Community-dwelling Elderly
Conditions
Keywords
Frailty, ICOPE, Intrinsic capacity, Community-dwelling elderly
Brief summary
This study aims to (1) compare the assessment outcome of the ICOPE-I and ICOPE-S, and (2) investigate the correlation between both versions of the ICOPE step 1 screening tools and frailty in Taiwan.
Detailed description
The prevalence of frailty among the elderly increases annually as the population ages. The World Health Organization (WHO) has introduced the Integrated Care for Older People (ICOPE) framework, which aims to support healthy aging by evaluating the intrinsic capacity (IC) of the elderly in six different areas. In Taiwan, two versions of the ICOPE step 1 screening tools are available: an interview-based version (ICOPE-I) and a self-administered version (ICOPE-S) based on the WHO's model. There are two main models for frailty status assessments: Dr. Fried's phenotype of frailty and Dr. Rockwood's accumulation of deficit models. A comparative study is necessary to assess the consistency of both versions of ICOPE in Taiwan and their associations with frailty.
Interventions
BEHAVIORALMontreal Cognitive Assessment (MoCA)
MoCA would be used to assess participants cognitive functioning.
BEHAVIORALChinese ICOPE screening tool (self-administration and interview versions)
The ICOPE screening tool would be used to assess participants health status, including cognitive decline, auditory and visual capabilities, mobility restrictions, nutritional status, and depressive symptoms.
BEHAVIORALFrailty status assessment (Edmonton frail scale and Frailty criteria by Dr. Fried)
The Edmonton frail scale and Frailty criteria by Dr. Fried would be used to assess participants frailty status.
Sponsors
National Taiwan University Hospital
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* ≥ 65 years old * Community-dwelling elderly * Walking independently (with/without assistive devices)
Exclusion criteria
* Participants with a MoCA score \< 26 * Being unable to give informed consent (e.g., aphasia, deafness, and blindness) * Being unable to finish all the physical and screening assessment assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intrinsic capacity | The ICOPE screening tool assessment would take about 10 minutes | ICOPE screening tool (self-administration and interview version) would be used to evaluate the intrinsic capacity(IC), including cognitive decline, auditory and visual capabilities, mobility restrictions, nutritional status, and depressive symptoms) of the participants. Each question requires a binary response, either 'yes' or 'no'. A total score will be determined by summing the number of IC impairments, which have a score range of 0-6, with higher scores indicating a greater degree of impairment. |
| Phenotype of frailty status | The phenotype of frailty status assessment would take about 10 minutes | Frailty criteria by Dr. Fried would be used to evaluate the frail status of the participants.The Dr. Fried phenotype of frailty comprises five components, unintentional weight loss, exhaustion, weakness, slowness, and low activity. Individuals who exhibit three or more indicators are classified as frail, those with one to two indicators are categorized as pre-frail, and those with no indicators are characterized as robust. |
| Accumulated frailty status | The accumulated frailty status assessment would take about 10 minutes | Edmonton frail scale(EFS) would be used to evaluate the frail status of the participants. EFS assesses a wide range of nine domains through 11 questions. These domains cover cognition, general health status, functional independence, social support, medication use, nutrition, mood, continence, and functional performance. The total score of EFS ranges from 0 to 17, where scores of 0-5 indicate not being frail, 6-7 indicate being vulnerable, 8-9 indicate mild frailty, 10-11 indicate moderate frailty and 12-17 indicate severe frailty. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cognitive status | The cognitive status assessment would take about 10 minutes | MoCA would be used to evaluate the cognitive functioning of the participants. MOCA comprises attention and concentration, executive function, memory, language ability, visuospatial construction, abstract concepts, calculation, and orientation. The cumulative score amounts to 30 points, with a minimum standard of 26 points or higher. 25-18 points indicate mild cognitive impairment, 17-10 points indicate moderate cognitive impairment, fewer than 10 points indicate severe cognitive impairment. |
Countries
Taiwan
Outcome results
None listed