. En annan viktig designfaktor är att möjliggöra kommunikation mellan arbetaren, kollegor och kontrollrummet. Den visuella designen kan påverka acceptansen av patchen positivt, men lägger bara till minimalt värde för säkerhetskulturen. Den föreliggande studien bidrar till fältforskningen genom att närma sig arbetsplatsens säkerhet och kultur med nya, innovativa teknologier för IoToch e-textilier.

Actualmente no existe un tratamiento 100% eficaz para las personas que padecen deterioro cognitivo leve, sólo existen terapias como la estimulación cognitiva para intentar mejorar. Cada vez hay más personas que lo padecen y más grupos de investigación intentando encontrar una forma de poder contribuir o ayudar a estas personas. Después de mucho tiempo avanzando en las nuevas tecnologías, cada vez se va adentrando más en el ámbito de la medicina para poder ayudar tanto a los doctores con sus pacientes como a los propios pacientes. Además, las nuevas tecnologías pueden ofrecer más facilidad y comodidad al poder realizarse desde su propia casa, así como ajustar las plataformas utilizadas para que sean atractivas, llamativas, entretenidas y usables. Este trabajo presenta el segundo ciclo del diseño e implementación de una plataforma experimental para personas que sufren deterioro cognitivo leve y que permita un seguimiento de sus progresos por parte del personal sanitario. Se ha incrementado el catálogo de la plataforma a 15 actividades implementadas mediante tecnología multiplataforma HTML5, JavaSc ript y PHP. A parte de las 15 pruebas que ofrece se ha mejorado incluyendo una zona de administración dónde los médicos puedan visualizar los resultados de sus pacientes y así poder analizarlos para su estudio, así como los elementos utilizados en la aplicación para ofrecer la posibilidad de aumentarlos, modificarlos o borrarlos. Al seguir tratándose de una web multiplataforma, la aplicación se adapta a ordenadores de sobremesa, dispositivos móviles y Tablets. Finalmente se ha ing dónde pueda ser probado tanto por los médicos del Centro como los pacientes para su posible subido a producción, y poder utilizarla a nivel real. Aun así, seguirá siendo evaluada y analizada mediante tests de usabilidad para posibles mejoras para una implementación futura.---ABSTRACT---Currently there is no 100% effective treatment for people with mild cognitive impairment, there are only therapies such as cognitive stimulation to try to improve. More and more people are suffering from it and more research groups trying to find a way to contribute or help these people. After a long time advancing in the new technologies, every time he goes deeper into the field of medicine to be able to help both the doctors with their patients and the patients themselves. In addition, new technologies can offer more ease and convenience to be able to be made from your own home, as well as adjust the platforms used to make them attractive, eye-catching, entertaining and usable. This work presents the second cycle of the design and implementation of an experimental platform for people who suffer from mild cognitive impairment and which allows health professionals to monitor their progress. The catalog of the platform has been increased to 15 activities implemented through HTML5, JavaScript and PHP multiplatform technology. A part of the 15 tests offered has been improved including a management area where doctors can view the results of their patients and thus be able to analyze them for study, as well as the elements used in the application to offer the possibility of increasing them, modify them or delete them. By continuing to be a multiplatform website, the application adapts to desktops, mobile devices and Tablets. Finally the platform has been uploaded to a hosting where it can be tested both by the doctors of the Center and the patients for its possible upload to production, and to be able to use it at a real level. Even so, it will continue to be evaluated and analyzed through usability tests for possible improvements for a future implementation.

This study presents and discusses the status for integrated personal health systems (IPHS) in the United Kingdom. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from the United Kingdom and a substantial secondary data collection., JRC.J.3-Information Society

The challenges for healthcare systems in the European Union include demand side and supply side drivers . On the demand side, demographic changes due to ageing and increasing personal income are shaping growing expectations on healthcare services to increase quality and access, reduce disease burden, respond to emergency disease risks, and assist mobility and adaptation to the workplace. On the supply side, healthcare systems are under the pressure from limited budgets and the increasing complexity of healthcare provision which requires the management of investments in technology and interoperability of information flows alongside organizational changes., JRC.J.3-Information Society

The Citizen Panel Survey carried out in SIMPHS2 to better assess users and patients' needs and expectations with regard to ICT for health, directly supports the objectives of the Digital Agenda in the area of eHealth which are to both cope with societal challenges and create opportunities for innovation and economic growth by reducing health inequalities, promoting active and healthy ageing and increasing empowerment. It also contributes to the goals of the European Innovation Partnership on Active and Healthy Aging which addresses the societal challenge of an ageing population focusing on the main areas of life events (Prevention, Care and cure and Independent living) with the following expected results: • An improvement of the health status and quality of life of Europeans, especially older people; • An improvement of the sustainability and efficiency of health and social care systems; • Boosted EU competitiveness through an improved business environment for innovation In this policy context the analysis of users' demand undertaken through the SIMPHS2 Citizen panel survey aims to: • develop typologies of digital healthcare users and measure the impact of ICT and the Internet on health status, health care demand and health management. • identify factors that can enhance or inhibit the role and use of Personal Health Systems from a citizen' s perspective with special emphasis on mHealth, RMT, disease management, Telecare, Telemedicine and Wellness. To reach these objectives, we started by defining a theoretical framework for policy-making, which was used to design and gather relevant information. A multivariate statistical analysis was subsequently carried out to identify the underlying conceptual dimensions emerging from the data collected. Key relationships between concepts (underlying dimensions) were identified to understand ICT for Health as a complex ecosystem. We concluded with some lessons learned., JRC.J.3-Information Society

This study presents and discusses the status for integrated personal health systems (IPHS) in Italy. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from Italy and a substantial secondary data collection., JRC.J.3-Information Society

This study presents and discusses the status of integrated personal health systems (IPHS) in Germany. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from Germany and a substantial secondary data collection., JRC.J.3-Information Society

This study presents and discusses the status for integrated personal health systems (IPHS) in Spain. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from Spain and a substantial secondary data collection, JRC.J.3-Information Society