Information and Communication Technologies for managing frailty: a systematic literature review
Frailty is a prevalent condition among Canadians; over one million are diagnosed as medically frail, and in the next ten years this number will double. Information and telecommunication technologies can provide a low-cost method for managing frailty more proactively. This study aims to examine the r...
- Autores:
-
Quiroga Torres, Daniel Alejandro
Cruz, Antonio Miguel
Monsalve, Laur
Ladurner, Anna-Maria
Jaime, Luisa Fernanda
Wang, Daniel
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2020
- Institución:
- Escuela Colombiana de Ingeniería Julio Garavito
- Repositorio:
- Repositorio Institucional ECI
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.escuelaing.edu.co:001/1426
- Acceso en línea:
- https://repositorio.escuelaing.edu.co/handle/001/1426
- Palabra clave:
- Tecnologías de la información
Comunicación
Telecomunicaciones
Telecommunication
Information and telecommunication technologies
Frail
Fragility
Frail older adults
Tecnologías de la información y las telecomunicaciones
Frágil
Fragilidad
Adultos mayores frágiles
- Rights
- openAccess
- License
- https://creativecommons.org/licenses/by/4.0/
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dc.title.eng.fl_str_mv |
Information and Communication Technologies for managing frailty: a systematic literature review |
title |
Information and Communication Technologies for managing frailty: a systematic literature review |
spellingShingle |
Information and Communication Technologies for managing frailty: a systematic literature review Tecnologías de la información Comunicación Telecomunicaciones Telecommunication Information and telecommunication technologies Frail Fragility Frail older adults Tecnologías de la información y las telecomunicaciones Frágil Fragilidad Adultos mayores frágiles |
title_short |
Information and Communication Technologies for managing frailty: a systematic literature review |
title_full |
Information and Communication Technologies for managing frailty: a systematic literature review |
title_fullStr |
Information and Communication Technologies for managing frailty: a systematic literature review |
title_full_unstemmed |
Information and Communication Technologies for managing frailty: a systematic literature review |
title_sort |
Information and Communication Technologies for managing frailty: a systematic literature review |
dc.creator.fl_str_mv |
Quiroga Torres, Daniel Alejandro Cruz, Antonio Miguel Monsalve, Laur Ladurner, Anna-Maria Jaime, Luisa Fernanda Wang, Daniel |
dc.contributor.author.none.fl_str_mv |
Quiroga Torres, Daniel Alejandro Cruz, Antonio Miguel Monsalve, Laur Ladurner, Anna-Maria Jaime, Luisa Fernanda Wang, Daniel |
dc.contributor.researchgroup.spa.fl_str_mv |
GiBiome |
dc.subject.armarc.none.fl_str_mv |
Tecnologías de la información Comunicación |
topic |
Tecnologías de la información Comunicación Telecomunicaciones Telecommunication Information and telecommunication technologies Frail Fragility Frail older adults Tecnologías de la información y las telecomunicaciones Frágil Fragilidad Adultos mayores frágiles |
dc.subject.armarc.spa.fl_str_mv |
Telecomunicaciones |
dc.subject.armarc.eng.fl_str_mv |
Telecommunication |
dc.subject.proposal.spa.fl_str_mv |
Information and telecommunication technologies Frail Fragility Frail older adults Tecnologías de la información y las telecomunicaciones Frágil Fragilidad Adultos mayores frágiles |
description |
