Partner and networkpartner meeting in Esbjerg: What does sustainability mean for WIPP?

During our partner and networkpartner meeting in Esbjerg we discussed from all perspectives: What exactly does sustainability mean for WIPP? How do we find a way to continue the successful WIPP-elements even after the project ended? What conditions must be created to continue elements of the WIPP project successfully? How do we find the right key to increase the Healthy Life Years?

Sustainability in the sense of health promotion is considering on two levels: On the one hand, the interventions should have a sustainable effect on the individual. Even after the end of the intervention, participants can continue on their own personal path to a better quality of life and well-being. On the other hand, conditions in their immediate environment are created. So they are able to go their own way. Further citizens should receive support and take part in health-promoting interventions in the districts and get started as well. But what has to happen that this can be continued after the end of the WIPP-project in the districts?

The WIPP-team has come up with four main topics to answer these questions, to examine more closely:

  • Reaching people over the age of 65 who are able to increase their well-being through a more active and healthy lifestyle: How do we reach people who were previously inactive and who do not seek supportive services?
  • Recording of the personal risk profile as well as the needs of these people as a requirement of a needs-based recommendation of suitable interventions to increase the quality of life: Which interventions are needed and how can these be mediated into account of the actual needs?
  • Suitable interventions for a more active everyday life for people over the age of 65: Which contents, structures and processes are suitable for promoting a more active everyday life?
  • Conditions for a healthy and active aging in the immediate living environment: What is necessary to create living conditions for an active aging at the place of residence?

For these main topics the factors for the creation of sustainability will be elaborated in the further course: What are the success factors? Which obstacles appear and how can these be overcome?

 

Kerstin Berszuck, project partner AOK NORDWEST

Getting older in Lübeck – prevention for the elderly

The age structure of the city Lübeck has changed increasingly since 2009: The amount of people at an advanced age rised significantly. As a result, it is necessary to offer much more preventive interventions for elderly people, which ensure a healthy and active aging. According to the Deutschen Institut für angewandte Pflegeforschung in Köln (2012), there is a need for improvement for the following aspects in elderly citizens’ work:

  • Low awareness of existing offers and local contacts for elderly people.
  • Suitable, early support for older people in need of support which is so far only provided by self-initiative.
  • Result: Offers are requested too late if the need for support has already set.
  • Entry into the nursing care system takes place only after being classified in the long-term care insurance

The goal of prevention in elderly citizens’ work is therefore to inform, educate and sensitize citizens to their health through counseling and support services. Based on these findings, a common additionally report from the department for social security and the health department to the overall concept of life and housing in old age / specifically on prevention in old age followed. The result of the Social Committee of 02.06.2015 called for the concept of “prevention in old age / preventive home visits” to be pursued.

In order to be able to use digital devices, the citizens’ survey mentioned, issues like the acquisition of devices, the opportunities of digitization in terms of contact, but also the need for help for people explaining the equipment to elderly people. Without professional help, digitization can not be implemented. Digitization also matters in the “WIPP project”, in which the city of Lübeck is a network partner. The Interreg5a funded WIPP project aims to promote healthy and active aging in North Germany and South Denmark. The project uses an innovative digital training as a single intervention to promote the health of elderly people. Furthermore, the citizens expressed their wishes to receive information about municipality management, neighborhood assistance and about offers for everylife in the municipality. They want to know about the use of public facilities and special offers, too. The concept of living and housing in old age will continue in the future to pursue the goal of “enabling a self-determined, but also co-responsible aging in your own apartment in the municipality” (Hansestadt Lübeck, 2018). The suggestions of the citizens are taken into account by the results of the survey.

 

Contact:

Hansestadt Lübeck, Bereich Soziale Sicherung, Matthias Wulf, matthias.wulf@luebeck.de, Telefon 0049 451 122 5170

Hansestadt Lübeck, Gesundheitsamt, Dr. Michael Hamschmidt, michael.hamschmidt@luebeck.de, Telefon 0049 451 122 5300

Preparation and start of the intervention in Kiel

In advance to the implementation of the WIPP-Intervention, there was a lot of back and forth thinking, there were many discussions and ideas exchanged, but now it’s finally time:

The startsignal sounded in Kiel Suchsdorf on 22.11.2018.

In close cooperation with the AOK NordWest, the Landessportverband Schleswig-Holstein, the Diakonie Altholstein as well as the Anlaufstelle Nachbarschaft with its seat at the Arbeiterwohlfahrt Kiel, the foundation to activate the senior citizens of Kiel was laid.

For both Kiel districts, Suchsdorf and Gaarden, suitable rooms and qualified trainers could be found. The trainers received an introduction to the contents of the respective intervention-forms in November and are now ready to join in the implementation together with the participants.

An initial survey of physical functioning took place in Suchsdorf in the same rooms in which later the intervention-sessions executes. Therefore, the citizens were able to get to know the place of the implementation in advance and at the same time try out the accessibility. In both districts, the training-rooms are located on main roads and are easily accessible by bus.

