Structure of ProACT Project

ProACT will address 7 core objectives across 8 work packages, over a 42-month period. These are:

To develop an integrated, responsive, decision support information and communications technology and assistive technology (ICT-AT) care ecosystem to help co-ordinate and support multi/comorbid disease management (including self-management).

To implement a core suite of effective ICT-AT to track and provide personalised 'clinical and non-clinical' feedback to individuals living with multi/comorbidities that inform, educate and support health and well-being self management.

To advance 'big data' and cloud platform integration, mining and analysis techniques to assist in the development of new models of multi/comorbidity integrated care.

To validate a behavioural change assessment ‘tool kit’ and framework to support the sustainability and scalability of the ProACT ecosystem.

To deploy an innovative user-driven ‘proof of concept’ ProACT ecosystem trial in 2 EU sites (Belgium and Ireland).

To conduct an EU-wide feasibility study (including less well developed regions) to assess the transferability of the ProACT system across member states.

To develop a clear exploitation plan and implementation strategy for intellectual property created from ProACT (WP6). This will include clear financial, business and commercial strategies for sustaining and scaling the ProACT ecosystem at EU and international levels. The plan will establish a post-programme impact committee to assess outputs up to two years post project completion (WP7).

Work Packages

Ecosystem Definition

This is the requirements gathering phase, which will involve a detailed mapping of the ecosystem, using desk, qualitative and ethnographic research methods. Outcomes will be used to define care pathways associated with the multimorbidity patients as well as examine key factors that impact on QoL and well-being. Key stakeholder and actor relationships will be mapped to understanding the factors within the home that affect the quality of care and quality of life (QoL) of both patient and informal carer. The primary output will be a trial strategic plan for the implementation of ProACT.

ProACT Ecosystem ICT-AT Development

This WP focuses on the design and development of the suite of supportive ICT-AT data aggregation platform and training tools for multimorbid patients and key support actors. Development of the technology will use an iterative, co-creation, user centred design and development process. Technologies will be tested initially in the pilot trial and then in the Proof of Concept trial in all test bed regions.

Data Representation, Comparability, Interchange and Analytics

This WP will provide an innovative data analytics framework for the ecosystem. The main output will be the development of the InterACT Cloud platform to create integrated and extensible models of understanding of patient behaviour and interactions with support actors to aid adoption of the ICT-AT. An important aspect to this WP is the investigation of the privacy features for ICT-AT culminating in a whitepaper on the system and associated privacy issues.

Developing a Behavioural Change Assessment Kit and Framework

This WP will establish factors that facilitate behavioural change within the ecosystem. Outputs from WP1 will link in with WP4 to understand the ecosystem. Positive behavioural change is important for patients to adopt new lifestyle practices to improve health and QoL. The primary outcomes will be a behavioural change tool kit and framework to help inform stakeholders of best practices to facilitate behavioural changes via ICT-AT use within the ecosystem.

Trial Implementation and Evaluation

This WP is split into 3 trials (i) Test or pilot trial (ii) Main PoC Trial and (iii) Transfer feasibility trial. Trials will be informed by outcomes of WP1-4 with evaluation periods proceeding trials. The transfer feasibility trial will run in parallel to the main trial. PoC trials (Ireland & Belgium) will be based on 3 action research and iterative design and development cycles over 12 months.

Dissemination, Exploitation, Communication and Commercialisation

Key outcomes of this WP will be to develop the health economic, commercial and business development models to support exploitation, sustainability and scalability of the ecosystem at EU and International levels. To support this we will develop a pan-European survey on integrated care and ICT-AT for multimorbidity care.

Project Coordination and Management

This WP will cover the overall coordination and management of the programme, including the set up of management, steering committee and advisory board structures and establishment of the legal, ethical and regulatory frameworks to conduct the overall work plan.

Ethics

This WP will deal with all ethical requirements arising in the ProACT project.