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Article

A Digital-Health Program Based on Comprehensive Geriatric Assessment for the Management of Older People at Their Home: Final Recommendations from the MULTIPLAT_AGE Network Project

by
Alberto Pilotto
1,2,
Carolina Massone
1,*,
Guido Iaccarino
3,
Armando Genazzani
4,
Carlo Trompetto
5,6,
Gennarina Arabia
7,
Wanda Morganti
1,
Emanuele Seminerio
1,
Maddalena Illario
8,
Luigi Castello
9,10,
Laura Mori
5,6,
Loris Pignolo
11 and
Romina Custureri
1
1
Geriatrics Unit, Department Geriatric Care, Orthogeriatrics and Rehabilitation, Galliera Hospital, 16128 Genoa, Italy
2
Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70121 Bari, Italy
3
Department of Clinical Medicine and Surgery, University “Federico II” of Naples, 80138 Naples, Italy
4
Department of Pharmaceutical Sciences, University of East Piedmont, 13100 Novara, Italy
5
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, 16126 Genoa, Italy
6
IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy
7
Neurologic Department, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy
8
Public Health Department, University “Federico II”, 80138 Naples, Italy
9
SSD Translational Medicine, Department of Integrated Research and Innovation Activities (DAIRI)-AOU of Alessandria, 15121 Alessandria, Italy
10
Department of Traslational Medicine, University of East Piedmont, 13100 Novara, Italy
11
Institute “S. Anna”, 88900 Crotone, Italy
 
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Author to whom correspondence should be addressed.
Healthcare 2025, 13(10), 1105; https://doi.org/10.3390/healthcare13101105 (registering DOI)
Submission received: 11 March 2025 / Revised: 18 April 2025 / Accepted: 29 April 2025 / Published: 9 May 2025
(This article belongs to the Special Issue Innovations in Interprofessional Care and Training)
Versions Notes

Abstract

Background: The MULTIPLAT_AGE is a network project which developed a digital platform based on the Comprehensive Geriatric Assessment (CGA) for collecting data and identifying personalized healthcare programs for older people at home. In this article, the final recommendations of the MULTIPLAT_AGE Working Group are reported. Methods: The MULTIPLAT_AGE project included five independent studies developed and carried out by five research centers according to two common principles previously shared by the researchers: (i) the multidimensional approach to older people through the CGA-based Multidimensional Prognostic Index (MPI); (ii) the use of a common web-based platform for collecting data to facilitate healthcare interventions of older people at their home according to the aging in place approach. At the end of the studies, a series of recommendations have been proposed by an expert panel including the principal investigators and discussed by all researchers involved in the MULTIPLAT_AGE project in formal meetings. After discussion, the recommendations have been approved with formal vote by all the researchers during the final meeting of the MULTIPLAT_AGE project. Results: The recommendations are addressed to healthcare providers, policy decision-makers, caregivers, and patients. In summary, the CGA-based interventions and technologies adopted in the MULTIPLAT_AGE project reduced length of hospital stay, improved multidimensional frailty, walking safety, physical and cognitive performances, and reduced fear of falling in older people across different clinical settings and suffering from different diseases. Conclusions: The final recommendations of the MULTIPLAT_AGE Working Group could be a useful instrument to facilitate the use of technologies along with CGA-based interventions to improve the management of older people at home.
Keywords: aging in place; gerontechnology; comprehensive geriatric assessment; Multidimensional Prognostic Index; personalized care; older people aging in place; gerontechnology; comprehensive geriatric assessment; Multidimensional Prognostic Index; personalized care; older people

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MDPI and ACS Style

Pilotto, A.; Massone, C.; Iaccarino, G.; Genazzani, A.; Trompetto, C.; Arabia, G.; Morganti, W.; Seminerio, E.; Illario, M.; Castello, L.; et al. A Digital-Health Program Based on Comprehensive Geriatric Assessment for the Management of Older People at Their Home: Final Recommendations from the MULTIPLAT_AGE Network Project. Healthcare 2025, 13, 1105. https://doi.org/10.3390/healthcare13101105

AMA Style

Pilotto A, Massone C, Iaccarino G, Genazzani A, Trompetto C, Arabia G, Morganti W, Seminerio E, Illario M, Castello L, et al. A Digital-Health Program Based on Comprehensive Geriatric Assessment for the Management of Older People at Their Home: Final Recommendations from the MULTIPLAT_AGE Network Project. Healthcare. 2025; 13(10):1105. https://doi.org/10.3390/healthcare13101105

Chicago/Turabian Style

Pilotto, Alberto, Carolina Massone, Guido Iaccarino, Armando Genazzani, Carlo Trompetto, Gennarina Arabia, Wanda Morganti, Emanuele Seminerio, Maddalena Illario, Luigi Castello, and et al. 2025. "A Digital-Health Program Based on Comprehensive Geriatric Assessment for the Management of Older People at Their Home: Final Recommendations from the MULTIPLAT_AGE Network Project" Healthcare 13, no. 10: 1105. https://doi.org/10.3390/healthcare13101105

APA Style

Pilotto, A., Massone, C., Iaccarino, G., Genazzani, A., Trompetto, C., Arabia, G., Morganti, W., Seminerio, E., Illario, M., Castello, L., Mori, L., Pignolo, L., & Custureri, R. (2025). A Digital-Health Program Based on Comprehensive Geriatric Assessment for the Management of Older People at Their Home: Final Recommendations from the MULTIPLAT_AGE Network Project. Healthcare, 13(10), 1105. https://doi.org/10.3390/healthcare13101105

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