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Francesco Barbabella
National Institute of Health and Science on Ageing (IRCCS INRCA)

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Chapter
Published: 31 March 2021 in International Perspectives on Aging
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The transition from traditional to progressively digitised health systems is leading to new forms of care including, for instance, telehealth and mobile health (mHealth) solutions. On the one hand, such solutions hold the potential for allowing easier, quicker and remote access to health care. On the other hand, digital health technologies can set new challenges for older people, especially for those who are not familiar with such technologies, in terms of receiving the care they need through good access and level of use of services. Furthermore, these services do not necessarily reflect everyone’s preferences and needs. This chapter aims to conceptualise and systematically discuss old-age digital health exclusion. First, we highlight key structural, environmental, individual and socio-technical drivers of the non-use and low-use of digital technologies, considering also the aspect of agency and personal preferences. Second, we point out the main individual and societal implications of old-age digital health exclusion. Third, we provide a conceptual framework for old-age digital health exclusion which includes older people, drivers and implications. Finally, we offer some reflections about digital health technologies in health care, highlighting related issues, risks and challenges for ageing societies.

ACS Style

Arianna Poli; Ioannis Kostakis; Francesco Barbabella. Receiving Care Through Digital Health Technologies: Drivers and Implications of Old-Age Digital Health Exclusion. International Perspectives on Aging 2021, 169 -181.

AMA Style

Arianna Poli, Ioannis Kostakis, Francesco Barbabella. Receiving Care Through Digital Health Technologies: Drivers and Implications of Old-Age Digital Health Exclusion. International Perspectives on Aging. 2021; ():169-181.

Chicago/Turabian Style

Arianna Poli; Ioannis Kostakis; Francesco Barbabella. 2021. "Receiving Care Through Digital Health Technologies: Drivers and Implications of Old-Age Digital Health Exclusion." International Perspectives on Aging , no. : 169-181.

Journal article
Published: 21 December 2020 in International Journal of Environmental Research and Public Health
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Active ageing (AA) policies aim to improve quality of life of older people by enabling better social participation and inclusion. Despite many international initiatives to promote AA undertaken in recent years, Italy did not systematically address this policy challenge until very recently. This paper presents the first national Plan-of-Action (PoA) (2019–2022) adopted by this country for supporting policy design and recommendation in this field. The PoA aims to create a multilevel, co-managed coordination of AA policies, by involving a network of national and regional policy makers, experts, researchers and stakeholders in civil society. The ad-hoc consultation process established for this purpose helps the recognition of different interests and expectations on AA, fostering new solutions by involvement, consultation and joint discussion of policy options. The PoA is designed to cover the traditional policy cycle, including the stages of agenda setting, policy formulation, decision-making, implementation and monitoring. At the end of the period covered by the PoA, an Italian AA Strategy will be launched to achieve systematic impact in this field, thus ensuring a long-term, sustainable impact on national and regional policy makers, civil society and research community.

ACS Style

Francesco Barbabella; Eralba Cela; Claudia Di Matteo; Marco Socci; Giovanni Lamura; Pietro Checcucci; Andrea Principi. New Multilevel Partnerships and Policy Perspectives on Active Ageing in Italy: A National Plan of Action. International Journal of Environmental Research and Public Health 2020, 17, 9585 .

AMA Style

Francesco Barbabella, Eralba Cela, Claudia Di Matteo, Marco Socci, Giovanni Lamura, Pietro Checcucci, Andrea Principi. New Multilevel Partnerships and Policy Perspectives on Active Ageing in Italy: A National Plan of Action. International Journal of Environmental Research and Public Health. 2020; 17 (24):9585.

Chicago/Turabian Style

Francesco Barbabella; Eralba Cela; Claudia Di Matteo; Marco Socci; Giovanni Lamura; Pietro Checcucci; Andrea Principi. 2020. "New Multilevel Partnerships and Policy Perspectives on Active Ageing in Italy: A National Plan of Action." International Journal of Environmental Research and Public Health 17, no. 24: 9585.

Journal article
Published: 17 June 2020 in JMIR mHealth and uHealth
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Background Informal carers have a crucial role in the care of older people, but they are at risk of social isolation and psychological exhaustion. Web-based services like apps and websites are increasingly used to support informal carers in addressing some of their needs and tasks, such as health monitoring of their loved ones, information and communication, and stress management. Despite the growing number of available solutions, the lack of knowledge or skills of carers about the solutions often prevent their usage. Objective This study aimed to review and select apps and websites offering functionalities useful for informal carers of frail adults or older people in 5 European countries (Cyprus, Greece, Italy, Portugal, and Sweden). Methods A systematic online search was conducted from January 2017 to mid-March 2017 using selected keywords, followed by an assessment based on a set of commonly agreed criteria and standardized tools. Selected resources were rated and classified in terms of scope. Focus groups with informal carers were conducted to validate the list and the classification of resources. The activities were conducted in parallel in the participating countries using common protocols and guidelines, a standardization process, and scheduled group discussions. Results From a total of 406 eligible resources retrieved, 138 apps and 86 websites met the inclusion criteria. Half of the selected resources (109/224, 48.7%) were disease-specific, and the remaining resources included information and utilities on a variety of themes. Only 38 resources (38/224, 17.0%) were devoted specifically to carers, addressing the management of health disturbances and diseases of the care recipient and focusing primarily on neurodegenerative diseases. Focus groups with the carers showed that almost all participants had no previous knowledge of any resource specifically targeting carers, even if interest was expressed towards carer-focused resources. The main barriers for using the resources were low digital skills of the carers and reliability of health-related apps and websites. Results of the focus groups led to a new taxonomy of the resources, comprising 4 categories: carer’s wellbeing, managing health and diseases of the care recipient, useful contacts, and technologies for eldercare. Conclusions The review process allowed the identification of online resources of good quality. However, these resources are still scarce due to a lack of reliability and usability that prevent users from properly benefiting from most of the resources. The involvement of end users provided added value to the resource classification and highlighted the gap between the potential benefits from using information and communication technologies and the real use of online resources by carers.

