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Implementing the WHO ICOPE Program in Clinical Practice: Three Years of Lessons From Monitoring 27 082 Participants

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Summary

The Integrated Care for Older People (ICOPE) program in France, utilizing a digital tool, identified that healthcare professionals (HCPs) are crucial for implementation. Self-assessment enrolled younger, healthier seniors, enabling early detection and intervention.

Keywords:
Digital toolICOPE programIntrinsic capacityPreventionWHO

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Area of Science:

  • Gerontology
  • Digital Health Implementation
  • Preventive Healthcare Strategies

Background:

  • The Integrated Care for Older People (ICOPE) program was implemented in France using a digital tool to assess older adults' intrinsic capacity.
  • The study aimed to characterize participants, follow-up procedures for abnormal screenings, and care plan recommendations.

Purpose of the Study:

  • To describe the implementation of the ICOPE program in France via a digital tool.
  • To identify characteristics of individuals completing the screener based on assessor type (healthcare professionals, non-HCPs, self-assessment).
  • To analyze follow-up assessments and intervention recommendations for older adults with declining intrinsic capacity.

Main Methods:

  • A descriptive study design was employed to analyze data from initial screening, subsequent assessments, and Step 3 recommendations.
  • Participant data were compared based on enrollment by healthcare professionals (HCPs), non-HCPs, or self-assessment.

Main Results:

  • 27,082 participants were enrolled; 67.9% were registered by HCPs.
  • 90.8% screened positive at Step 1; self-assessed participants were younger and less likely to have initial alerts.
  • Follow-up assessments (Step 2) were conducted for 8.9%; self-assessed individuals showed better motor abilities on the SPPB. Prevention plans focused on physical activity and nutrition.

Conclusions:

  • Healthcare professionals play a significant role in the successful implementation of the ICOPE program.
  • Self-assessment facilitates the enrollment of healthier seniors, enabling earlier detection and treatment of age-related decline.