Personalized care plans after ICOPE Step 2 for older adults with frailty
Implementation of the Personalized Care Plan (PCP) Proposed at the End of Step 2 of the ICOPE Program : Description of the Procedures for Negotiating the PCP With the Patient, the Procedures for Implementing the PCP in a Multi-professional Setting, and Implementation of the PCP at 1 Year
This project will try personalized care plans for people aged 60 and older who completed ICOPE Step 2 to see how many plans are produced and what they contain after one year.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 600 (estimated) |
| Ages | 60 Years and up |
| Sex | All |
| Sponsor | MSPU de Pins-Justaret Academic / other |
| Locations | 1 site (Toulouse) |
| Trial ID | NCT07379099 on ClinicalTrials.gov |
What this trial studies
The program follows older adults identified through ICOPE and documents how personalized care plans (PCPs) are negotiated and implemented by primary care teams over 12 months. It uses an observational approach to record the number and content of PCPs at one year, with particular attention to negotiation methods with patients and interprofessional cooperation. Participants are recruited at the Maison de santé des Fontaines in Toulouse and must have completed ICOPE Step 2. The goal is to determine feasibility and describe typical elements of PCPs carried out in routine care.
Who should consider this trial
Good fit: People aged 60 or older with frailty who have completed ICOPE Step 2, have ADL ≥ 5.5, are covered by a social security scheme, and agree to data collection are eligible.
Not a fit: Those who have not completed ICOPE Step 2, have marked disability (ADL < 5.5), live too far from the Toulouse site, or refuse data collection are unlikely to benefit from this implementation effort.
Why it matters
Potential benefit: If successful, clearer and more tailored care plans could improve coordination of services and help preserve function in older adults with frailty.
How similar studies have performed: Previous pilot implementations of WHO's ICOPE and individualized care plans have shown promising engagement and functional outcomes in some settings, but negotiation techniques and team-based implementation strategies are still not well tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 60 years * ADL ≥ 5.5 * Affiliated or beneficiary of a social security scheme or equivalent. * having completed a STEP 2 ICOPE * not opposed to the collection of their data
Where this trial is running
Toulouse
- Maison de santé des Fontaines — Toulouse, France (Recruiting)
Study contacts
- Study coordinator: Bruno Chicoulaa
- Email: bruno1.chicoulaa1@dumg-toulouse.fr
- Phone: 0033661614449
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.