ACS Style

Roberta Papa; Areti Efthymiou; Giovanni Lamura; Flavia Piccinini; Giulia Onorati; Evridiki Papastavrou; Theologia Tsitsi; Giulia Casu; Licia Boccaletti; Alessandra Manattini; Rita Seneca; Carlos Vaz De Carvalho; Rita Durão; Francesco Barbabella; Frida Andréasson; Lennart Magnusson; Elizabeth Hanson. Review and Selection of Online Resources for Carers of Frail Adults or Older People in Five European Countries: Mixed-Methods Study. JMIR mHealth and uHealth 2020, 8, e14618 .

AMA Style

Roberta Papa, Areti Efthymiou, Giovanni Lamura, Flavia Piccinini, Giulia Onorati, Evridiki Papastavrou, Theologia Tsitsi, Giulia Casu, Licia Boccaletti, Alessandra Manattini, Rita Seneca, Carlos Vaz De Carvalho, Rita Durão, Francesco Barbabella, Frida Andréasson, Lennart Magnusson, Elizabeth Hanson. Review and Selection of Online Resources for Carers of Frail Adults or Older People in Five European Countries: Mixed-Methods Study. JMIR mHealth and uHealth. 2020; 8 (6):e14618.

Chicago/Turabian Style

Roberta Papa; Areti Efthymiou; Giovanni Lamura; Flavia Piccinini; Giulia Onorati; Evridiki Papastavrou; Theologia Tsitsi; Giulia Casu; Licia Boccaletti; Alessandra Manattini; Rita Seneca; Carlos Vaz De Carvalho; Rita Durão; Francesco Barbabella; Frida Andréasson; Lennart Magnusson; Elizabeth Hanson. 2020. "Review and Selection of Online Resources for Carers of Frail Adults or Older People in Five European Countries: Mixed-Methods Study." JMIR mHealth and uHealth 8, no. 6: e14618.

Original article
Published: 02 May 2020 in Aging Clinical and Experimental Research
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Many studies investigated factors associated with overuse of Emergency Department (ED) by older people. However, there is little evidence of how a better access to long-term care services can affect ED visit rates. Therefore, we estimated the association between ED use and contextual (distance to closest ED), need (priority level at admission and care deprivation), predisposing (socio-economic conditions) and enabling factors (availability of health services) at the municipal level. We investigated ED visit rates by comparing the older population (aged 75 and more) to those aged less than 75 years among 233 municipalities and 13 health districts in the Marche Region, Central Italy. Administrative data were enriched by spatial dimensions. The outcomes were analysed using t-tests and ANOVA, while OLS and multilevel regressions have been used to identify independent correlates of ED visit rates. Mean ED visit rate was 56.3% and 25.3% among older people and the rest of the population (< 75 years), respectively. The multivariate analysis for older people showed that the presence of an ED within the municipality and living alone were positively associated with ED use, whereas greater availability of nursing homes was negatively associated. For general population (< 75 years), distance to closest ED, economic deprivation and bigger hospitals were negatively associated with ED visits. Our study shows that interventions to reduce frequent ED use by older people should include the availability of long-term care facilities in the area. As population ageing is progressing, our results suggest that investing in alternative care options for older people with long-term care needs might have the beneficial impact of reducing the overall ED rates and improving quality and appropriateness of care.

ACS Style

Francesco Barbabella; Francesco Balducci; Carlos Chiatti; Antonio Cherubini; Fabio Salvi. Ecological factors associated with Emergency Department use by older people in Italy. Aging Clinical and Experimental Research 2020, 33, 659 -668.

AMA Style

Francesco Barbabella, Francesco Balducci, Carlos Chiatti, Antonio Cherubini, Fabio Salvi. Ecological factors associated with Emergency Department use by older people in Italy. Aging Clinical and Experimental Research. 2020; 33 (3):659-668.

Chicago/Turabian Style

Francesco Barbabella; Francesco Balducci; Carlos Chiatti; Antonio Cherubini; Fabio Salvi. 2020. "Ecological factors associated with Emergency Department use by older people in Italy." Aging Clinical and Experimental Research 33, no. 3: 659-668.

