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

Study Overview
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Brief Summary
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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.

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

Conditions
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Frailty

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: Refusal to participate in the study
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of individuals who had one or more of the 6 essential functions for maintaining independence | Calculate the rate of individuals who had one or more of the 6 identified as impaired by the use of the ICOPE program in these two territories. Number of patients for whom one or more of the 6 functions (mobility, memory, sight, hearing, mental health and nutrition) essential for maintaining autonomy is impaired using the ICOPE MONITOR application. This developed by the Gerontopôle of the Toulouse University Hospital, allows the measurement of the capacities necessary for the prevention of dependency in a few minutes. This application can be downloaded free of charge for health professionals, on a smartphone or tablet. The assessment of the ICOPE MONITOR application consists of a series of 9 questions, an auditory examination (whisper test) and a chair rise test (have the patient rise from a chair with arms crossed over the chest 5 times in a row as quickly as possible). This assessment identifies whether the patient has any of the 6 impaired functions. | Month 12 | 
| Feeling about the ICOPE MONITOR tool | Perception of the ICOPE MONITOR tool by professionals (qualitative study using semi-structured interviews and group interviews). There are no score. | Month 12 |