China Pilot of ICOPE (Integrated Care for Older People) in Chaoyang District, Beijing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 2,148
- 试验地点
- 2
- 主要终点
- Feasibility of implementing the ICOPE program in China
研究概览
简要总结
The goal of this pilot study is to examine predefined parameters (sample size, capacity building, acceptance by community-dwelling older people (participants) and care providers) to evaluate the feasibility of implementing World Health Organization's ICOPE (integrated care for older people) approach in China. The main questions it aims to answer are:
- Whether it is feasible to implement the ICOPE approach in China;
- Whether the integrated care approach would make any difference in health outcomes and resource utilization.
Participating older adults receiving integrated care (Intervention Group) are compared to those receiving usual care (Control Group) in order to answer the two questions above.
详细描述
The goal of this pilot study is to evaluate the feasibility of implementing World Health Organization's ICOPE (integrated care for older people) approach in China. The main questions it aims to answer are:
- Whether it is feasible to implement the ICOPE approach in China;
- Whether the integrated care approach would make any difference in health outcomes and resource utilization.
For the first question, predefined parameters such as sample size, capacity building, acceptance by community-dwelling older people (participants) and care providers were examined.
Based on literature review and also as evidenced in the background study of the ICOPE guideline development process, a key hypothesis is that implementing integrated care management programs can improve health outcomes while containing costs.
According to the pilot study design, a total of 2000 community-dwelling older persons aged 60 and above at-risk of functional loss in Chaoyang District of Beijing are recruited and randomly assigned to the intervention group (n=500) and control group (n=1500).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Screened as positive for intrinsic capacity declines
- •Decline in intrinsic capacity confirmed by in-depth assessment in any of the domains described as: MMSE < 27 (for cognition), SPPB ≤ 9 (for locomotion), MNA-SF <12 (for vitality we used nutrition as a proxy), GDS-5 ≥ 2 (for psychology we used depression as a proxy) or any vision impairment
- •Signed form of consent and willingly participate in the pilot study
排除标准
- •Negative results in their intrinsic capacity decline screening
- •Severe hearing problems as the study was conducted during COVID-19 pandemics period and relied on telecare or remote sessions of intervention
结局指标
主要结局
Feasibility of implementing the ICOPE program in China
时间窗: 12 months
1. Sample size (to successfully recruit over 2,000 participants, 500 of whom were to be categorized in the intervention group) 2. Capacity building (at least 200 primary care providers to be fully trained and deployed in the pilot program) 3. Acceptance (reach more than 90% satisfaction with the pilot by both participants and providers).
次要结局
- Independence(6 months)
- Psychological health(6 months)
- Vitality(6 months)
- Mobility(6 months)
- Cognition(6 months)