Research article
Published: 08 April 2020 in BioMed Research International
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Introduction. eHealth applications have the potential to provide new integrated care services to patients with multimorbidity (MM), also supporting multidisciplinary care. The aim of this paper is to explore how widely eHealth tools have been currently adopted in integrated care programs for (older) people with MM in European countries, including benefits and barriers concerning their adoption, according to some basic health system characteristics. Materials and Methods. In 2014, in the framework of the ICARE4EU project, expert organizations in 24 European countries identified 101 integrated care programs. Managers of the selected programs completed an online questionnaire on several dimensions, including the use of eHealth. We analyzed data from this questionnaire, in addition to qualitative information from six innovative programs which were studied in depth through case study methodology, according to characteristics of national health systems: a national health model (financing system), overall strength of primary care (PC) (structure/service delivery process), and level of (de)centralization of health system (executive powers in a country). Results. 85 programs (out of 101) adopted at least one eHealth tool, and 42 of these targeted explicitly older people. In most cases, Electronic Health Records (EHRs) were used and some benefits emerged like improved care management and integration, although inadequate funding mechanisms represented a major barrier. The analysis by health system characteristics showed a greater adoption of eHealth applications in decentralized countries, in countries with a National Health Service (NHS) model, and in countries with a strong/medium level of PC development. Conclusions. Although in the light of some limitations, findings indicate a relation between implementation of care programs using eHealth tools and basic characteristics of health systems, with decentralization of a health system, NHS model, and strong/medium PC having a key role. However adaptations of European health systems seem necessary, in order to provide a more innovative and integrated care.

ACS Style

Maria Gabriella Melchiorre; Roberta Papa; Sabrina Quattrini; Giovanni Lamura; Francesco Barbabella; on behalf of ICARE4EU Consortium. Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems. BioMed Research International 2020, 2020, 1 -23.

AMA Style

Maria Gabriella Melchiorre, Roberta Papa, Sabrina Quattrini, Giovanni Lamura, Francesco Barbabella, on behalf of ICARE4EU Consortium. Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems. BioMed Research International. 2020; 2020 ():1-23.

Chicago/Turabian Style

Maria Gabriella Melchiorre; Roberta Papa; Sabrina Quattrini; Giovanni Lamura; Francesco Barbabella; on behalf of ICARE4EU Consortium. 2020. "Integrated Care Programs for People with Multimorbidity in European Countries: eHealth Adoption in Health Systems." BioMed Research International 2020, no. : 1-23.

Articles
Published: 03 March 2020 in Physical Therapy Reviews
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Background: Intensive rehabilitation is one of the most important aspects of care for people with stroke, and there is evidence that it leads to better recovery and higher levels of independence. However, pressure on resources in government funded secondary and primary healthcare settings means that for many people with stroke, intense rehabilitation is not available. Effective and efficient ways of increasing rehabilitation intensity, engagement, and motivation for rehabilitation are needed; as well as innovative treatment approaches that enable people with stroke to self-manage this rehabilitation. Technology offers a solution; virtual reality (VR) computer games have the potential to enhance engagement, improve adherence, and outcomes in stroke rehabilitation therapy. However, their integration into current health care pathways needs to be tested. Aims: The aim of the trial is to test the feasibility of incorporating VR computer games into a stroke rehabilitation system called ‘MAGIC-GLASS’, and its integration into the current care pathway for people with stroke. Design: Multicenter, prospective uncontrolled, pre-post intervention study. Setting: Participants will be recruited from Stroke Services, GP Practices or via Stroke Support Groups, and the intervention will be carried out in the hospital setting, or at home after discharge. Population: Adults (≥18 years) who have had a stroke. Interventions: Magic Glass is a clinician facilitated VR-based stroke rehabilitation system. Clinical facilitation includes a minimum of one initial face-to-face contact followed by up to 13 weekly/fortnightly remote contacts (to month six) with a clinician. Outcomes: The usability and acceptability of the intervention; process and resource requirements for the new care pathway; changes in clinical outcomes and potential cost-effectiveness of the solution will be measured to assess change from baseline to six months post intervention. Sample size: In order to have 50 patients in the subgroups identified (time since stroke; severity of stroke; age) we plan to recruit 300 participants, 150 in Northern Ireland and 150 in Italy. Fifty is considered the optimal sample size for this feasibility analysis. Duration: 18 months. Follow up will be post intervention (up to six months post entry into the study). The nested qualitative study will start once the first cohort of participants has completed and will continue throughout the intervention period.

ACS Style

Aoife Stephenson; Katy Pedlow; Suzanne McDonough; Dominic Holmes; Darryl Charles; Francesco Barbabella; Paolo Olivetti; Carlos Chiatti. Evaluation of the acceptability and usability of the MAGIC-GLASS virtual reality solution as part of the care pathway in people with acute, sub-acute and chronic stroke: a study protocol. Physical Therapy Reviews 2020, 25, 118 -127.

AMA Style

Aoife Stephenson, Katy Pedlow, Suzanne McDonough, Dominic Holmes, Darryl Charles, Francesco Barbabella, Paolo Olivetti, Carlos Chiatti. Evaluation of the acceptability and usability of the MAGIC-GLASS virtual reality solution as part of the care pathway in people with acute, sub-acute and chronic stroke: a study protocol. Physical Therapy Reviews. 2020; 25 (2):118-127.

