ICOPE – Pilot Study

Descrizione riassuntiva dello studio

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)

Intervento studiato

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)

Malattie studiate

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)

Sponsor

University Department of Geriatric Medicine FELIX PLATTER (UAFP) Prof. Reto W. Kressig

(BASEC)

Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)

Commissione etica Zurigo

(BASEC)

Data di approvazione del comitato etico

18.03.2025

(BASEC)

Risultati dello studio