The first and core objective of City4Age is to enable Ambient Assisted Cities or Age-friendly Cities, where the urban communities of elderly people living in Smart Cities are provided with a range of ICT tools and services that - in a completely unobtrusive manner - will improve the early detection of risks related to cognitive impairments and frailty while they are at home or in the move within the city. The second objective is to provide a range of associated tools and services which - with the appropriate interventions - will mitigate the detected risks. The final objective of C4A is to define a model which will provide sustainability and extensibility to the offered services and tools by addressing the unmet needs of the elderly population in terms of (i) detecting risks related to other health type problems, (ii) stimulating and providing incentives to remain active, involved and engaged, (iii) creating an ecosystem for multi-sided market by matching needs and their fulfillments, (iv) contributing to the design and operation of the ultimate Age-friendly City, where the city itself provides support for detecting risks and providing interventions to those affected by mild cognitive impairment (MCI) and frailty. To achieve these objectives City4Age builds on: - behavioural, sociological and clinical research on “frailty” and MCI in the elderly population; - state of art ICT technology (i) for “sensing” personal data and exposing them as linked open data, (ii) for designing the algorithms and the API’s to extract relevant behaviour changes and correlated risks, and (iii) for designing interventions to counter the risks, - stakeholder engagement in order to be driven by relevant user needs to ensure end-user acceptance.

The number of elderly living with cognitive impairment is growing rapidly due to increasing life expectancy. The percentage of those who live alone depends upon the condition (i.e. roughly 30% of those diagnosed with dementia) but the majority would like to live in their own home or with family, provided that it is safe, comfortable, and cost effective. IN LIFE aims to prolong and support independent living for elderly with cognitive impairments, through interoperable, open, personalised and seamless ICT services that support home activities, communication, health maintenance, travel, mobility and socialization, with novel, scalable and viable business models, based on feedback from large-scale, multi-country pilots. Building on existing knowledge and tested AAL technology/services IN LIFE will offer 19 different services, which will be further optimised and adapted to the particular needs and wants of various elderly groups, including mild cognitive impairment (MCI), early dementia and cognitive impairment with co morbid conditions, plus formal and informal caregivers. These interoperable services will be integrated into an open, cloud- based, reference architecture to be tested in 6 Europe-wide pilots in Greece, Netherlands, Slovenia, Spain, Sweden, and UK, with over 1200 elderly with cognitive impairments, 600 formal and informal caregivers, and 60 other stakeholders. Attention will be paid to issues concerning multilingual and multicultural environments. The project will establish and extensively test new business models for a new taxonomy of elderly with cognitive impairments, encompassing those that are clustered as “dependent”, “at risk”, “assisted” or “active” and formulating and accessing new business scenarios, such as the “user-centric”, “service provider-centric” and “data exploitation-centric” ones. This work will be carried out in 36 months by 20 partners from 9 European countries, totaling 591PMs with a total requested financing of 3.38M€ euros.