Chicago/Turabian Style

Aoife Stephenson; Katy Pedlow; Suzanne McDonough; Dominic Holmes; Darryl Charles; Francesco Barbabella; Paolo Olivetti; Carlos Chiatti. 2020. "Evaluation of the acceptability and usability of the MAGIC-GLASS virtual reality solution as part of the care pathway in people with acute, sub-acute and chronic stroke: a study protocol." Physical Therapy Reviews 25, no. 2: 118-127.

Review article
Published: 29 February 2020 in Health Policy
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Long-term care (LTC) is organized in a fragmented manner. Payer agencies (PA) receive LTC funds from the agency collecting funds, and commission services. Yet, distributional equity (DE) across PAs, a precondition to geographical equity of access to LTC, has received limited attention. We conceptualize that LTC systems promote DE when they are designed to set eligibility criteria nationally (vs. locally); and to distribute funds among PAs based on needs-formula (vs. past-budgets or government decisions). This cross-country study highlights to what extent different LTC systems are designed to promote DE across PAs, and the parameters used in allocation formulae. Qualitative data were collected through a questionnaire filled by experts from 17 OECD countries. 11 out of 25 LTC systems analyzed, fully meet DE as we defined. 5 systems which give high autonomy to PAs have designs with low levels of DE; while nine systems partially promote DE. Allocation formulae vary in their complexity as some systems use simple demographic parameters while others apply socio-economic status, disability, and LTC cost variations. A minority of LTC systems fully meet DE, which is only one of the criteria in allocation of LTC resources. Some systems prefer local priority-setting and governance over DE. Countries that value DE should harmonize the eligibility criteria at the national level and allocate funds according to needs across regions.

ACS Style

Ruth Waitzberg; Andrea Schmidt; Miriam Blümel; Anne Penneau; Antonis Farmakas; Åsa Ljungvall; Francesco Barbabella; Gonçalo Figueiredo Augusto; Gregory P. Marchildon; Ingrid Sperre Saunes; Dorja Vočanec; Iva Miloš; Joan Carles Contel; Liubove Murauskiene; Madelon Kroneman; Marzena Tambor; Pavel Hroboň; Raphael Wittenberg; Sara Allin; Zeynep Or. Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries. Health Policy 2020, 124, 491 -500.

AMA Style

Ruth Waitzberg, Andrea Schmidt, Miriam Blümel, Anne Penneau, Antonis Farmakas, Åsa Ljungvall, Francesco Barbabella, Gonçalo Figueiredo Augusto, Gregory P. Marchildon, Ingrid Sperre Saunes, Dorja Vočanec, Iva Miloš, Joan Carles Contel, Liubove Murauskiene, Madelon Kroneman, Marzena Tambor, Pavel Hroboň, Raphael Wittenberg, Sara Allin, Zeynep Or. Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries. Health Policy. 2020; 124 (5):491-500.

Chicago/Turabian Style

Ruth Waitzberg; Andrea Schmidt; Miriam Blümel; Anne Penneau; Antonis Farmakas; Åsa Ljungvall; Francesco Barbabella; Gonçalo Figueiredo Augusto; Gregory P. Marchildon; Ingrid Sperre Saunes; Dorja Vočanec; Iva Miloš; Joan Carles Contel; Liubove Murauskiene; Madelon Kroneman; Marzena Tambor; Pavel Hroboň; Raphael Wittenberg; Sara Allin; Zeynep Or. 2020. "Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries." Health Policy 124, no. 5: 491-500.

Journal article
Published: 28 February 2019 in International Journal of Care and Caring
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This article illustrates the implications of two recent trends on family carers' health: the employment of home-based migrant care workers; and the provision of web-based supports. The main factors traditionally associated with carers' health are used to analyse the results of a six-country study via a multilevel linear regression. Attention will be dedicated to the role of migrant care workers, who are often hired by private households to provide eldercare. Finally, web-based services for carers will be investigated by considering InformCare, a recently implemented European platform tested on a sample of carers from three countries (Germany, Italy and Sweden).

ACS Style

Giovanni Lamura; Mirko Di Rosa; Roberta Papa; Arianna Poli; Francesco Barbabella. Implications of the use of migrant care work and web-based services on family caregivers' health. International Journal of Care and Caring 2019, 3, 97 -116.

AMA Style

Giovanni Lamura, Mirko Di Rosa, Roberta Papa, Arianna Poli, Francesco Barbabella. Implications of the use of migrant care work and web-based services on family caregivers' health. International Journal of Care and Caring. 2019; 3 (1):97-116.

Chicago/Turabian Style

Giovanni Lamura; Mirko Di Rosa; Roberta Papa; Arianna Poli; Francesco Barbabella. 2019. "Implications of the use of migrant care work and web-based services on family caregivers' health." International Journal of Care and Caring 3, no. 1: 97-116.

