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Observational Study
. 2025 Sep;81(9):5925-5936.
doi: 10.1111/jan.16740. Epub 2025 Apr 7.

WHO ICOPE Programme Adherence of 8672 Older Age People Over 2-Years of Follow-Up

Caroline Berbon  1   2 , Yves Rolland  1   2 , Catherine Takeda  1   2 , Christine Lafont  1 , Neda Tavassoli  1 , Justine De Kerimel  1 , Véronique Bezombes  1 , Laurent Balardy  1 , Fatemeh Nourhashemi  1   2 , Bruno Vellas  1   2 , Sandrine Andrieu  1   2   3 , Maria-Eugenia Soto  1   2
Affiliations
Observational Study

WHO ICOPE Programme Adherence of 8672 Older Age People Over 2-Years of Follow-Up

Caroline Berbon et al. J Adv Nurs. 2025 Sep.

Abstract

Aim: To compare the characteristics of participants who discontinued prematurely with those who remained in the ICOPE program (Integrated Care for Older PEople) in France and to compare completely adherent participants with partially adherent ones after 2 years of follow-up.

Design: Retrospective observational study.

Methods: We analysed the data of older age people participating during 2 years from the ICOPE MONITOR database. The study compared the population that discontinued follow-up with the population currently in follow-up. Among the population in follow-up, a comparison was made between the completely adherent and partially adherent populations.

Results: In total, 8672 participants had a follow-up period of at least 2 years. After 2 years, three-quarters of the participants were still in follow-up with varying levels of adherence. Participants who discontinued follow-up are older and had more compromised Step 1 levels across all domains of intrinsic capacity (IC). Partially adherent participants were older and generally more compromised in IC than completely adherent participants. Those participants least adherent to ICOPE presented higher declines in clinical parameters.

Conclusion: Among autonomous older age people, the most impaired in intrinsic capacity domains and aged participants were more likely to discontinue follow-up, highlighting the need to focus efforts on this group. On the other hand, younger robust and healthier older age people represent a good target for ICOPE program, in terms of adherence and primary prevention.

Reported method: EQUATOR guidelines: STROBE.

Patient of public contribution: No patient or public contribution.

Keywords: ICOPE program; gerontology; older people; primary care; quantitative approaches.

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Conflict of interest statement

Database complies with data confidentiality and security requirements in accordance with the General Data Protection Regulation (GDPR) and has been validated by the National Commission on Informatics and Liberties (CNIL) in 2017 (registration number 247169284s, reference MMS/OSS/NDT171027). After evaluation and validation by the data protection officer and according to the GDPR, this study completed all the criteria, and it is registered in the register of data study of the Toulouse Hospital (number's register: RnIPH 2023–122) and covered by the MR‐004. There is a statistician on the author team and state which author.

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Flowchart of the study.
See this image and copyright information in PMC

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