The ISABELLA project, developed under the Horizon2020 Pharaon Second Open Call, aimed to enhance the autonomy and well-being of older adults through digital monitoring solutions. Building on the IoT-per-il-Sociale platform, a low-intrusion system for remote monitoring of environmental and behavioral data, the project scaled its capabilities across diverse care settings and integrated additional technologies to address the challenges of aging and the digital divide. The project focused on three main actions: (1) Pilots, testing sheltered apartments with on-site caregivers and private homes monitored remotely via eCare services; (2) Integration of Pharaon Technologies, incorporating uGrid for energy monitoring, SenTab for social engagement, and RRD eHealth/PACO for health tracking; and (3) Digital Training Groups (DTGs), designed to empower older adults with digital skills and confidence. Results demonstrated high usability and acceptance of the system both in the pilots and in the post integration of new technologies. Participants highlighted features like real-time alerts and user-friendly interfaces, supporting improved caregiving practices. DTGs effectively bridged the digital divide, fostering confidence and willingness to adopt technology. ISABELLA provides valuable insights into the role of digital solutions in supporting active aging and caregiving efficiency, showcasing the potential for broader application in diverse care contexts.

Multimorbidity affects over 50 million Europeans, challenging healthcare systems designed for single-condition management. Digital health technologies, like the ProACT platform, offer a promising solution, yet adoption remains limited. The SEURO project investigates the integration and impact of ProACT in Italy through an Inductive Simultaneous Exploratory (ISE) trial across two organizations: ASP Città di Bologna and ASP Terre di Castelli. The study followed four phases: selection, pre-deployment, deployment (4-6 months), and evaluation. Data collection included qualitative focus groups and quantitative usability assessments (System Usability Scale). Results highlight usability challenges, the need for continuous training, and the importance of dedicated support professionals. While digital literacy influenced engagement, ProACT improved self-management, professional-user relationships, and service accessibility, especially in rural areas. Findings emphasize the importance of interoperability and structured implementation for scaling digital health solutions. These insights inform best practices for integrating assistive technologies in healthcare systems.

Nursing homes accommodate increasing numbers of people with dementia, with increasingly severe stages of dementia. With the growing pressure on care, a multi-sensory room may be a solution, by improving the social and emotional wellbeing of people with dementia. In this qualitative study, the perspectives of family and formal caregivers on the use and adoption of a multi-sensory room was researched. The goal was to improve the implementation and use of the room in a Dutch nursing home. Focus groups revealed three main psychological themes that influence the use of the room by family members, namely: the level of knowledge about the room, how competent one feels to use it independently and the need to connect with the person with dementia. Semi-structured interviews with caregivers showed four psychological factors that play a role in the effective use of the multi-sensory room: feelings of overpower, uncertainty and lack of knowledge about the room, enthousiasm and social influence of colleagues. Recommendations include: clear, non-written instructions; social meetings for family; a training to effectively communicate purpose and benefits of this innovation, and emphasizing the communication and relational connection that can be strengthened between people with dementia and family members through the multi-sensory room.

The prevalence of dementia in the years to come as estimated by the WHO pinpoints an emerging challenge for health systems. On the early stage of dementia that precedes the onset of severe dementia, older people are still independent at home, while this status is temporary and at stake. Assistive Technology (AT) can play a vital role combined with a supportive framework and medical monitoring.

Investigating the potential of AT by integrating and adopting a smart home based system that can assist performing daily activities is a field lacking research in real time setting. This research suggests assessing and monitoring efficacy and usability of AT in five households for early dementia patients recruited from the Outdoor Memory Clinic over a specific period. For this purpose a smart home system will be installed and the research will be conducted through specially designed questionnaires addressed to the end users and caregivers.

Implementing solutions of home based assistive technology can address a range of daily needs and highlight outcomes for the benefit of the end user. Still, satisfactory results can be achieved following testing provided that participation of end users, caregivers, healthcare professionals is active, through specially designed qualitative analysis.