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Reliability of Self-Screening for Intrinsic Capacity Impairments Using the ICOPE Monitor App.

E Gonzalez-Bautista¹, P de Souto Barreto, N Tavassoli

¹Emmanuel Gonzalez-Bautista. Gerontopole of Toulouse, Institute of Ageing, Toulouse University Hospital (CHU Toulouse), 37 Allée Jules Guesde, 31000 Toulouse, France, emmanuel.gonzalez-bautista@univ-tlse3.fr.

The Journal of Frailty & Aging

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Summary

This summary is machine-generated.

The Integrated Care for Older People (ICOPE) STEP 1 screening tool shows high reliability for self-assessment, particularly in nutrition, psychological, and locomotion domains. This supports its use as a self-administered screening tool for older adults.

Keywords:

Digital health ICOPE mobile app intrinsic capacity self-assessment

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Area of Science:

Gerontology
Public Health
Digital Health

Background:

The Integrated Care for Older People (ICOPE) framework aims to maintain functional ability in older adults.
The ICOPE STEP 1 screening tool, accessible via the ICOPE Monitor app, facilitates early identification of health issues.
Validating self-assessment tools is crucial for scalable and accessible geriatric care.

Purpose of the Study:

To assess the inter-rater agreement of the ICOPE STEP 1 screening tool when comparing self-assessment via the ICOPE Monitor app to professional screening.
To evaluate the reliability of the ICOPE STEP 1 tool across different domains of intrinsic capacity.

Main Methods:

Two studies compared ICOPE STEP 1 self-screening results with professional screenings using Gwet's agreement coefficient.
Study 1 involved direct comparison on the same day within the INSPIRE-T cohort.
Study 2 analyzed real-world data from the INSPIRE-ICOPE care cohort with a median 76-day interval between self and professional screening.

Main Results:

Inter-rater agreement varied by domain, ranging from moderate (cognition, 0.49 in Study 1) to very good (nutrition, 0.99 in Study 1).
Study 2 showed similar trends, with nutrition scoring high (0.97) and cognition lower (0.36).
Agreement for cognition and hearing was higher in participants under 60. Time orientation items within cognition demonstrated high reliability.

Conclusions:

The ICOPE STEP 1 tool demonstrates strong reliability for self-assessment, supporting its use as a standalone screening method.
High reliability was observed for nutrition, psychological, and locomotion domains across age groups.
Further discussion is needed regarding self-assessment accuracy for cognition, vision, and hearing domains in older adults using the app.