Since 1991, 17 elderly persons (aged 75 to over 90) in 15 households have b
een connected via m-videophones to a service centre. A standard CATV networ
k was modified to support a reverse channel. This has been world-wide the f
irst fully interactive broadband video communications project implemented i
n a real setting and operating over an extended period of time. The overall
aim has been to prove the ability of frail elderly and mobility-impaired p
ersons to live independently, and to demonstrate strategies for reducing th
e load on social and health care service resources. Service components incl
ude remote care; information and assistance; emergency, counselling, traini
ng and exercise services. Practical experience, both from the side of the s
ervice provider and that of the users, is discussed. Simplicity of technica
l design and ease of handling contributed to a feeling of being empowered b
y the technology. In addition, the very personal and close relationship to
the staff- which was strongly supported, not inhibited by the video communi
cations- was a major factor in acceptance of the service. It proved a highl
y successful activity with a great potential for the future: In different c
ontexts with newer technology, market trials are underway to commercialise
this service.