Journal article
Published: 01 January 2019 in Retraite et société
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Older adults with functional limitations constitute a vulnerable group with usually lower levels of health status and quality of life (QoL). In both Italy and Greece, informal care and privately-hired care workers are common measures for providing them continuous care and support, more than public care services. This situation might increase the risk of worst QoL if older adults are not equipped with own social and economic resources for coping with daily life limitations, especially in a macro-context heavily influenced in recent years by the effects of the economic crisis. The study aimed at identifying the role of socio-economic status (SES) and social participation as predictors of QoL of older adults with functional limitations, after the Great Recession period. We used data on older adults (50+ years) from the Survey on health, ageing and retirement in Europe (Share) wave 6 (2015) for conducting a cross-sectional descriptive analysis and running a hierarchical linear regression model for both Italy and Greece, with blocs of predictors concerning demographic, socio-economic, health, access to care, and social participation domains. In both countries, higher levels of SES and social participation were strongly associated with higher QoL, although good health status remained the most influential predictor of better QoL. Our results suggested that multiple social inequalities are likely to occur among most socially disadvantaged older adults and may heavily affect their QoL and social inclusion.

ACS Style

Francesco Barbabella; Arianna Poli; Ioannis Kostakis. Statut économique et participation sociale : effets sur la qualité de vie des personnes âgées fragilisées. Retraite et société 2019, N°81, 41 -64.

AMA Style

Francesco Barbabella, Arianna Poli, Ioannis Kostakis. Statut économique et participation sociale : effets sur la qualité de vie des personnes âgées fragilisées. Retraite et société. 2019; N°81 (1):41-64.

Chicago/Turabian Style

Francesco Barbabella; Arianna Poli; Ioannis Kostakis. 2019. "Statut économique et participation sociale : effets sur la qualité de vie des personnes âgées fragilisées." Retraite et société N°81, no. 1: 41-64.

Research article
Published: 14 November 2018 in PLOS ONE
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People with multimorbidity, especially older people, have complex health and social needs, and require an integrated care approach. In this respect, eHealth could be of support. This paper aims to describe the implementation of eHealth technologies in integrated care programs for people with multimorbidity in Europe, and to analyse related benefits and barriers according to outcomes from ICARE4EU study and within the more general conceptual framework of the “10 e's” in eHealth by Gunther Eysenbach. In 2014, ICARE4EU project identified 101 integrated care programs in 24 European countries. Expert organizations and managers of the programs completed an on-line questionnaire addressing several aspects including the adoption of eHealth. Findings from this questionnaire were analyzed, by linking in particular benefits and barriers of eHealth with the “10 e's” by Eysenbach (Efficiency, Enhancing, Evidence-based, Empowerment, Encouragement, Education, Enabling, Extending, Ethics, and Equity). Out of 101 programs, 85 adopted eHealth tools, of which 42 focused explicitly on older people. eHealth could improve care integration/management, quality of care/life and cost-efficiency, whereas inadequate funding represents a major barrier. The “10 e's” by Eysenbach seem to show contact points with ICARE4EU findings, in particular when referring to positive aspects of eHealth such as Efficiency and Enhancing quality of care/life, although Empowerment/Education of patients, care Equity and Ethics issues seem crucial in this respect. Encouragement of a new relationship patient-health professional, and Enabling standardized exchange of electronic information, represent further aspects impacting integration/management of care. Aspects of eHealth, which emerged as benefits and barriers impacting integration/management of care, as well as cost-efficiency and quality of care/life, can be identified on the basis of both ICARE4EU findings and the “10 e's” in eHealth by Eysenbach. They could represent objectives of new policies for supporting the deployment of eHealth technologies within integrated care across Europe.

ACS Style

Maria Gabriella Melchiorre; Giovanni Lamura; Francesco Barbabella; on behalf of ICARE4EU Consortium. eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach. PLOS ONE 2018, 13, e0207292 .

AMA Style

Maria Gabriella Melchiorre, Giovanni Lamura, Francesco Barbabella, on behalf of ICARE4EU Consortium. eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach. PLOS ONE. 2018; 13 (11):e0207292.

Chicago/Turabian Style

Maria Gabriella Melchiorre; Giovanni Lamura; Francesco Barbabella; on behalf of ICARE4EU Consortium. 2018. "eHealth for people with multimorbidity: Results from the ICARE4EU project and insights from the “10 e’s” by Gunther Eysenbach." PLOS ONE 13, no. 11: e0207292.

Evaluation study
Published: 01 May 2018 in CIN: Computers, Informatics, Nursing
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InformCare is a European Web platform that supports informal caregivers of older people by providing access to online information and professional and peer support. The aim of this study was to assess the usage and usability of a psychosocial Web-based program carried out in three European countries (Italy, Sweden, and Germany). A mixed-methods sequential explanatory design was adopted, comprising baseline and postintervention assessments, as well as combined thematic content analysis of results and focus group findings. A convenience sample of 118 caregivers was enrolled, of whom 94 used the services offered by the program at least once. The subsamples in the three countries used the platform in different ways, with a predominance of passive strategies (eg, seeking information and reading other people's comments) for Italian caregivers, and more active usage by Swedish and German caregivers. The usability assessment showed that the platform was perceived well by Italian and German caregivers, whereas technical problems affected the Swedish sample's experiences. Focus group data highlighted user satisfaction with the online support and reliability of the environment. Recommendations for practitioners are to ensure digital training for caregivers who have lower confidence in use of the Internet, to involve different healthcare professionals in the provision of professional support, and to adequately manage online community building.

