CONSENSO APP ANALYSES Lea Lebar Urban Boljka Nejc

CONSENSO APP ANALYSES Lea Lebar, Urban Boljka, Nejc Vidrih, Sanel Ramović, Oliver Ilievski

Background • Data extracted from database: September 15 th • Database cleaned: • • deleted non-active cases databases aggregated separated analyses of visits no analyses of events yet (data available from August)

100% 80% 60% 57 61. 2 51. 7 60. 1 59. 8 43 38. 8 48. 3 39. 9 40. 2 Piemonte Austria Liguria Slovenia France 40% 20% 0% male 100% 80% 18. 2 female 11. 5 38. 3 60% 40% 81. 8 20% 0% 88. 4 61. 7 32. 7 91. 6 67. 3 8. 3 Piemonte Austria Liguria Slovenia up to 100 people more than 100 people France 120% 100% 0 7. 2 92. 1 82. 4 7. 9 10. 4 Piemonte Austria 0 0. 1 71. 6 65. 2 28. 4 34. 7 Liguria Slovenia 80% 60% 40% 20% 0% Apartment House Guarded apartment/sheltered housing/other 1. 1 83. 8 15. 1 France Data samples • 41 % of males; the highest percentage in Liguria • On average, 76, 7 years old (younger in Slovenia, older in Austria and Piemonte) • The majority live in isolated houses or group of houses, except in Slovenia (91, 6 % in villages or towns). • Majority live in houses; percentage is lower in Slovenia and Liguria. In Austria 7 % of elderly live in alternative housing options

5 4. 5 Average nr. of visits 4. 47 AUSTRIA: 29, 3 % - 1 visit 41, 4 % - 2 -5 visits 29, 3 % - more than 5 visits 4 3. 5 PIEMONTE: 59, 3 % - 1 visit 33, 2 % - 2 -5 visits 7, 6 % - more than 5 visits 3 LIGURIA: 90, 3 % - 1 visit 9, 7 % - 2 -5 visits 2. 5 2. 24 2 SLOVENIA: 98, 4 % - 1 visit 1, 6 % - 2 -5 visits 1. 5 1. 14 1 Austria Piemonte Liguria 1. 02 1. 01 Slovenia France FRANCE: 99, 2 % - 1 visit 0, 8 % - 2 visits

Visits 97 87. 1 Educational 63. 8 36. 9 39. 9 X = 58, 2 5. 5 15. 9 Activation of other services 5. 1 X = 8, 4 12. 9 2. 7 X = 82, 3 72. 6 69. 1 Direct 76. 7 81. 5 96. 1 0 10 20 30 Slovenia 40 France 50 Liguria 60 Austria Piemonte 70 80 90 100 110

3. 1 2 Reading 9. 5 7. 1 15. 6 15. 1 42. 9 17. 8 11. 8 13. 6 16. 7 Go out for walking or for meeting with friends, relatives, or visit the doctor… 30. 4 64. 4 14. 6 14 17. 6 19. 8 Food preparation 9. 2 6. 7 7. 3 9. 7 Dressing/Undressing 3 1. 6 4. 5 5. 4 Toileting 57. 3 0 Slovenia Difficulties: eating, cutting up food 1. 9 2. 3 3 2. 8 Difficulties: using the toilet, incl getting up or down 2. 3 2. 5 3. 2 3. 1 31. 5 15. 7 11. 5 8. 4 10 13 Personal hygiene (bathing, trimming. . ) 11. 3 9. 8 8. 2 7. 3 Difficulties: dressing, including shoes and socks 2. 9 2 1. 8 11. 9 3. 6 Feeding/drinking 7. 5 8 6. 2 8. 6 Difficulties: leaving the house independently/accessing transportation 22. 2 32. 4 24. 1 33. 7 Shopping France Difficulties: taking medications 9. 6 15. 9 6. 8 Taking medication (dosage, correct time…) 2. 3 2. 8 3. 2 3. 5 Difficulties: Bathing or showering 41. 4 20 Liguria 6. 8 6 6. 7 7 40 Austria 60 Piemonte % of users that need partial help 80 100 0 France Slovenia 10 20 Austria 30 40 50 60 70 Italy SHARE data – difficulties (% yes) 80 90 100

