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This book constitutes the refereed proceedings of the Fourth Italian Forum on Ambient Assisted Living (AAL), FORITAAL2013, held in Ancona, Italy, in October 2013. The forum is the annual showcase event, which brings together developers, producers, service providers, carriers and end user organisations working in the field of technologies and applications of AAL. The book documents/resumes the results of the Forum and addresses the issues and the new technological developments which support the autonomy and independence of individuals with special needs through an innovative and integrated approach, designed to respond to the socio-economic challenges of an aging population. AAL is treated here by different points of view and within different topical areas, such as health and well-being , prevention and rehabilitation , support for care-providers , active aging and social implications , services for helping the frail elderly with health problems and their families , nutrition and ICT platforms/technologies for the benefit of the elderly , home automation and control technologies (autonomy, safety and energy saving) , smart cities and smart communities , telemedicine, telerehabilitation and telecare , mobility, participation and social inclusion , game and fun for the elderly , social housing , interface design and interaction (accessibility, acceptance) , social policies to encourage and support active aging , business model, market analysis and development of sustainable financing and business , ethics, privacy and data protection . The knowledge and insights provided in this book can help not only researchers but also all people involved in the AAL to understand the new societal trends, the new technological developments and challenges concerning Ambient Assisted Living.