Frailty is a prevalent condition among Canadians; over one million are diagnosed as medically frail, and in the next ten years this number will double. Information and telecommunication technologies can provide a low-cost method for managing frailty more proactively. This study aims to examine the range and extent of information and telecommunication technologies for managing frailty in older adults, their technology readiness level, the evidence, and the associated outcomes. A systematic literature review was conducted. Four databases were searched for studies: Medline, EMBASE, CINAHL, and Web of Science. In total, we included 19 studies (out of 9,930) for the data abstraction. Overall, our findings indicate that (1) the proposed frailty phenotype is the most common ground truth to be used for assessing frailty; (2) the most common uses of information and telecommunication technologies for managing frailty are detection, and monitoring and detection, while interventional studies on frailty are very rare; (3) the five main types of information and telecommunication technologies for managing frailty in older adults are information and telecommunication technology-based platforms, smartphones, telemonitoring (home monitoring), wearable sensors and devices (commercial off-the-shelf), and multimedia formats for online access; (4) the technology readiness level of information and telecommunication technologies for managing frailty in older adults is the “Technology Demonstration” level, i.e., not yet ready to be operated in an actual operating environment; and (5) the level of evidence is still low for information and telecommunication technology studies that manage frailty in older adults. In conclusion, information and telecommunication technologies for managing frailty in the older adult population are not yet ready to be full-fledged technologies for this purpose.INGENIERÍA•ISSN impreso: 1794-4953 • ISSN online: 2619-6581 • Vol. 15 (1) • DOI: https://doi.org/10.18041/avances.v15i1 • pp 171-179 (2018) |
publishDate |
2020 |
dc.date.issued.none.fl_str_mv |
2020 |
dc.date.accessioned.none.fl_str_mv |
2021-05-12T22:10:51Z 2021-10-01T17:16:54Z |
dc.date.available.none.fl_str_mv |
2021-05-12 2021-10-01T17:16:54Z |
dc.type.spa.fl_str_mv |
Artículo de revista |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.content.spa.fl_str_mv |
Text |
dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/ART |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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publishedVersion |
dc.identifier.issn.none.fl_str_mv |
2152-5250 |
dc.identifier.uri.none.fl_str_mv |
https://repositorio.escuelaing.edu.co/handle/001/1426 |
dc.identifier.doi.none.fl_str_mv |
10.14336/AD.2020.1114 |
dc.identifier.url.none.fl_str_mv |
DOI:10.14336/AD.2020.1114 |
identifier_str_mv |
2152-5250 10.14336/AD.2020.1114 DOI:10.14336/AD.2020.1114 |
url |
https://repositorio.escuelaing.edu.co/handle/001/1426 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.citationedition.spa.fl_str_mv |
Volume 12, Number 3; 1-20, June 2021 |
dc.relation.citationendpage.spa.fl_str_mv |
20 |
dc.relation.citationissue.spa.fl_str_mv |
3 |
dc.relation.citationstartpage.spa.fl_str_mv |
1 |
dc.relation.citationvolume.spa.fl_str_mv |
12 |
dc.relation.indexed.spa.fl_str_mv |
N/A |
dc.relation.ispartofjournal.eng.fl_str_mv |
Aging and Disease |
dc.relation.references.eng.fl_str_mv |
Theou O, Brothers TD, Peña FG, Mitnitski A, Rockwood K (2014). Identifying common characteristics of frailty across seven scales. J Am Geriatr Soc. May, 62:901-6. Fried L, Walston J (1998). Frailty and failure to thrive. In: Hazzard W, editor. Principles of Geriatric Medicine and Gerontology. New York: McGraw-Hill, 1387-402. Rockwood K, Howlett SE (2018). Fifteen years of progress in understanding frailty and health in aging. BMC Med, 16:220. Kuchel GA (2018). Frailty and Resilience as Outcome Measures in Clinical Trials and Geriatric Care: Are We Getting Any Closer? J Am Geriatr Soc, 66:1451-454. O’Caoimh R, Molloy DW, Fitzgerald C, Van Velsen L, Cabrita M, Nassabi MH, et al. (2018). ICT-supported interventions targeting pre-frailty: Healthcare recommendations from the personalised ICT supported service for independent living and active ageing (PERSSILAA) study. Communications in Computer and Information Science, 869: 69-92. Chen AT, Ge S, Cho S, Teng AK, Chu F, Demiris G, et al. (2020). Reactions to COVID-19, information and technology use, and social connectedness among older adults with pre-frailty and frailty. Geriatr Nurs, Aug 10: S0197-4572(20)30245-7. Chtourou H, Trabelsi K, H'mida C, Boukhris O, Glenn JM, Brach M, et al. (2020). Staying Physically Active During the Quarantine and