Scenario

Marianne H. (72, widowed) lives in her own house in Fusch, a small village in the mountains of Salzburg near the Großglockner. Her daughter Michaela (48, married, one child just finishing school, employed) lives in the neighbour village and visits her once or twice a week. Since many years Marianne is suffering from congestive heart failure associated with shortness in breath. Due to her illness she does very little physical exercise and now she is also overweight. Her family doctor knows that at her age, Marianne needs to do more than just changing her diet, therefore he always encourages her to do physical exercises, e.g. at least to go for regular walks in order to mobilize her and to prevent her from suffering a thrombosis. Marianne needs help with personal hygiene and monitoring of medication, and thus has contracted five hours home care per week from the Hilfswerk (one of the main care providers in Austria). Before, her neighbours Hans and Anna Z. took over some responsibilities and helped her with gardening and cleaning the house. However, they were worried to take on care responsibilities due to being afraid to provide inappropriate help.

Despite the deterioration of her health status her family doctor still insists that she should engage in more physical activities. One day, he tells Marianne that a new service called ‘CiM’ is available on the market which she could use as „virtual assistant“ to conduct individually tailored physical activities on a regular basis while staying in touch with her local community. The service is based on personal devices called “tablet” and “fitness tracker”. First, Marianne has doubts wearing such a device but she decides to test it because the system offers the possibility that her neighbours receive a special training (‘CiM-education service’) in order to be able to assist her. Marianne also finds out that her granddaughter is thinking about becoming a nurse and she therefore participates taking Marianne for walks. According to her training plans, Marianne has to go for a walk with her granddaughter every other day for at least 25 minutes. At the beginning she is frustrated. But after three weeks she realises that she is again able to do daily activities that she was unable to achieve before. After two months she has already lost five kilograms and can now reduce care time of the Hilfswerk – also helped by the fact that her neighbours are now able to help her again. She says that she would never want to miss the system as it gives her positive feedback, needs-tailored training plans (‘CiM-motivation and motion promotion service’), enabled her to go to church alone again. Her progress pleases her family doctor and her neighbours.