2.4. The ADLIFE Intervention and Standard of Care
The ADLIFE intervention consists of the deployment and use of the ADLIFE toolbox by patients, informal caregivers, and healthcare professionals in the afore-mentioned pilot settings.The ADLIFE toolbox involves two interconnected platforms. Patients will use the Patient Empowerment Platform (PEP), and healthcare professionals will be assisted by clinical decision support services within the Personalized Care Plan Management Platform (PCPMP). Patients participating in ADLIFE will have a personalized care plan, created in PCPMP, which will be developed and managed together with their healthcare professionals. PCPMP will be used in integration with the clinical sites’ ICT systems to create patient care plans based on each patient’s baseline and most recent clinical data, following clinical evidence. PEP will facilitate the patient’s independence and self-management by presenting their personalized goals, activities, and educational materials, collecting their observations and questionnaires, and providing real-time interventions tailored to the patient’s lifestyle.The main task of patients and their informal caregivers will be to use the PEP as part of their healthcare management process together with their healthcare professionals. The ADLIFE intervention will consider the health-related outcomes relevant for the patient in actual health service planning and evaluation. By identifying the outcome that will be responsive to each measure, professionals and patients will have the chance of reviewing the health-related outcomes, and of jointly choosing the activity, objective or goal that boosts the desired one. The health-related outcomes will be reflected as labels that bind every activity, goal, and/or indicator included in a care plan. The labelling mechanism has been co-created with healthcare professionals and automated to enable health-related outcome tracking over time and over a wide spectrum of patients.The control group follows the SoC according to the pilot site organizations’ criteria. Since pilot sites belong to different health care systems, information on SoC was derived from semi-structured interviews with three stakeholder groups, 5–7 persons in each group [