Self-Isolation Period for Controlling and Mitigating the COVID-19 Pandemic: A Systematic Overview of the Literature. Front Psychol, 11:1708. Greiwe J, Nyenhuis SM (2020). Wearable Technology and How This Can Be Implemented into Clinical Practice. Curr Allergy Asthma Rep, 20:36. Dasenbrock L, Heinks A, Schwenk M, Bauer JM (2016). Technology-based measurements for screening, monitoring and preventing frailty. Z Gerontol Geriatr, 49:581-95. Mugueta-Aguinaga I, Garcia-Zapirain B (2017). Is Technology Present in Frailty? Technology a Back-up Tool for Dealing with Frailty in the Elderly: A Systematic Review. Aging Dis, 8:176-95. Selak Š, Bacaicoa O, Gabrovec B (2019). Can we manage frailty at individual level by the use of information and communication technologies: A narrative literature review. Zdravniski Vestnik, 88:249- 62 Gallucci A, Trimarchi PD, Abbate C, Tuena C, Pedroli E, Lattanzio F, et al. (2020). ICT technologies as new promising tools for the managing of frailty: a systematic review. Aging Clin Exp Res. doi: 10.1007/s40520-020- 01626-9. Epub ahead of print. Zhang P, Aikman S, Sun H (2008). Two types of attitudes in ICT acceptance and use. International Journal of Human Interaction, 24: 628-48. DOE. Department of Energy Technology Readiness, Assessment Guide. Washginton, DC: Office of Management. Department of Energy; 2009. Acampora G, Cook D, Rashidi P, Vasilakos A (2013). A Survey on Ambient Intelligence in Healthcare. Proceedings of the IEEE, 101:2470-2494. Liu L, Stroulia E, Nikolaidis I, Miguel-Cruz A, Rios Rincon A (2016). Smart homes and home health monitoring technologies for older adults: A systematic review. Int J Med Inform, 91:44-59 Schrijvers G (2009). Disease management: a proposal for a new definition. Int J Integr Care, 9: e06. Arksey H, O’Malley L (2005). Scoping studies: towards a methodological framework. Int. J. Soc. Res. Methodol, 8:19–32. Miguel-Cruz A, Ríos-Rincón AM, Rodríguez Dueñas W, Quiroga Torres D, Bohórquez-Heredia A (2017). What does the literature say about using robots on children with disabilities? Disabil Rehabil Assist Technol, 12:429-40. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ (Clinical research ed.),339:b2700. Neubauer N, Lapierre N, Rios-Rincon A, Miguel-Cruz A, Rousseau J, Liu L (2018). What do we know about technologies for dementia-related wandering? A scoping review. Can J Occup Ther, 85:196-208. Portney LG, Watkins MP. Foundations of clinical research: Applications to practice. 3rd ed. Upper Saddle River. N.J: Pearson/Prentice Hall; 2009. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. (2001). Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci, 56:M146-56. Rockwood K, Song X, MacKnight C, Bergman H, Hogan D, McDowell I, et al. (2005). A global clinical measure of fitness and frailty in elderly people, 173: 489-95. Rolfson D, Majumdar S, Tsuyuki R, Tahir A, Rockwood K (2006). Validity and reliability of the Edmonton Frail Scale. Age Ageing, 35:526–29. Gobbens RJ, van Assen MA, Luijkx KG, WijnenSponselee MT, Schols JM (2010). The Tilburg Frailty Indicator: psychometric properties. J Am Med Dir Assoc,11: 2010 344–55. Schwenk M, Mohler J, Wendel C, D'Huyvetter K, Fain M, Taylor-Piliae R, et al. (2015). Wearable sensorbased in-home assessment of gait, balance, and physical activity for discrimination of frailty status: baseline results of the Arizona frailty cohort study. Gerontology,61:258–67. Parvaneh S, Mohler J, Toosizadeh N, Grewal GS, Najafi B (2017). Postural Transitions during Activities of Daily Living Could Identify Frailty Status: Application of Wearable Technology to Identify Frailty during Unsupervised Condition. Gerontology,63:479– 87. Lin CC, Chen CC, Lin PS, Lee RG, Huang JS, Tsai TH, et al. (2016). Development of Home-Based Frailty Detection Device Using Wireless Sensor Networks. J Med Biol Eng, 36:168-77. Tegou T, Kalamaras I, Tsipouras M, Giannakeas N, Votis K, Tzovaras D (2019). A Low-Cost Indoor Activity Monitoring System for Detecting Frailty in Older Adults. Sensors (Basel), 19:452 Razjouyan J, Naik AD, Horstman MJ, Kunik ME, Amirmazaheri M, Zhou H, et