ACS Style

Francesco Barbabella; Arianna Poli; Elizabeth Hanson; Frida Andréasson; Benjamin Salzmann; Hanneli Döhner; Roberta Papa; Areti Efthymiou; Silvia Valenza; Giuseppe Pelliccioni; Giovanni Lamura. Usage and Usability of a Web-based Program for Family Caregivers of Older People in Three European Countries. CIN: Computers, Informatics, Nursing 2018, 36, 232 -241.

AMA Style

Francesco Barbabella, Arianna Poli, Elizabeth Hanson, Frida Andréasson, Benjamin Salzmann, Hanneli Döhner, Roberta Papa, Areti Efthymiou, Silvia Valenza, Giuseppe Pelliccioni, Giovanni Lamura. Usage and Usability of a Web-based Program for Family Caregivers of Older People in Three European Countries. CIN: Computers, Informatics, Nursing. 2018; 36 (5):232-241.

Chicago/Turabian Style

Francesco Barbabella; Arianna Poli; Elizabeth Hanson; Frida Andréasson; Benjamin Salzmann; Hanneli Döhner; Roberta Papa; Areti Efthymiou; Silvia Valenza; Giuseppe Pelliccioni; Giovanni Lamura. 2018. "Usage and Usability of a Web-based Program for Family Caregivers of Older People in Three European Countries." CIN: Computers, Informatics, Nursing 36, no. 5: 232-241.

Journal article
Published: 01 January 2018 in Health Policy
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Findings seems to suggest that eHealth could support integrated care for (older) people with multimorbidity.

ACS Style

Maria Gabriella Melchiorre; Roberta Papa; Mieke Rijken; Ewout van Ginneken; Anneli Hujala; Francesco Barbabella. eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project. Health Policy 2018, 122, 53 -63.

AMA Style

Maria Gabriella Melchiorre, Roberta Papa, Mieke Rijken, Ewout van Ginneken, Anneli Hujala, Francesco Barbabella. eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project. Health Policy. 2018; 122 (1):53-63.

Chicago/Turabian Style

Maria Gabriella Melchiorre; Roberta Papa; Mieke Rijken; Ewout van Ginneken; Anneli Hujala; Francesco Barbabella. 2018. "eHealth in integrated care programs for people with multimorbidity in Europe: Insights from the ICARE4EU project." Health Policy 122, no. 1: 53-63.

Book chapter
Published: 22 December 2017 in The Routledge Handbook of Social Care Work Around the World
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ACS Style

Mirko Di Rosa; Francesco Barbabella; Arianna Poli; Sara Santini; Giovanni Lamura. Migrant care workers in Italian households. The Routledge Handbook of Social Care Work Around the World 2017, 142 -155.

AMA Style

Mirko Di Rosa, Francesco Barbabella, Arianna Poli, Sara Santini, Giovanni Lamura. Migrant care workers in Italian households. The Routledge Handbook of Social Care Work Around the World. 2017; ():142-155.

Chicago/Turabian Style

Mirko Di Rosa; Francesco Barbabella; Arianna Poli; Sara Santini; Giovanni Lamura. 2017. "Migrant care workers in Italian households." The Routledge Handbook of Social Care Work Around the World , no. : 142-155.

Journal article
Published: 30 October 2017 in International Journal of Care and Caring
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ACS Style

Giovanni Lamura; Arianna Poli; Stecy Yghemonos; Francesco Barbabella. InformCare: the European information hub on family care. International Journal of Care and Caring 2017, 1, 409 -413.

AMA Style

Giovanni Lamura, Arianna Poli, Stecy Yghemonos, Francesco Barbabella. InformCare: the European information hub on family care. International Journal of Care and Caring. 2017; 1 (3):409-413.

Chicago/Turabian Style

Giovanni Lamura; Arianna Poli; Stecy Yghemonos; Francesco Barbabella. 2017. "InformCare: the European information hub on family care." International Journal of Care and Caring 1, no. 3: 409-413.

Abstracts
Published: 30 June 2017 in Innovation in Aging
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This contribution provides insights from one of the four social innovations of the INNOVAGE project, focused on the development of the InformCare web platform for supporting informal caregivers of older people in Europe. The platform included information resources on different topics (major diseases in older age, public care services and benefits, coping and reconciliation strategies etc.) and interactive services for professional and peer support (dedicated social network, forum, chat and videochat). The design phase was based on a consultation process involving almost 200 stakeholders and on user tests. The pilot phase was carried out as a mixed-methods study in Germany, Italy and Sweden, which recruited totally 118 caregivers who could access the InformCare platform for 3 months. Positive findings led to its refinement and implementation in 27 European countries. Today, the platform is publicly accessible (www.eurocarers.org/informcare) in 32 versions and 23 languages, with over 2,500 web pages for informal caregivers.

