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Randomized Controlled Trial
. 2021 Jun 2;18(11):5979.
doi: 10.3390/ijerph18115979.

A Multi-Domain Group-Based Intervention to Promote Physical Activity, Healthy Nutrition, and Psychological Wellbeing in Older People with Losses in Intrinsic Capacity: AMICOPE Development Study

Sergi Blancafort Alias  1 , César Cuevas-Lara  2 , Nicolás Martínez-Velilla  2 , Fabricio Zambom-Ferraresi  2 , Maria Eugenia Soto  3 , Neda Tavassoli  3 , Céline Mathieu  3 , Eva Heras Muxella  4 , Pablo Garibaldi  4 , Maria Anglada  4 , Jordi Amblàs  5   6 , Sebastià Santaeugènia  5   6 , Joan Carles Contel  5   6 , Àlex Domingo  1 , Antoni Salvà Casanovas  1
Affiliations
Randomized Controlled Trial

A Multi-Domain Group-Based Intervention to Promote Physical Activity, Healthy Nutrition, and Psychological Wellbeing in Older People with Losses in Intrinsic Capacity: AMICOPE Development Study

Sergi Blancafort Alias et al. Int J Environ Res Public Health. .

Abstract

The World Health Organization has developed the Integrated Care of Older People (ICOPE) strategy, a program based on the measurement of intrinsic capacity (IC) as "the composite of all physical and mental attributes on which an individual can draw". Multicomponent interventions appear to be the most effective approach to enhance IC and to prevent frailty and disability since adapted physical activity is the preventive intervention that has shown the most evidence in the treatment of frailty and risk of falls. Our paper describes the development of a multi-domain group-based intervention addressed to older people living in the community, aimed at improving and/or maintaining intrinsic capacity by means of promoting physical activity, healthy nutrition, and psychological wellbeing in older people. The process of intervention development is described following the Guidance for reporting intervention development studies in health research (GUIDED). The result of this study is the AMICOPE intervention (Aptitude Multi-domain group-based intervention to improve and/or maintain IC in Older PEople) built upon the ICOPE framework and described following the Template for Intervention Description and Replication (TIDieR) guidelines. The intervention consists of 12 face-to-face sessions held weekly for 2.5 h over three months and facilitated by a pair of health and social care professionals. This study represents the first stage of the UK Medical Research Council framework for developing and evaluating a complex intervention. The next step should be carrying out a feasibility study for the AMICOPE intervention and, at a later stage, assessing the effectiveness in a randomized controlled trial.

Keywords: ageing; exercise; frailty; guidelines; lifestyle; mental health; methods; nutrition; psychosocial intervention.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study, in the collection, analyses, or interpretation of data, in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Development process of the AMICOPE intervention within the MRC framework for the development and evaluation of complex interventions. Adapted from [61] and available via license CC BY 4.0.
Figure 2
Figure 2
Conceptual framework of the AMICOPE multi-domain intervention.
See this image and copyright information in PMC

Comment in

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