Implementation Study of the ICOPE Program for the Detection of Frailty in the Elderly Within the Territorial Health Professional Communities (CPTS) of Brest Region

NCT05541731 | Terminated DMC

• 1 other identifier: 29BRC22.0102
• Study Type: observational
• Target: 56
• Locations: 1 country
• Sites: 2

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.

Conditions

Frailty

Outcome Measures

Primary Outcomes (1)

• Feasibility of identifying frail elderly people aged 70 and over

  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, .

  Month 12

Secondary Outcomes (2)

• Rate of individuals who had one or more of the 6 essential functions for maintaining independence

  Month 12

• Feeling about the ICOPE MONITOR tool

  Month 12

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All primary care staff in the two CPTS caring for non-dependent patients aged 70 and over

You may qualify if:

• 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

You may not qualify if:

• Refusal to participate in the study

Sponsors & Collaborators

• University Hospital, Brest: lead

Study Sites (2)

Cpts Brest Sante Oceane

Guipavas, France

Location

Cpts Pays D'Iroise

Saint-Renan, France

Location

Related Publications (1)

• Pellen N, Beurton-Couraud L, Goff-Coquet AL, Tramecon A, Gentric A, Le Reste JY. Five reasons for the failure of frailty screening in primary care: lessons from the experience with ICOPE monitor step 1. BMC Geriatr. 2025 Nov 26;25(1):1059. doi: 10.1186/s12877-025-06789-6.

  PMID: 41299329 DERIVED

MeSH Terms

Conditions

Frailty

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 13, 2022
• First Posted: September 15, 2022
• Study Start: January 19, 2023
• Primary Completion: June 5, 2023
• Study Completion: April 19, 2024
• Last Updated: April 26, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Data will be available after the publication of result and ending five years following the last visit of the last patient.
• Access Criteria: Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement.

Locations

FR (2)