ICOPE 29: Implementation Study of the ICOPE Program for the Detection of Frailty in the Elderly Within the Territorial Health Professional Communities (CPTS) of Brest Region
Study Details
Study Description
Brief Summary
Frailty is a geriatric syndrome resulting from a decrease in physiological reserve capacities altering the mechanisms of adaptation to stress with, in the absence of diagnosis and management, a short-term risk of falls, hospitalization, loss of autonomy and death.
In 2019, the World Health Organization has taken up this subject with the objective of reducing the number of dependent people in the world by 15 million, i.e. 150,000 in France. For this purpose, recommendations for integrated care for seniors (Integrated Care for Older People = ICOPE) have been published.
6 functions are essential to maintain autonomy: mobility, memory, sight, hearing, mental health and nutrition. The first step of the ICOPE program consists of screening for a decline in one of these functions using a tool made up of questions or tests that can be carried out in 8 to 10 minutes in primary care by trained non-professionals. The second step is a thorough evaluation of the person screened, leading to the creation of a personalized care plan. In the current state of affairs, despite its recommendations, this identification is not carried out in Brittany.
The objective of this study is to demonstrate the feasibility of implementing the first stage of the ICOPE program by seizing the opportunity of the creation in the Brest region of two Territorial Health Professional Communities (CPTS) : Brest Santé Océane and Iroise santé.
| Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- Feasibility of identifying frail elderly people aged 70 and over [Month 12]
Number of patients screened using the ICOPE (Integrated Care for Older People) program by the primary care professionals of the CPTS Brest Santé Océane and Iroise santé, one in an urban environment and the other in a semi-rural environment. To demonstrate the feasibility of identifying frail elderly people aged 70 and over, using the ICOPE program, by health professionals working in two CPTSs, Brest Santé Océane and Iroise santé, .
Secondary Outcome Measures
- Rate of individuals who had one or more of the 6 essential functions for maintaining independence [Month 12]
Calculate the rate of individuals who had one or more of the 6 identified as impaired by the use of the ICOPE program in these two territories. Number of patients for whom one or more of the 6 functions (mobility, memory, sight, hearing, mental health and nutrition) essential for maintaining autonomy is impaired using the ICOPE MONITOR application. This developed by the Gerontopôle of the Toulouse University Hospital, allows the measurement of the capacities necessary for the prevention of dependency in a few minutes. This application can be downloaded free of charge for health professionals, on a smartphone or tablet. The assessment of the ICOPE MONITOR application consists of a series of 9 questions, an auditory examination (whisper test) and a chair rise test (have the patient rise from a chair with arms crossed over the chest 5 times in a row as quickly as possible). This assessment identifies whether the patient has any of the 6 impaired functions.
- Feeling about the ICOPE MONITOR tool [Month 12]
Perception of the ICOPE MONITOR tool by professionals (qualitative study using semi-structured interviews and group interviews). There are no score.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Primary care staff belonging to one of the 2 CPTS (CPTS Brest Santé Océane and CPTS Iroise santé) and having accepted to participate in the study
Exclusion Criteria:
- Refusal to participate in the study
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cpts Brest Sante Oceane | Guipavas | France | ||
| 2 | Cpts Pays D'Iroise | Saint-Renan | France |
Sponsors and Collaborators
- University Hospital, Brest
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 29BRC22.0102