Noordin Nurhazrina, Siriphorn Akkradate, Chye Wah Yu, Justine Maria
Centre for Physiotherapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, Puncak Alam, Selangor, Malaysia.
Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.
PLoS One. 2025 Mar 19;20(3):e0318513. doi: 10.1371/journal.pone.0318513. eCollection 2025.
Declining intrinsic capacity (IC), encompassing domains such as locomotion, cognitive function, vitality, vision, hearing, and psychological well-being, is prevalent among older adults, impacting independence and quality of life (QoL). This study aims to develop and evaluate the Physiotherapy-led Person-Centered Integrated Care for Older People (PTICOPE) based on the WHO-ICOPE framework to enhance IC among older adults in Malaysia.
This is a 12-week, multicenter, randomized controlled trial involving 70 community-dwelling older adults aged 60-75, recruited from three Pusat Aktiviti Warga Emas (PAWE) (Activity Center for Older Adults) in the Northern region of Malaysia. Participants will be randomized to either the intervention group, receiving the PTICOPE module workbook and guided use, or the control group, receiving general IC information, healthcare education, and self-care management. The recruitment of participants for this study has not yet commenced. Recruitment is expected to start after completing the validation of the PTICOPE module, however, it is anticipated that the recruitment start date is in February 2025 and will end in August 2025. Primary outcomes, including locomotor, psychological, cognitive, vitality, visual, and hearing functions using validated scales, will be collected at baseline, 4th, 8th, and 12th week of the study period. Secondary outcomes will evaluate QoL, activities of daily living, urogenital health, and oral health at baseline and 12th week. The normality of data will be checked. The independent t-tests, Chi-square tests, paired t-tests, and Repeated measures ANOVA will be used for data analysis, with a significant level at p < 0.05.
This study will develop a PTICOPE based on the WHO-ICOPE framework and test its efficacy in the older population residing in the community. The findings of this study hold the potential to establish an evidence-based approach for enhancing IC among community-dwelling older adults.
Thai Clinical Trials (Number: TCTR20241029007).
内在能力（IC）下降，包括运动、认知功能、活力、视力、听力和心理健康等领域，在老年人中普遍存在，影响着独立性和生活质量（QoL）。本研究旨在基于世界卫生组织-综合关爱老年人倡议（WHO-ICOPE）框架开发并评估以物理治疗为主导的老年人以人为本综合护理（PTICOPE），以提高马来西亚老年人的内在能力。
这是一项为期12周的多中心随机对照试验，涉及70名年龄在60-75岁的社区居住老年人，他们从马来西亚北部地区的三个老年活动中心（PAWE）招募而来。参与者将被随机分为干预组，接受PTICOPE模块工作手册并在指导下使用，或对照组，接受一般内在能力信息、医疗保健教育和自我护理管理。本研究的参与者招募尚未开始。预计在完成PTICOPE模块验证后开始招募，然而，预计招募开始日期为2025年2月，并将于2025年8月结束。主要结局，包括使用经过验证的量表评估的运动、心理、认知、活力、视觉和听力功能，将在研究期的基线、第4周、第8周和第12周收集。次要结局将在基线和第12周评估生活质量、日常生活活动、泌尿生殖系统健康和口腔健康。将检查数据的正态性。数据分析将使用独立t检验、卡方检验、配对t检验和重复测量方差分析，显著性水平为p < 0.05。
本研究将基于WHO-ICOPE框架开发PTICOPE，并测试其在社区居住老年人群中的疗效。本研究的结果有可能为提高社区居住老年人的内在能力建立一种循证方法。
泰国临床试验（编号：TCTR-20241029007）。
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