Remote monitoring of health parameters is a promising approach to improve the health condition and quality of life of particular groups of the population, which can also alleviate the current expenditure and demands of healthcare systems. The elderly, usually affected by chronic comorbidities, are a specific group of the population that can strongly benefit from telehealth technologies, allowing them to reach a more independent life, by living longer in their own homes. Usability of telehealth technologies and their acceptance by end-users are essential requirements for the success of telehealth implementation. Older people are resistant to new technologies or have difficulty in using them due to vision, hearing, sensory and cognition impairments. In this paper, we describe the implementation of an IoT-based telehealth solution designed specifically to address the elderly needs. The end-user interacts with a TV-set to record biometric parameters, and to receive warning and recommendations related to health and environmental sensor recordings. The familiarization of older people with the TV is expected to provide a more user-friendly interaction ensuring the effectiveness integration of the end-user in the overall telehealth solution.

VITASENIOR-MT is a telehealth platform that allows to remotely monitor biometric and environmental data in a domestic environment, designed specifically to the elderly population. This paper proposes a highly scalable and efficient architecture to transport, process, store and visualize the data collected by devices of an Internet of Things (IoT) scenario. The cloud infrastructure follows a microservices architecture to provide computational scalability, better fault isolation, easy integration and automatic deployment. This solution is complemented with a pre-processing and validation of the collected data at the edge of the Internet by using the Fog Computing concept, allowing a better computing distribution. The presented approach provides personal data security and a simplified way to collect and present the data to the different actors, allowing a dynamic and intuitive management of patients and equipment to caregivers. The presented load tests proved that this solution is more efficient than a monolithic approach, promoting better access and control in the data flowing from heterogeneous equipment.

Remote monitoring of biometric data in the elderly population is an important asset for improving the quality of life and level of independence of elderly people living alone. However, the design and implementation of health technological solutions often disregard the elderly physiological and psychological abilities, leading to low adoption of these technologies. We evaluate the usability of a remote patient monitoring solution, VITASENIOR-MT, which is based on the interaction with a television set. Twenty senior participants (over 64 years) and a control group of 20 participants underwent systematic tests with the health platform and assessed its usability through several questionnaires. Elderly participants scored high on the usability of the platform, very close to the evaluation of the control group. Sensory, motor and cognitive limitations were the issues that most contributed to the difference in usability assessment between the elderly group and the control group. The solution showed high usability and acceptance regardless of age, digital literacy, education and impairments (sensory, motor and cognitive), which shows its effective viability for use and implementation as a consumer product in the senior market.

Telehealth technologies providing remote monitoring of health parameters are a promising approach for the management of arterial hypertension (AH) in the elderly.The VITASENIOR-MT platform was developed as a telehealth solution designed to contribute to improve the health condition and quality of life, promoting safe and independent living of the old adult. It is an 'internet-of-things'-based solution relying on the interaction of the old adult with a TV-set to record biometric parameters and to receive warning and recommendations related to health and environmental sensor recordings. We present a pilot study with a male hypertensive patient, aged 81 years old, under anti-hypertensive treatment, with epilepsy, arthritis and paroxistic atrial fibrillation as major comorbidities. The VITASENIOR-MT was installed at the patient's assisteddwelling house and a remote follow-up was implemented during 2 months, monitoring daily blood pressure and heart rate, as well as weight and indoor environmental parameters.