80. 5 80. 0 Use of social networks 42. 2 40. 2 42. 0 AUSTRIA: 26. 5 Going out for leisure 8. 5 Going out for duties/shopping 13. 0 18. 2 40. 6 11. 7 29. 7 16. 6 Housekeeping 30. 7 27. 2 17. 8 15. 5 Cooking 42. 9 31. 1 23. 1 0. 0 France Less active! (cooking, housekeeping, going out for duties) Higher usage of social networks 41. 4 30. 7 8. 3 8. 0 51. 6 14. 8 3. 0 3. 6 7. 9 3. 8 Meeting others (relatives, friends…) 93. 7 50. 7 30. 2 Sport/physical activity 95. 0 10. 0 Slovenia 20. 0 30. 0 Liguria 40. 0 Austria 50. 0 60. 0 70. 0 80. 0 90. 0 100. 0 Piemonte % of users that never perform selected activity

ITALY: 8, 4 SHARE DATA – SATISFACTION WITH PERSONAL ACTIVITY AUSTRIA: 8, 7 SLOVENIA: 8, 1 FRANCE: 8, 2

1. 1 1. 7 4. 4 2. 2 1. 8 Chronic bronchitis Hypercholesterolemia 13. 8 19 26. 1 24. 2 30. 1 AUSTRIA: Diabetes Heart failure Stroke 0. 1 0. 3 0 0. 7 0 TIA 0. 4 1 0. 4 3. 4 0 Stroke PIEMONTE: Heart failure Hypercholesterolemia 0. 1 0. 8 0. 4 0. 7 0 Condition after myocardial infarction 12. 1 15. 9 10. 5 Heart failure LIGURIA: Hypercholesterolemia Chronic bronchitis 23. 6 25. 7 3 0. 3 2. 2 3 0. 7 Angina pectoris 36. 9 Arterial hypertension 13 13. 7 12. 8 13. 2 Diabetes 0 Slovenia 10 France 20 Liguria 43. 8 SLOVENIA: Arterial hypertension Heart failure 60. 6 62. 7 59. 6 FRANCE: Heart failure 26. 9 30 Austria % of users with present issues 40 Piemonte 50 60 70

16. 1 Visual disturbances 3. 9 2. 6 4. 0 3. 7 Dementia 12. 7 3. 3 5. 2 Depression 51. 8 35. 8 38. 4 32. 7 10. 2 9. 0 AUSTRIA: COPD Osteoporosis Depression Dementia 17. 2 3. 8 5. 2 3. 5 6. 3 4. 0 Cancer disease Stomach disease (ulcer, gastritis) 1. 9 5. 5 5. 2 21. 7 4. 6 Parkinson’s disease 1. 2 1. 4 1. 3 2. 6 1. 1 Condition after a fracture 0. 8 2. 1 1. 8 1. 1 LIGURIA: Rheumatic disease Osteoporosis Stomach disease 6. 6 Osteoporosis 9. 9 19. 5 21. 3 8. 8 7. 1 Rheumatic disease 25. 4 11. 2 11. 0 SLOVENIA: Visual disturbances 40. 7 0. 8 2. 5 4. 9 7. 1 2. 6 Chronic renal failure 2. 1 2. 9 2. 2 6. 3 3. 1 COPD 2. 1 3. 0 3. 5 Asthma 0 Slovenia FRANCE: Rheumatic disease Visual disturbances 6. 4 10 France 20 Liguria 30 Austria 40 Piemonte % of users with present issues 50 60

Measurements 72. 2 pulse 71. 6 74. 0 68. 6 Region 27. 4 25. 2 25. 8 27. 0 BMI 118. 7 blood pressure systolic 133. 5 136. 3 133. 2 128. 9 Last Blood sugar 119 113 Blood pressure dyastolic 74 71 80 76 Blood pressure systolic 131 128 Blood pressure systolic 136 133 BMI (p<0, 1) 25, 0 24, 3 Blood pressure dyastolic (p < 0, 1) 74. 8 72. 0 80. 9 78. 2 71. 5 blood pressure dyastolic First 98. 1 waist 100. 7 97. 4 95. 2 75. 1 70. 1 71. 8 76. 9 69. 3 weight 165. 6 166. 8 165. 7 165. 2 height 0. 0 20. 0 Slovenia 40. 0 France 60. 0 Liguria 80. 0 100. 0 Austria 120. 0 Piemonte 140. 0 160. 0 180. 0 Morning stiffness (p < 0, 1) Other symptoms – no change. Situation has deteriorated for 11 users and improved for 3 users.

