WHO ICOPE Programme Adherence of 8672 Older Age People Over 2-Years of Follow-Up.
Caroline Berbon, Yves Rolland, Catherine Takeda and 9 others
PMID 40195235WHAT IT FOUND
Older adults who stopped ICOPE follow-up were older and had more intrinsic-capacity alerts.
Those with partial adherence were older and more often enrolled by self-assessment.
Key findings
01Of 8672 participants analysed, 2176 (25.1%) discontinued follow-up and 6496 (74.9%) continued.
02Discontinuation was associated with older age and alerts in cognitive, psychological, mobility, nutritional and hearing domains, while a higher number of alerts and Step 2 completion were protective.
03Partial adherence was associated with self-screening, older age and alerts in cognitive, psychological, mobility and nutritional domains, while visual alert and Step 2 completion were protective.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This was a real-world observational study, so it can show associations with follow-up behaviour but not cause. There may be more lost follow-ups, missing data or incomplete programme actions than in a clinical trial. Important factors such as empowerment, socio-cultural level, digital tool acceptability and caregiver support were not measured. Complete adherence was defined strictly, requiring all Step 1 follow-ups within the expected time plus a 4-month tolerance. Step 2 data were available for fewer participants than Step 1 data. Participants were selected because they had at least 2 years of follow-up, so results do not describe all enrolled ICOPE participants.
Declared interests
The authors declared no conflicts of interest. The study was supported by named funders: Agence Nationale de la Recherche, Regional Health Agencies Occitania, French Health Ministry, and European Regional Development Fund.
The easy way to misread this
Do not read these findings as evidence that ICOPE prevents functional decline or that nurse contact causes adherence. The study observed who stayed or left the programme; it did not test the programme's effect or randomise contact.