ICOPE – Pilot Study
Résumé de l'étude
In 2015, the WHO published a report outlining six key functions that people value most: mobility, cognition, mental health, vision, hearing, and nutrition/vitality. Since a decline in one or more of these functions leads to reduced health and quality of life, the WHO developed the 'Integrated Care for Older People' (ICOPE) program to prevent and improve these functions. The goal is to conduct a large study (800 men and women in Switzerland). To assess feasibility within the structures of Switzerland, we are conducting a pilot study ICOPE-Pilot with 100 people in collaboration with Pro Senectute Kanton Zürich (PS ZH). Participants must be 70 years or older, live independently at home, and be mobile enough to visit the service centers of PS ZH. Additionally, there must be an impairment in at least 2 of the ICOPE functions. Participants will be randomly assigned to two groups: the 'intervention group' and the 'control group'. The intervention group will be supported by the ICOPE nurse (4 visits/calls and a hotline) and will receive a tailored multi-component program. For example, this program for a mobility limitation would not only offer various exercise programs to strengthen muscles but also provide dietary recommendations or strategies to promote social interactions, or adjustments to medications that may cause falls, depending on the person's needs. At the same time, participants in the intervention group will also receive guidance to strengthen the functions that are not yet impaired. The control group will receive no intervention. All participants are scheduled for 2 study visits (start, after 6 months) at the Center for Aging and Mobility (ZAM), as well as a follow-up phone call (after 12 months).
(BASEC)
Intervention étudiée
The ICOPE interventions are based on the WHO's ICOPE manual. They are tailored individually and personally to the study participants and include the prevention of deterioration in impaired functions, as well as the strengthening of non-impaired functions. The 6 functions focused on by ICOPE are mobility, cognition, mental health, vision, hearing, and nutrition/vitality. The intervention programs are co-designed with a specially trained ICOPE nurse and the study participants. They are based on recommendations formulated by international experts, are evidence-based, and consider benefits, costs, resource use, and the values of older adults in a balanced manner. The individual interventions are selected to best meet the participants' needs (personalization) and to be as accessible as possible. The intervention will be conducted and planned in five community centers of Pro Senectute Kanton Zürich in the canton of Zurich (Winterthur, Bülach, Horgen, Wetzikon, and the city of Zurich). Additionally, a hotline will be established, through which participants in the intervention group can discuss and seek advice from the ICOPE nurse at any time.
(BASEC)
Maladie en cours d'investigation
Pilot study for individual, personalized, and integrated prevention and strengthening of the 6 ICOPE functions: mobility, cognition, mental health, vision, hearing, and nutrition/vitality.
(BASEC)
- Women and men aged 70 years or older - Living independently in the community (own or rented house/apartment, senior housing). - Currently existing impairment in at least two of the six ICOPE functions. This will be assessed in two steps: (1) an online questionnaire (conducted independently or with the help of staff from Pro Senectute Kanton Zürich), and (2) a telephone screening for general study eligibility and verification of the pre-screening regarding the ICOPE functions, conducted by the study team at the Center for Aging and Mobility (ZAM). (BASEC)
Critères d'exclusion
- Predominant severe cognitive impairment/dementia (Baseline Mini Mental State Examination of < 24). - Severe mobility, hearing, vision, or speech impairment. - Acute medical condition at the start of the study or severe medical condition with an expected survival time of less than 1 year. (BASEC)
Lieu de l’étude
Zurich
(BASEC)
Sponsor
University Department of Geriatric Medicine FELIX PLATTER (UAFP) Prof. Reto W. Kressig
(BASEC)
Contact pour plus d'informations sur l'étude
Personne de contact en Suisse
Prof. Dr. med., DrPH Heike Annette Bischoff-Ferrari
+41 044 417 22 17
heikea.bischoff-ferrari@clutteruzh.chZentrum Alter und Mobilität
(BASEC)
Informations scientifiques
non disponible
Nom du comité d'éthique approbateur (pour les études multicentriques, uniquement le comité principal)
Commission cantonale de Zurich
(BASEC)
Date d'approbation du comité d'éthique
18.03.2025
(BASEC)
Identifiant de l'essai ICTRP
non disponible
Titre officiel (approuvé par le comité d'éthique)
ICOPE–Function-Centered & Person-Centered Health Promotion Trial for Adults 70+: a 6-month randomized controlled pilot trial with a follow-up at 12 months to record sustainability of benefits (BASEC)
Titre académique
non disponible
Titre public
non disponible
Maladie en cours d'investigation
non disponible
Intervention étudiée
non disponible
Type d'essai
non disponible
Plan de l'étude
non disponible
Critères d'inclusion/exclusion
non disponible
non disponible
Critères d'évaluation principaux et secondaires
non disponible
non disponible
Date d'enregistrement
non disponible
Inclusion du premier participant
non disponible
Sponsors secondaires
non disponible
Contacts supplémentaires
non disponible
ID secondaires
non disponible
Résultats-Données individuelles des participants
non disponible
Informations complémentaires sur l'essai
non disponible
Résultats de l'essai
Résumé des résultats
non disponible
Lien vers les résultats dans le registre primaire
non disponible