al. (2018). Wearable Sensors and the Assessment of Frailty among Vulnerable Older Adults: An Observational Cohort Study. Sensors, 18:1336. Almeida A, Mulero R, Rametta P, Urošević V, Andrić M, Patrono L (2019). A critical analysis of an IoT— aware AAL system for elderly monitoring. Future gener comp sy, 97:598-619. Tsipouras MG, Giannakeas N, Tegou T, Kalamaras I, Votis K, Tzovaras D (2018). Assessing the frailty of older people using bluetooth beacons data. In: International Conference on Wireless and Mobile Computing, Networking and Communications, 5-11. Aznar-Tortonda V, Palazón-Bru A, la Rosa D, Espínola-Morel V, Pérez-Pérez BF, León-Ruiz AB, et al. (2019). Detection of frailty in older patients using a mobile app: cross-sectional observational study in primary care. Br J Gen Pract,70:e29-e35. Fontecha J, Navarro FJ, Hervás R, Bravo J (2013). Elderly frailty detection by using accelerometerenabled smartphones and clinical information records. Pers Ubiquitous Comput,17:1073-083. Toufik G, Voilmy D, Raymonet A, Piau A, Novella JL, Chkeir A (2019). Multimodal corpus recorded by elderly people at home with elaboration of an adapted ihm. In: BioSMART 2019-Proceedings: 3rd International Conference on Bio-Engineering for Smart Technologies. Paris; France, 1-5. Gokalp H, de Folter J, Verma V, Fursse J, Jones R, Clarke M (2018). Integrated Telehealth and Telecare for Monitoring Frail Elderly with Chronic Disease. Telemed J E Health ,24:940-57. Castro LA, Favela J, Quintana E, Perez M (2015). Behavioral data gathering for assessing functional status and health in older adults using mobile phones. Pers Ubiquitous Comput,19:379-91. Chkeir A, Novella JL, Dramé M, Bera D, Collart M, Duchêne J (2019). In-home physical frailty monitoring: relevance with respect to clinical tests. BMC Geriatr,19:34. Abril-Jiménez P, Rojo Lacal J, de Los Ríos Pérez S, Páramo M, Montalvá Colomer JB, Arredondo Waldmeyer MT (2020). Ageing-friendly cities for assessing older adults' decline: IoT-based system for continuous monitoring of frailty risks using smart city infrastructure. Aging Clin Exp Res, 32:663-71. Mulasso A, Brustio PR, Rainoldi A, Zia G, Feletti L, N'dja A, et al. (2019). A comparison between an ICT tool and a traditional physical measure for frailty evaluation in older adults. BMC Geriatr,19:88. Dupuy L, Froger C, Consel C, Sauzéon H (2017). Everyday Functioning Benefits from an Assisted LivingPlatform amongst Frail Older Adults and Their Caregivers. Front Aging Neurosci, 9:302. Jang IY, Kim HR, Lee E, Jung HW, Park H, Cheon SH, et al. (2018). Impact of a Wearable DeviceBaseWalking Programs in Rural Older Adults on Physical Activity and Health Outcomes: Cohort Study. JMIR mHealth and uHealth, 6:e11335 Lee SC, Tsai JM, Tsai LY, Liang LJ, Wu CP (2019). Promoting physical activity and reducing frailty of middle-aged and older adults in community: The effects of a health promotion program combining smart phone learning and exercise. International Journal of Gerontology,13:320-24. Searle SD, Mitnitski A, Gahbauer EA, Gill TM, Rockwood K (2018). A standard procedure for creating a frailty index. BMC Geriatr, 8:24 Kulyk O, Op den Akkery R, Klaasseny R, van GemertPijnen L (2014). Personalized virtual coaching for lifestyle support: Principles for design and evaluation. IJALSR, 6:300-09. Mugueta-Aguinaga I, Garcia-Zapirain B (2017). Is Technology Present in Frailty? Technology a Back-up Tool for Dealing with Frailty in the Elderly: A Systematic Review. Aging Dis, 8:176-95. Liu L, Miguel Cruz A, Rios Rincon A, Buttar V, Ranson Q, Goertzen D (2015). What factors determine therapists' acceptance of new technologies for rehabilitation-a study using the Unified Theory of Acceptance and Use of Technology (UTAUT). Disabil Rehabil, 5:447-55. Michie S, van Stralen MM, West R (2011). The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci, 6:42 |