ACS Style

F. Barbabella; A. Poli; F. Andréasson; B. Salzmann; A. Efthymiou; R. Papa; G. Lamura. DESIGN, TEST AND IMPLEMENTATION OF A WEB PLATFORM FOR INFORMAL CAREGIVERS OF OLDER PEOPLE IN EUROPE. Innovation in Aging 2017, 1, 1327 -1328.

AMA Style

F. Barbabella, A. Poli, F. Andréasson, B. Salzmann, A. Efthymiou, R. Papa, G. Lamura. DESIGN, TEST AND IMPLEMENTATION OF A WEB PLATFORM FOR INFORMAL CAREGIVERS OF OLDER PEOPLE IN EUROPE. Innovation in Aging. 2017; 1 (suppl_1):1327-1328.

Chicago/Turabian Style

F. Barbabella; A. Poli; F. Andréasson; B. Salzmann; A. Efthymiou; R. Papa; G. Lamura. 2017. "DESIGN, TEST AND IMPLEMENTATION OF A WEB PLATFORM FOR INFORMAL CAREGIVERS OF OLDER PEOPLE IN EUROPE." Innovation in Aging 1, no. suppl_1: 1327-1328.

Abstracts
Published: 30 June 2017 in Innovation in Aging
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This presentation discusses how new technologies support family carers of older people with reference to the Eurocarers’ hub ‘InformCare’, the web-platform of support services for carers of older people co-funded by the European Union within the INNOVAGE project. After highlighting the status of technology-based services for carers in Europe, the main features of InformCare will be demonstrated. Tested in three European countries (Germany, Italy and Sweden), this tool provides a standardised, integrated, multilingual and culturally adapted set of on-line information and interactive services addressing carers’ needs and preferences which are available for the first time in 27 Member States. The implementation followed a pilot test with 117 carers, showing improvements in carers’ self-awareness and empowerment over a 3 month period. However, to ensure optimal benefit from InformCare, appropriate training and promotion campaigns are needed in order to overcome low digital literacy skills and lack of self-recognition characterising many carers.

ACS Style

G. Lamura; F. Barbabella; F. Andréasson; H. Döhner; E.J. Hanson; A. Poli; B. Salzmann. HOW NEW TECHNOLOGIES SUPPORT CARERS OF OLDER PEOPLE: THE EUROCARERS’ INFORMCARE PLATFORM. Innovation in Aging 2017, 1, 1304 -1305.

AMA Style

G. Lamura, F. Barbabella, F. Andréasson, H. Döhner, E.J. Hanson, A. Poli, B. Salzmann. HOW NEW TECHNOLOGIES SUPPORT CARERS OF OLDER PEOPLE: THE EUROCARERS’ INFORMCARE PLATFORM. Innovation in Aging. 2017; 1 (suppl_1):1304-1305.

Chicago/Turabian Style

G. Lamura; F. Barbabella; F. Andréasson; H. Döhner; E.J. Hanson; A. Poli; B. Salzmann. 2017. "HOW NEW TECHNOLOGIES SUPPORT CARERS OF OLDER PEOPLE: THE EUROCARERS’ INFORMCARE PLATFORM." Innovation in Aging 1, no. suppl_1: 1304-1305.

Abstracts
Published: 30 June 2017 in Innovation in Aging
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This contribution aims to provide an overview of main trends observed across European countries with regard to service use in older age in relation to social exclusion phenomena. Data will come from different sources, including preliminary findings from the EU-funded network ROSEnet. Previous research shows that the lack of services - such as for instance transportation, primary health and elder care services, or banking services – contributes to social exclusion in older age, especially in rural contexts. The access to web-based services represents an additional field in which new and old exclusion risks might accumulate, due to the increasing role played by digital skills in affecting the ability to remain independent and active in older age. Finally, the critical areas in which policy should focus on to address current and future challenges in this field will be identified, including issues such as the degree of urbanisation and gender differences.

ACS Style

G. Lamura; V. Draulans; F. Barbabella; V. Hlebec; A. Siren; R. Maskeliunas; J. Barstad. SOCIAL EXCLUSION AND SERVICE USE IN OLDER AGE: RECENT EVIDENCE FROM THE EUROPEAN CONTEXT. Innovation in Aging 2017, 1, 1361 -1361.

AMA Style

G. Lamura, V. Draulans, F. Barbabella, V. Hlebec, A. Siren, R. Maskeliunas, J. Barstad. SOCIAL EXCLUSION AND SERVICE USE IN OLDER AGE: RECENT EVIDENCE FROM THE EUROPEAN CONTEXT. Innovation in Aging. 2017; 1 (suppl_1):1361-1361.

Chicago/Turabian Style

G. Lamura; V. Draulans; F. Barbabella; V. Hlebec; A. Siren; R. Maskeliunas; J. Barstad. 2017. "SOCIAL EXCLUSION AND SERVICE USE IN OLDER AGE: RECENT EVIDENCE FROM THE EUROPEAN CONTEXT." Innovation in Aging 1, no. suppl_1: 1361-1361.

