C. Takeda, Gérontopôle, CHU Toulouse, Cité de la Santé, Hôpital La Grave, Place Lange, 31059 Toulouse cedex 9, France, Tel : +33.(0)5.17.77.70.28, Fax +33.(0)5.61.77.70.71, E-mail:
J Prev Alzheimers Dis. 2020;7(2):70-74. doi: 10.14283/jpad.2020.8.
The World Health Organization has published the Integrated Care for Older People, ICOPE handbook Guidance on person-centred assessment and pathways in primary care. This is an integrated individual care tool focused on the individual and healthy ageing. The ICOPE tool proposes step by step, a screening, a fine assessment, the development of a personalized care plan, its implementation and follow up and finally the consideration of the caregivers and community. The new Geroscience field is focusing on preventing age-related diseases, and should now investigate with the ICOPE tool the optimal maintenance of intrinsic capacity (IC) through mobility, cognition, psychology, vitality, hearing and vision. This article aims to present this new tool and to presents its innovative implementation at the Toulouse University Hospital through the INSPIRE study. We believe that the ICOPE integrated care program will also be a pragmatic way to maintain cognitive functions and detect early Alzheimer.
The main objective of the INSPIRE study is to build a Bio-resource Research Platform for Healthy Ageing gathering biological, clinical and digital resources in order to identify markers of ageing, age-related diseases and IC evolution. The study will be also testing the implementation and follow up of the ICOPE tool.
The Inspire Platform will gather clinical data and bio-specimens from 1000 subjects in the Occitania Region, of different ages (from 30 years and over) over 10 years. Data will be collected annually. Using the ICOPE tool IC domains will be monitored every 4 months. Once IC decline is identified, participants will have a thorough clinical assessment and blood sampling to investigate the response of markers of ageing at the time of decline. The French ethic committee approved the study.
The Inspire platform aims to develop an integrative approach to promote novel new technologies for the assessment and monitoring of functional capacities.
世界卫生组织发布了《老年人综合护理》（ICOPE）手册，其中包括初级保健中以患者为中心的评估和路径指南。这是一个以个体为中心、关注健康老龄化的综合个体护理工具。ICOPE 工具逐步提出了筛选、精细评估、制定个性化护理计划、实施和随访以及最后考虑照顾者和社区的方案。新的老年科学领域专注于预防与年龄相关的疾病，现在应该使用 ICOPE 工具通过运动、认知、心理、活力、听力和视力来研究内在能力（IC）的最佳维持。本文旨在介绍这种新工具，并通过 INSPIRE 研究展示其在图卢兹大学医院的创新实施。我们相信，ICOPE 综合护理计划也将是维持认知功能和早期发现阿尔茨海默病的一种实用方法。
INSPIRE 研究的主要目的是建立一个健康老龄化生物资源研究平台，汇集生物、临床和数字资源，以确定衰老、与年龄相关的疾病和 IC 演变的标志物。该研究还将测试 ICOPE 工具的实施和随访。
Inspire 平台将从奥克西塔尼地区的 1000 名不同年龄（30 岁以上）的受试者中收集临床数据和生物样本，为期 10 年。数据将每年收集一次。使用 ICOPE 工具，每 4 个月监测一次 IC 领域。一旦发现 IC 下降，参与者将进行全面的临床评估和血液采样，以调查在下降时衰老标志物的反应。法国伦理委员会批准了该研究。
Inspire 平台旨在开发一种综合方法，以促进评估和监测功能能力的新技术。