0. 3 0. 1 0. 5 0 0 problems about gambling addiction Problematic lifestyles 6. 7 4. 9 29. 4 problems about nutrition 8. 8 19. 1 PIEMONTE: Nutrition 49. 3 26. 3 35. 3 31. 2 27. 8 problems about psysical activities 1. 1 2. 2 4. 6 4 4. 8 problematic alcohol consumption (describe) SLOVENIA: Issues regarding physical activity Alcoholism 1. 25 0. 96 1. 6 0. 59 1. 16 number of cigarettes 0 Slovenia LIGURIA: Nutrition France 10 Liguria 20 Austria 30 40 Piemonte Nr. of cigarettes; % of „yes“ 50 60

3. 1 1. 5 4. 0 0. 5 2. 6 average number of drugs EUROSTAT: 0, 1 % (16+) 62. 5 35. 3 26. 5 30. 3 25. 7 19. 0 economic difficulty in health care (with difficulty/great difficulty) AUSTRIA: feeling lonely, walking less, falls economic difficulty, is poor, number of drugs 59. 1 43. 3 21. 3 is poor 59. 8 PIEMONTE: memory decline, walking less, falls, economic difficulty 28. 3 18. 9 23. 5 28. 6 15. 5 falls in past year 40. 8 37. 1 walking less 30. 6 48. 2 LIGURIA: evaluated by GP, is poor, number of drugs, memory decline 56. 1 23. 4 20. 9 16. 7 10. 0 6. 8 weight loss experienced memory decline 21. 5 35. 4 34. 6 SLOVENIA: weight loss 43. 8 48. 8 evaluated by gp 66. 5 82. 3 96. 4 92. 2 94. 4 0. 8 4. 2 3. 8 9. 0 1. 0 feeling lonely every day 0. 0 10. 0 20. 0 30. 0 40. 0 50. 0 60. 0 70. 0 80. 0 90. 0 100. 0 110. 0 France Slovenia Liguria Austria Piemonte FRANCE: weight loss, is poor, falls

Eurostat data At risk of poverty or social exclusion rate for elderly (65+) 20. 2 20. 1 Slovenia 14 Austria 23 22. 8 15. 7 16. 2 19. 9 20. 2 22 Italy 24. 7 9. 3 10. 1 10. 8 11. 1 France 0 10 20 30 40 2015 50 2014 2013 60 2012 70 80 90 100

Well-being index (PWI vs. CASP) 7. 73 37. 6 7. 93 How satisfied are you with your life as a whole? 8. 47 38. 9 1 40 7. 27 34 8. 29 0 France Slovenia 1 Liguria 2 3 4 Austria 5 6 7 Piemonte 8 9 10 0 5 10 15 France 20 25 Slovenia 30 35 Austria Italy 40 45 50

PIEMONTE: 4, 7 AUSTRIA: 10, 9 UNABLE TO RECEIVE SERVICES (% yes) LIGURIA: 4, 6 SLOVENIA: 10, 7 FRANCE: 4, 5

PIEMONTE: 3, 9 AUSTRIA: 14, 9 FEELS LEFT OUT OF SOCIETY (% yes) LIGURIA: 6, 1 SLOVENIA: 11, 1 FRANCE: 12, 6

PIEMONTE: 0, 8 AUSTRIA: 20, 2 TREATED BADLY BY PUBLIC INSTITUTIONS (% yes) LIGURIA: 20, 4 SLOVENIA: 6, 8 FRANCE: 9, 4

PIEMONTE: 0, 19 AUSTRIA: 0, 75 HOSPITALIZATIONS LIGURIA: 0, 23 SLOVENIA: 0, 20 FRANCE: 1, 14

Issues • Control group? • Proposal of modifications to the app (activities measured in closing interview) • Proposal of modifications to the app – nr. of prevented hospitalizations / prolonged admissions to nursing homes • 3 focus groups need to be implemented (December? )