Berbon Caroline, Rolland Yves, Takeda Catherine, Lafont Christine, Tavassoli Neda, De Kerimel Justine, Bezombes Véronique, Balardy Laurent, Nourhashemi Fatemeh, Vellas Bruno, Andrieu Sandrine, Soto Maria-Eugenia
I.H.U HealthAge & W.H.O. Collaborative Center for Frailty, Clinical Research & Geroscience, And Geriatric Training, Toulouse University Hospital, Toulouse, France.
Maintain Aging Research Team, Centre d'Epidémiologie et de Recherche en santé Des POPulations, Université de Toulouse, Inserm, Université Paul Sabatier, Toulouse, France.
J Adv Nurs. 2025 Sep;81(9):5925-5936. doi: 10.1111/jan.16740. Epub 2025 Apr 7.
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.
Retrospective observational study.
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.
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.
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.
EQUATOR guidelines: STROBE.
No patient or public contribution.
比较法国过早退出综合照护老年计划（ICOPE）的参与者与仍留在该计划中的参与者的特征，并在随访2年后比较完全依从的参与者和部分依从的参与者。
回顾性观察研究。
我们分析了ICOPE监测数据库中2年内参与的老年人的数据。该研究将停止随访的人群与目前仍在随访的人群进行了比较。在仍在随访的人群中，对完全依从和部分依从的人群进行了比较。
共有8672名参与者的随访期至少为2年。2年后，四分之三的参与者仍在接受不同程度依从性的随访。停止随访的参与者年龄更大，在所有内在能力（IC）领域的第一步水平受损更严重。部分依从的参与者比完全依从的参与者年龄更大，且在内在能力方面普遍受损更严重。那些对ICOPE依从性最差的参与者临床参数下降幅度更大。
在自主生活的老年人中，内在能力领域受损最严重的老年人和高龄参与者更有可能停止随访，这凸显了将工作重点放在这一群体上的必要性。另一方面，就依从性和一级预防而言，年轻、强健且健康的老年人是ICOPE计划的良好目标人群。
遵循EQUATOR指南：STROBE。
无患者或公众贡献。
