PERSSILAA is a multimodal service model to prevent frailty with a multidimensional approach in community dwelling older adults
Population ageing is a global challenge that can be faced by preventing frailty and disability in older adults. Approaching community dwelling older adults to screen for frailty allows targeted interventions that are digitally supported and embedded in the local sociocultural background.

PERSSILAA is a multimodal service model to prevent frailty with a multidimensional approach in community dwelling older adults, focusing on nutrition, physical and cognitive function. Such approach was supported by an interoperable ICT service infrastructure, utilizing intelligent decision support systems and gamification. PERSSILAA, offered to older adults (> 65 years) through services tailored to the local community, can be seamlessly integrated with health care and social services. To realize this, PERSSILAA developed service modules for screening, monitoring and training. Screening focuses on the use of accessible and user-friendly screening instruments to get an overall picture of an individual’s nutritional, functional and cognitive state. Monitoring involves unobtrusive ambulant monitoring of everyday functioning and its change in time in terms of being physically active, performance of cognitive demanding tasks and nutrition behaviour. Training modules involve the use of remotely available health literacy programs, health promoting activities and professionally supported services, and strongly emphasize on improving self-management.

Resources needed

Overall budget: € 3 180 633
EU contribution € 2 450 000

Evidence of success

The activities conducted at the community level stimulated social cohesion, while improving the quality of life of older adults and improving health outcomes.

Intergenerational activities improved the feeling of the entire community towards older adults.

What is the actual number of people/institutions benefited by the good
practice? On the other hand, does it reach its full potential?
Only 200 older adults were involved. Its full potential is 100% of older adults in Campania.

Potential for learning or transfer

The outcomes of PERSSILAA bring major advances to older adults themselves as well as their caregivers. Developments concern:

- Screening modules – to get a quick but reliable overall picture of the functional and cognitive capacity and nutritional state in older adults and their frailty risk.

- Monitoring modules- Continuous but unobtrusive monitoring of everyday functioning and changes over time in terms of engagement in physical activities, performing cognitively demanding tasks and daily nutrition.

- Training modules to support older adults to practice and maintain healthy behavior.

Has this good practice been adopted in other regions around the country or beyond?
Yes, in The Netherlands (Twente region).

Has this good practice implemented as a pilot programme or as an extended programme? In case it is a pilot programme, is there any plan for a wider implementation?
It is being scaled up for further implementation in Campania internal areas.
Main institution
Federico II University Hospital, Campania Reference Site of the EIP on AHA
Campania, Italy (Italia)
Start Date
November 2013
End Date
October 2016


Please login to contact the author.