دورية أكاديمية
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Intrinsic capacity of older people in the community using WHO Integrated Care for Older People (ICOPE) framework: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Intrinsic capacity of older people in the community using WHO Integrated Care for Older People (ICOPE) framework: a cross-sectional study.
المؤلفون: Leung AYM; World Health Organization Collaborating Centre (WHOCC) for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.; Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.; School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China., Su JJ; World Health Organization Collaborating Centre (WHOCC) for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.; Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.; School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China., Lee ESH; Hong Kong Sheng Kung Hui Welfare Council Ltd., Hong Kong SAR, China., Fung JTS; School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China., Molassiotis A; World Health Organization Collaborating Centre (WHOCC) for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China. alex.molasiotis@polyu.edu.hk.; School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China. alex.molasiotis@polyu.edu.hk.
المصدر: BMC geriatrics [BMC Geriatr] 2022 Apr 08; Vol. 22 (1), pp. 304. Date of Electronic Publication: 2022 Apr 08.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968548 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2318 (Electronic) Linking ISSN: 14712318 NLM ISO Abbreviation: BMC Geriatr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001]-
مواضيع طبية MeSH: Activities of Daily Living* , Delivery of Health Care, Integrated*, Aged ; Cross-Sectional Studies ; Humans ; Independent Living ; World Health Organization
مستخلص: Background: The World Health Organization (WHO) published the Integrated Care for Older People (ICOPE) framework to guide assessing and promoting intrinsic capacity of older adults. This study, adopting the WHO ICOPE framework, assessed the intrinsic capacity impairment and investigated the relationship among intrinsic capacity, social engagement, and self-care capacity on performing activities of daily living. It also assessed the sensitivity of the initial brief screening and the detailed full assessment.
Methods: This is a cross-sectional study conducted in 11 community centers in Hong Kong. Intrinsic capacity was assessed in two steps identical to WHO ICOPE handbook: using WHO ICOPE brief screening tool (step 1) and detailed full assessment (step 2) to assess the intrinsic capacity domains of locomotion, cognition, vitality, psychological well-being, and sensory capacity (hearing and vision). Structural equational modeling analysis was used to examine the relationship among intrinsic capacity, social engagement, and self-care capacity, and the mediating role of intrinsic capacity in the relationships.
Results: A total of 304 older adults with a mean age 76.73 (SD = 7.25) years participated in WHO ICOPE Step 1 brief screening, and 221 participants (72.7%) showed intrinsic capacity impairment. After completing Step 2 full assessment, 202 participants (66.4%) had one or more impaired intrinsic capacity domains. The overall sensitivity and specificity of the screening tool were 95% and 57.6% respectively, whereas the sensitivity of each domain ranged from 74.7% to 100%. The percentage of impairment in locomotion (117, 39.8%), cognition (75, 25.5%), psychological well-being (34, 11.6%), vision (75, 24.7%), hearing capacity (82, 27.9%), and vitality (8, 2.7%). People in younger old age (β = -0.29, p < 0.001), with more education (β = 0.26, p < 0.001), and absence of hypertension (β = -0.11, p < 0.05) were more likely to have better intrinsic capacity. Intrinsic capacity was positively associated with self-care capacity in performing activities of daily living (β = 0.21, p < 0.001) and social engagement (β = 0.31, p < 0.001).
Conclusions: The ICOPE screening tool is a sensitive instrument to detect intrinsic capacity impairment among community-dwelling older adults and it does not demand substantial workforce; its use is worthy to be supported. The intrinsic capacity impairment in community-dwelling older adults are prevalent, in particular, in locomotor and cognitive capacity. Actions should be taken to slow or prevent the impairment, support self-care and social engagement in old age.
(© 2022. The Author(s).)
References: Scand J Prim Health Care. 2016 Jun;34(2):112-21. (PMID: 26954365)
Lancet. 2016 May 21;387(10033):2145-2154. (PMID: 26520231)
J Frailty Aging. 2021;10(2):103-109. (PMID: 33575698)
J Gerontol A Biol Sci Med Sci. 2022 Jan 7;77(1):94-100. (PMID: 34343305)
Ann Intern Med. 2007 Aug 7;147(3):156-64. (PMID: 17679703)
BMJ Open. 2019 Nov 2;9(11):e026119. (PMID: 31678933)
J Am Geriatr Soc. 2010 Sep;58(9):1686-92. (PMID: 20863328)
Gen Hosp Psychiatry. 2014 Sep-Oct;36(5):539-44. (PMID: 25023953)
Maturitas. 2021 Aug;150:1-6. (PMID: 34274071)
J Am Geriatr Soc. 2020 Jun;68(6):E14-E18. (PMID: 32315076)
J Nutr Health Aging. 2021;25(6):774-782. (PMID: 34179933)
J Frailty Aging. 2021;10(2):84-85. (PMID: 33575695)
Arch Gerontol Geriatr. 2016 Jul-Aug;65:54-62. (PMID: 26987081)
BMJ. 2020 Feb 18;368:m160. (PMID: 32071114)
BMC Geriatr. 2015 Oct 14;15:123. (PMID: 26467913)
Colomb Med (Cali). 2013 Sep 30;44(3):165-71. (PMID: 24892614)
J Gerontol A Biol Sci Med Sci. 2018 Nov 10;73(12):1653-1660. (PMID: 29408961)
Hong Kong Med J. 2014 Dec;20(6):504-10. (PMID: 25125421)
PLoS One. 2016 Oct 19;11(10):e0165127. (PMID: 27760234)
Educ Psychol Meas. 2013 Dec;76(6):913-934. (PMID: 25705052)
J Frailty Aging. 2021;10(2):139-140. (PMID: 33575702)
J Med Internet Res. 2013 Mar 22;15(3):e61. (PMID: 23524251)
BMC Public Health. 2020 Jan 23;20(1):99. (PMID: 31973695)
BMJ Open. 2018 Apr 7;8(4):e021194. (PMID: 29627819)
Front Med (Lausanne). 2020 Nov 30;7:576079. (PMID: 33330532)
Int J Environ Res Public Health. 2021 Jun 02;18(11):. (PMID: 34199566)
Maturitas. 2020 Nov;141:39-45. (PMID: 33036701)
J Nutr Health Aging. 2010 Jan;14(1):45-9. (PMID: 20082053)
BMC Geriatr. 2020 Jul 29;20(1):259. (PMID: 32727391)
J Clin Epidemiol. 1994 Nov;47(11):1245-51. (PMID: 7722560)
N Engl J Med. 1995 Mar 2;332(9):556-61. (PMID: 7838189)
J Nutr Health Aging. 2020;24(7):692-695. (PMID: 32744562)
فهرسة مساهمة: Keywords: Healthy aging; ICOPE; Integrated care; Intrinsic capacity; Older adults
تواريخ الأحداث: Date Created: 20220409 Date Completed: 20220412 Latest Revision: 20220612
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC8993034
DOI: 10.1186/s12877-022-02980-1
PMID: 35395736
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2318
DOI:10.1186/s12877-022-02980-1