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Quiroga Torres, Daniel Alejandro031c8d9841515027a609ee88ee05f989600Cruz, Antonio Miguel60f912e3d0e1a88c51207ae38b105011600Monsalve, Laurb6c1c4ab2c42b0ba9fffdf853e7caabb600Ladurner, Anna-Maria588a711b6dd2883a4f14990a242c6997600Jaime, Luisa Fernanda357a6189a086fab58dc0405f619e739b600Wang, Daniele91c5a0488740b7ca371afe1324b038d600GiBiome2021-05-12T22:10:51Z2021-10-01T17:16:54Z2021-05-122021-10-01T17:16:54Z20202152-5250https://repositorio.escuelaing.edu.co/handle/001/142610.14336/AD.2020.1114DOI:10.14336/AD.2020.1114Frailty is a prevalent condition among Canadians; over one million are diagnosed as medically frail, and in the next ten years this number will double. Information and telecommunication technologies can provide a low-cost method for managing frailty more proactively. This study aims to examine the range and extent of information and telecommunication technologies for managing frailty in older adults, their technology readiness level, the evidence, and the associated outcomes. A systematic literature review was conducted. Four databases were searched for studies: Medline, EMBASE, CINAHL, and Web of Science. In total, we included 19 studies (out of 9,930) for the data abstraction. Overall, our findings indicate that (1) the proposed frailty phenotype is the most common ground truth to be used for assessing frailty; (2) the most common uses of information and telecommunication technologies for managing frailty are detection, and monitoring and detection, while interventional studies on frailty are very rare; (3) the five main types of information and telecommunication technologies for managing frailty in older adults are information and telecommunication technology-based platforms, smartphones, telemonitoring (home monitoring), wearable sensors and devices (commercial off-the-shelf), and multimedia formats for online access; (4) the technology readiness level of information and telecommunication technologies for managing frailty in older adults is the “Technology Demonstration” level, i.e., not yet ready to be operated in an actual operating environment; and (5) the level of evidence is still low for information and telecommunication technology studies that manage frailty in older adults. In conclusion, information and telecommunication technologies for managing frailty in the older adult population are not yet ready to be full-fledged technologies for this purpose.INGENIERÍA•ISSN impreso: 1794-4953 • ISSN online: 2619-6581 • Vol. 15 (1) • DOI: https://doi.org/10.18041/avances.v15i1 • pp 171-179 (2018)La fragilidad es una condición prevalente entre los canadienses; más de un millón son diagnosticados como médicamente frágiles, y en los próximos diez años esta cifra se duplicará. Las tecnologías de la información y las telecomunicaciones pueden proporcionar un método de bajo coste para gestionar la fragilidad de forma más proactiva. Este estudio tiene como objetivo examinar la gama y el alcance de las tecnologías de la información y las telecomunicaciones para la gestión de la fragilidad en los adultos mayores, su nivel de preparación tecnológica, la evidencia y los resultados asociados. Se realizó una revisión sistemática de la literatura. Se buscaron estudios en cuatro bases de datos: Medline, EMBASE, CINAHL y Web of Science. En total, se incluyeron 19 estudios (de 9.930) para la extracción de datos. En general, nuestros resultados indican que (1) el fenotipo de fragilidad propuesto es la verdad básica más comúnmente utilizada para evaluar la fragilidad; (2) los usos más comunes de las tecnologías de la información y las telecomunicaciones para gestionar la fragilidad son la detección, y la monitorización y detección, mientras que los estudios de intervención sobre la fragilidad son muy raros; (3) los cinco tipos principales de tecnologías de la información y las telecomunicaciones para la gestión de la fragilidad en los adultos mayores son las plataformas basadas en la tecnología de la información y las telecomunicaciones, los teléfonos inteligentes, la telemonitorización (seguimiento en el hogar), los sensores y dispositivos portátiles (comerciales), y los formatos multimedia para el acceso en línea; (4) el nivel de preparación tecnológica de las tecnologías de la información y las telecomunicaciones para la gestión de la fragilidad en