 

 

The test ran smoothly and was perceived by the participants as very pleasant. In Kiel-Gaarden, the start will be delayed for a short time, but then it says:

Come on, let’s go!

”WIPP – a participant’s voice”

In October 2018, many WIPP activities took place, including the WIPP partner- and networkpartner- meeting in Esbjerg. In this context, 4 participants of the 2 different WIPP interventions by Carina Wilkens and Petra Hampel were interviewed in the framework of the WIPP Work Package 2 (WP2) of the European University of Flensburg in the Østerby Health Center in Esbjerg. It was about the experiences of senior citizens participating in WIPP.

Peer Christensen thanked as one of the participants of the intervention “Form Your Life” (Red.: called in WIPP “CALSTI”) to increase the physical activity for the interview and wrote about today’s meeting and the interview:

 “During the meeting we had a visit from two ladies from Germany, who had to evaluate what we did at our meetings, one spoke only German, the other spoke and understood excellent Danish …”

Peer further reports that WIPP has been a very good start for him and that the course was well received. What the course brings in the long term, he can hardly say. Against this background, Peer has already reached the first interim target. The week before, the group had discussed the “small changes” of each participant. The “small changes” are the focus of the intervention. It enables citizens to improve their well-being and health with their own goals as a guiding principle, especially with the aim of bringing more exercise into everyday life. Small goals that can lead to significant health benefits in the long term. For Peer this was to change his routine in everyday life. There was a talk about an activity he had given up; to use the rowing machine every day at home. This goal has been achieved today:

 

“The two sworn Pernille and Anne Marie (Red.: trainer and other participant) have supported me and I’m glad, so I thank you for it.”

WIPP puts the focus on early detection and prevention of loss of functionality. The interventions help older citizens to find activities that can be carried out as independently as possible and that prevent inappropriate behavior. Peer relies on his walker, but he knows that the muscles need to be preserved so the walker can continue to support him. He knows that physical activity is very important to him. Peer therefore believes that the WIPP intervention “Forms Your Life” can make a difference for this particular aspect and writes about it:

“Physical activity and training for + 65-year-olds, I do not think we do much in our daily lives, if we do not get a kick or understand how much it means for health, I think we just sit back and say that we have lived a life, we want to relax now, we know that it is not so difficult, but we need the helping hand to get started.”

 

Peer is glad that the intervention has taken him out of the routines and out the door. He will undoubtedly continue until the end of the intervention and discover ways to find new social communities. The meeting with Petra and Carina has highlighted the sincerity of the project for Peer and the other participants, and Peer is motivated to achieve more “small changes”:

 

“Likewise, I think that WIPP allows me to achieve a few more good years of life with this effort.”

 

 

 

Picture: Activity in “Form your life” – walk in the area. Peer tells and shows the coaches and participants the way into the beautiful nature.

 

Virtual Preventive Home-Training

Developing innovative action plans that meet the needs, preferences and prerequisites of the older citizen is a key aspect of the WIPP-project. Digital training, as a single intervention as well as a supplement to group-based interventions, indeed offers its users an exercise platform, which is flexible, calls for no transportation and, once developed, is very low cost. Though many older citizens are today not accustomed to use a computer, tablet or smartphone, the segment that is familiar with digital devices and using the internet as a part of their everyday life, is growing explosively, and therefore there is an urgency to increase the focus on digital solutions.

Work package 4.1 and 5.2 are excited to tell, that we are now cooperating with Welfare Denmark (WD) in the development and implementation of WP 4.2. WD is an innovative welfare technology company that provide a very user-friendly virtual training platform that is simple and intuitive to use for both the citizen and the health care professional operating it. The WD approach makes it very easy to translate the virtual training into different languages and some of their existing products already exists in German. WD virtual training has been used by rehabilitation professionals since 2010 and the solutions are applied in various Danish municipalities and the insurance business. The company won Microsoft’s Global Innovation Award in 2013. The cooperation between WIPP and WD is now entering a very interesting phase were new customized features for the WIPP project are investigated and developed into the platform.

For instance, the WD virtual training has an integrated feedback system, which has the potential to provide us highly valuable data for the scientific evaluation of the intervention if tailored for the purpose. Also, the intervention content in terms of exercise videos are currently being revised by the SDU workgroup members to fit the platform, so that the production of professional exercise sessions can be initiated. We look very much forward to presenting the work package 4.2 Virtual Preventive Home Training to all of you.

Special features in the WIPP-conversations

Home visits have an extraordinary touch and the WIPP surveys reflect this feature, too.