Abstracts
Published: 30 June 2017 in Innovation in Aging
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This contribution aims at illustrating contents and outcomes of the first three editions of the ISSA, including its mid-term impact on the careers of early-stage researchers who attended it. A longitudinal assessment was conducted with all participants (N=60), both at post-event and 6-month follow-up for each ISSA. Assessment included a questionnaire with structured and semi-structured questions on the satisfaction and usefulness of each module, as well as on advantages from participating in the ISSA. Findings underline the high rating of professional and research skills development in training for publication and grant-crafting. Furthermore, ‘interaction with established researchers’ and ‘being part of a research network’ were perceived as main benefits after attendance. Some students reported that, after the event, they remained in contact for study or research purposes. Results suggest that ISSA represented an exceptional opportunity for capacity building and to establish connections between researchers with different disciplinary backgrounds.

ACS Style

F. Barbabella; C. Chiatti; R. Papa. OVERVIEW OF THE MAIN CONTENTS AND OUTCOMES OF THE ISSA: EVALUATION AND FOLLOW-UP STRATEGIES. Innovation in Aging 2017, 1, 105 -105.

AMA Style

F. Barbabella, C. Chiatti, R. Papa. OVERVIEW OF THE MAIN CONTENTS AND OUTCOMES OF THE ISSA: EVALUATION AND FOLLOW-UP STRATEGIES. Innovation in Aging. 2017; 1 (suppl_1):105-105.

Chicago/Turabian Style

F. Barbabella; C. Chiatti; R. Papa. 2017. "OVERVIEW OF THE MAIN CONTENTS AND OUTCOMES OF THE ISSA: EVALUATION AND FOLLOW-UP STRATEGIES." Innovation in Aging 1, no. suppl_1: 105-105.

Abstracts
Published: 30 June 2017 in Innovation in Aging
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EHealth tools in integrated care programmes addressing multimorbidity can support people with chronic diseases, especially older people living in the community. In last decades, different types of eHealth solutions for people with multimorbidity have been fostered and tested in Europe, also with the support of international initiatives, but a wide overview of their potential was missing. Our study aimed at exploring which eHealth tools are implemented in integrated care programmes for older people with multimorbidity across Europe and to develop policy recommendations for further improvement. Within the framework of the ICARE4EU project, co-funded by the Public Health Programme of the European Union, 101 programmes of integrated care were mapped in 31 European countries. Out of them, 85 included at least one eHealth solution, in most cases concerning electronic health records (EHRs) and tools for digital communication between care providers. In-depth analysis by means of 5 case studies of promising programmes suggested that eHealth solutions for people with multimorbidity could differ widely but can have various outcome benefits in terms of: widening access to healthcare services; enhancing care coordination and integration; enabling patients’ self-management; and improving proactive and prevention strategies. Despite this potential, policy interventions in Europe lacked a comprehensive action for successful implementation so far, due to inadequate technical and financial support, lacks in legislative frameworks and in training users and health professionals. A set of policy recommendations was developed for fostering different types of eHealth solutions for multimorbidity care.

ACS Style

F. Barbabella; M. Melchiorre; S. Quattrini; Roberta Papa; G. Lamura. THE ROLE OF EHEALTH FOR STRENGTHENING CARE FOR OLDER PEOPLE WITH MULTIMORBIDITY IN EUROPE. Innovation in Aging 2017, 1, 955 -956.

AMA Style

F. Barbabella, M. Melchiorre, S. Quattrini, Roberta Papa, G. Lamura. THE ROLE OF EHEALTH FOR STRENGTHENING CARE FOR OLDER PEOPLE WITH MULTIMORBIDITY IN EUROPE. Innovation in Aging. 2017; 1 (suppl_1):955-956.

Chicago/Turabian Style

F. Barbabella; M. Melchiorre; S. Quattrini; Roberta Papa; G. Lamura. 2017. "THE ROLE OF EHEALTH FOR STRENGTHENING CARE FOR OLDER PEOPLE WITH MULTIMORBIDITY IN EUROPE." Innovation in Aging 1, no. suppl_1: 955-956.

Journal article
Published: 09 May 2017 in International Journal of Ageing and Later Life
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ACS Style

Francesco Barbabella. Kieran Walsh, Gemma M. Carney and Áine Ní Léime (eds.) (2015). Ageing through Austerity: Critical Perspectives from Ireland. Bristol, UK: Policy Press, 196 pp. ISBN 978 1 4473 1623 7 (hardback). International Journal of Ageing and Later Life 2017, 11, 103 -107.

AMA Style

Francesco Barbabella. Kieran Walsh, Gemma M. Carney and Áine Ní Léime (eds.) (2015). Ageing through Austerity: Critical Perspectives from Ireland. Bristol, UK: Policy Press, 196 pp. ISBN 978 1 4473 1623 7 (hardback). International Journal of Ageing and Later Life. 2017; 11 (1):103-107.

Chicago/Turabian Style

Francesco Barbabella. 2017. "Kieran Walsh, Gemma M. Carney and Áine Ní Léime (eds.) (2015). Ageing through Austerity: Critical Perspectives from Ireland. Bristol, UK: Policy Press, 196 pp. ISBN 978 1 4473 1623 7 (hardback)." International Journal of Ageing and Later Life 11, no. 1: 103-107.