los adultos mayores es el nivel de "Demostración de Tecnología", es decir. e., (5) el nivel de evidencia es todavía bajo para los estudios de las tecnologías de la información y las telecomunicaciones que gestionan la fragilidad en los adultos mayores. En conclusión, las tecnologías de la información y las telecomunicaciones para gestionar la fragilidad en la población de adultos mayores aún no están listas para ser tecnologías de pleno derecho para este fin.INGENIERÍA-ISSN impreso: 1794-4953 - ISSN online: 2619-6581 - Vol. 15 (1) - DOI: https://doi.org/10.18041/avances.v15i1 - pp 171-179 (2018)1Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada. 2Glenrose Rehabilitation Research, Innovation & Technology (GRRIT) Hub, Glenrose Rehabilitation Hospital, Edmonton, AB, Canada. 3Faculty of Applied Health Sciences, University of Waterloo, Waterloo, ON, Canada. 4School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia[Received September 27, 2020; Revised November 14, 2020; Accepted November 15, 2020]20 páginasapplication/pdfengSociedad Internacional sobre el Envejecimiento y las Enfermedades.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessAtribución 4.0 Internacional (CC BY 4.0)http://purl.org/coar/access_right/c_abf2http://www.aginganddisease.org/EN/10.14336/AD.2020.1114#1Information and Communication Technologies for managing frailty: a systematic literature reviewArtículo de revistainfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85Volume 12, Number 3; 1-20, June 2021203112N/AAging and DiseaseTheou O, Brothers TD, Peña FG, Mitnitski A, Rockwood K (2014). Identifying common characteristics of frailty across seven scales. J Am Geriatr Soc. May, 62:901-6.Fried L, Walston J (1998). Frailty and failure to thrive. In: Hazzard W, editor. Principles of Geriatric Medicine and Gerontology. New York: McGraw-Hill, 1387-402.Rockwood K, Howlett SE (2018). Fifteen years of progress in understanding frailty and health in aging. BMC Med, 16:220.Kuchel GA (2018). Frailty and Resilience as Outcome Measures in Clinical Trials and Geriatric Care: Are We Getting Any Closer? J Am Geriatr Soc, 66:1451-454.O’Caoimh R, Molloy DW, Fitzgerald C, Van Velsen L, Cabrita M, Nassabi MH, et al. (2018). ICT-supported interventions targeting pre-frailty: Healthcare recommendations from the personalised ICT supported service for independent living and active ageing (PERSSILAA) study. Communications in Computer and Information Science, 869: 69-92.Chen AT, Ge S, Cho S, Teng AK, Chu F, Demiris G, et al. (2020). 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Implement Sci, 6:42Tecnologías de la informaciónComunicaciónTelecomunicacionesTelecommunicationInformation and telecommunication technologiesFrailFragilityFrail older adultsTecnologías de la información y las telecomunicacionesFrágilFragilidadAdultos mayores frágilesTEXTInformation and Communication Technologies for.pdf.txtInformation and Communication Technologies for.pdf.txtExtracted texttext/plain78259https://repositorio.escuelaing.edu.co/bitstream/001/1426/3/Information%20and%20Communication%20Technologies%20for.pdf.txtc1c87b411ec5549b66d568569c0d8f97MD53open accessTHUMBNAILInformation and Communication Technologies for.pdf.jpgInformation and Communication Technologies for.pdf.jpgGenerated Thumbnailimage/jpeg17764https://repositorio.escuelaing.edu.co/bitstream/001/1426/4/Information%20and%20Communication%20Technologies%20for.pdf.jpgfcbe2a9d64446cd55564339a691818a3MD54open accessLICENSElicense.txttext/plain1881https://repositorio.escuelaing.edu.co/bitstream/001/1426/1/license.txt5a7ca94c2e5326ee169f979d71d0f06eMD51open accessORIGINALInformation and Communication Technologies for.pdfapplication/pdf856693https://repositorio.escuelaing.edu.co/bitstream/001/1426/2/Information%20and%20Communication%20Technologies%20for.pdf61717df7bbefe60ed429e222f81246fdMD52metadata only access001/1426oai:repositorio.escuelaing.edu.co:001/14262022-11-24 17:13:05.573metadata only accessRepositorio Escuela Colombiana de Ingeniería Julio Garavitorepositorio.eci@escuelaing.edu.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 |