Background To describe the implementation of the ICOPE program in France using digital tool in order to: 1) describe the characteristics of people completing the screener, identifying differences across assessors (Health Care Professionals (HCP), non-HCPs or self-assessment) 2) describe the characteristics of follow-up and assessments for people with abnormal screening test 3) describe the recommendations in the intervention care plans for people with a decline in intrinsic capacity (IC). Methods A descriptive study, presenting the results at initial screening, as well as at assessment when needed; and the recommendations issued during Step 3. We compared these results based on whether the participant was enrolled by an HCP, by a non-HCP, or self-assessment. Results 27,082 participants were enrolled. 67.9% were registered by HCPs. 90.8% participants screened positive at Step 1. Participants who completed the self-assessment were significantly younger (70.9 years versus 76.4 for HCPs or 77.9 for non-HCPs, p<0.01) and less frequently had alerts in Step 1 (83.8% versus 90.8 for HCPs or 94.8 for non-HCPs). Step 2 in-depth assessments were carried out for 8.9% of the participants. In step 2, only the SPPB showed significantly better motor abilities in individuals enrolled through self-assessment (median and IQR: 11(10 – 12) versus 10(8 – 12) for HCPs and 10(7 – 12) for non-HCPs). Prevention care plans were proposed, mainly physical activity (n=833 - 33.7%) and nutrition counseling (n=1,233 - 51.7%). Conclusion This study highlights the major role of HCPs in the implementation of the ICOPE program. Self-assessment enables the enrollment of more robust seniors, allowing to an early detection and treatment.

中文翻译：

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在临床实践中实施 WHO ICOPE 计划：使用 ICOPE Monitor 数字工具监测 27,082 名参与者的三年经验教训


背景 使用数字工具描述 ICOPE 计划在法国的实施情况，以便： 1） 描述完成筛查的人的特征，确定评估者之间的差异（医疗保健专业人员 （HCP）、非 HCP 或自我评估） 2） 描述筛查测试异常患者的随访和评估特征 3） 描述干预护理计划中针对内在能力下降 （IC） 患者的建议。 方法 一项描述性研究，在初步筛选时呈现结果，并在需要时在评估时呈现结果;以及第 3 步中发布的建议。我们根据受试者是由 HCP、非 HCP 还是自我评估来比较这些结果。结果 共纳入 27,082 名参与者。67.9% 的参与者由 HCP 登记。90.8% 的参与者在第 1 步筛查呈阳性。完成自我评估的参与者明显更年轻（70.9 岁 vs 76.4 岁，非 HCP 为 77.9，p<0.01），并且在第 1 步中出现警报的频率较低 （83.8% 对 HCP 的 90.8 或非 HCP 的 94.8）。第 2 步对 8.9% 的参与者进行了深入评估。在第 2 步中，只有 SPPB 显示通过自我评估入组的个体的运动能力显着更好（中位数和 IQR：11（10 – 12） 与 HCP 的 10（8 – 12） 和非 HCP 的 10（7 – 12））。提出了预防保健计划，主要是体育活动 （n=833 - 33.7%） 和营养咨询 （n=1,233 - 51.7%）。结论 本研究强调了 HCP 在 ICOPE 计划实施中的主要作用。自我评估可以招募更健壮的老年人，从而实现早期发现和治疗。