Remarkable are the small curiosities that appear in the interviews:

  • There was an interview in an apartment, where was no network reception, so the visitor had to go to the balcony to activate the RedCapCloud before and after the conversation to send off the guide.
  • During an interview a woman, regardless of age, felt constrained to the question:
  • “Have you recently lost weight unwillingly?“, answering with “No, unfortunately not!“
  • A very special engagement, which should not go unmentioned, refers to the visited people with a migrant background: The volunteer participants are invited to a meeting in a community; an interpreter translates the questionnaire in cooperation with the interviewer for several hours. This involves understanding the developed questions, less interpretation, enough empathy, patient listening and focused work for all involved. All this effort, so that the most accurate cross-section of the district comes about.
  • A particularly emotional event for the interviewee and the interviewer is the gain of realization, the vehement intensity that can flow through a person when he suddenly becomes aware of his situation and loneliness. The shattering weeping of abandonment and transience of itself.
  • Or the following amusing surprise:
  • During the balance test it was simply shown that, a very old lady can easily stand on one leg because she has been doing gymnastics in bed for many years.

Prevention and the WIPP Project on the political agenda

On May 23, the new Political Prevention and Senior Committee was gathered to hear about the general prevention efforts in the health and elderly area of Slagelse municipality. Therefore, the WIPP project was of course also on the agenda. The Prevention and Senior Committee consists of seven of the total 31 politicians in the city council of Slagelse. The WIPP project was presented as a holistic project that brings together the regional possibilities, visions and goals with the project of the Municipality of Slagelse. Politicians were very interested in the project and are looking forward to read the project’s forthcoming mid-term review.

       

 

WIPP on a study trip in Slagelse

Wednesday 6. June, representatives of the WIPP project were studying the Ringparken in Slagelse to inspire the project’s Timebanking concept. Here was the Work Package Manager for Work Package 5, Esbjerg Municipality, and a working group composed of employees from Slagelse Municipality and SDU visited the network partner, the Association for Multicultural Care Homes, and the “Actionplan” for Ringpark. The association for multicultural care homes and the “General Plan” for the Ring Park, together with local volunteers, has created a place called “the Change” (Bytteringen). The change is a place where local residents in the Ring Park can meet and exchange things and services with each other. The concept of “the change” is less about the Timebanking concept, and the WIPP working group was thus visited to find inspiration for the development of the WIPP timebanking concept.

https://sn.dk/Slagelse/Bytteringen-tiltraekker-international-interesse/artikel/752160

Sustainable effects of WIPP: Requirements are already being created

Sustainable effects can arise if the living conditions are permanently healthily designed in such a way that people can go their own personal way to more well-being by strengthening their abilities and possibilities. And even more, there is a high chance of continuous improvement if sustainability is considered in every step of the project. The question “How does this pathway continue after the end of WIPP?” is answered in each project phase.

The first step was already taken in the planning of the survey and evaluation of the home visits: The analyzes of the actual needs are the basis for further planning. If we know what senior citizens really need in the individual parts of the city and what skills they have in order to be able to live self-determined and healthy as long as possible, measures can be developed to meet their needs.

The action plans are planned in the districts in such a way that given structures and local conditions are used for implementation. Already in the planning of the action plans, it is considered how it will continue after WIPP. E.g. a request for a physical activity offer is that it can be carried out after the end of the project by the companies and the criteria for financing by the statutory health insurances are fulfilled.

Participants should also be guided and motivated to take part in physical activity additional to the course units. These aspects are already considered during the program development in cooperation with the network partner National Sports Association (LSV). Due to its nationwide networking with the sports networks, the LSV can offer the physical activity course developed in WIPP in other municipalities and thus contribute significantly to the long-term quality assurance.

Kerstin Berszuck, AOK NORDWEST (responsible for securing sustainability and continuity (Work Package 6))

WIPP-Health and process innovation combined with applied research

Within the framework of the new EU law on data protection for persons (DSGVO), the WIPP project chose to use a new data platform. The months of hard work on the implementation of the data protection ordinance, the configuration of the data platform and project adjustments were successful.

The project works with the process innovation for prevention among citizens aged 65 years and older. Digital solutions/models are used to ensure a long-term and cost-effective prevention of health work in the future and enable to reach a large number of people.

With the help of 1600 participating citizens spread over 4 cities in Denmark and Germany, digitally valuable personal health data are collected, which are used to identify potential health risks and to promote preventive changes in lifestyle. It is very important that the project has a data collection tool that can collect and store the data, the fuel of the project, safely and effectively.

WIPP decided to use the digital platform RedCap Cloud www.redcapcloud.com which is provided by the Syddansk University (SDU). RedCap Cloud already has many years of technological experience in clinical research and is a flexible and accessible data platform that can be used for many different types of data collection.

Citizens, who participate in preventive visits of the WIPP project, already know that the responses of the project questionnaires and tests are directly collected in the municipal database -and can also be used directly if the health profile and the proposals for changes in lifestyle are adequately.

In the future municipalities and other health-promoting organizations will be able to use the experience of the project as an integral part of a prevention, which corresponds to the need of citizens. In Denmark with the well-known e-box solution as emphasized.