Actively Recruiting

Phase Not Applicable
Age: 65Years +
All Genders
ID06676839

Effectiveness of the WHO ICOPE (Integrated Care for Older People) Program in Preventing Age-related Functional Decline: a 36-month Randomized Controlled Trial With a 24-month Extension

Led by University Hospital, Toulouse · Updated on 2026-03-23

1000

Participants Needed

6

Research Sites

2 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the World Health Organization's Integrated Care for Older People (ICOPE) program to see if it helps prevent age-related decline in older adults. This study compares the comprehensive ICOPE program with usual care from primary doctors. The goal is to determine if regular screening, personalized care plans, and follow-up can better maintain functions like mobility, cognition, and nutrition in people aged 65 and older living at home. The trial randomly assigns participants to either receive the full ICOPE program or usual care. The ICOPE program includes screening every six months using a digital tool, a thorough assessment of six key functions, a personalized intervention plan, and ongoing follow-up, including phone calls and annual visits over 60 months. After an initial 36-month intervention, all participants receive the ICOPE program during a 24-month extension phase. Participants have annual visits at 12, 24, 36, 48, and 60 months, during which a research nurse collects data while unaware of which group they are in. Phone calls occur between visits to support the care plan and gather information about life events. The primary outcome measured is functional decline at 36 months. The study runs until 2031, with continuous monitoring of participants' health and program adherence.

CONDITIONS

Brief Title

Effectiveness of the WHO ICOPE (Integrated Care for Older People) Program in Preventing Age-related Functional Decline (ICOPE Trial.Fr)

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants aged 65 years and older
  • Living independently at home with full daily living activities except occasional urinary issues allowed
  • Showing functional decline in at least 2 of 6 areas: mobility, cognition, nutrition, vision, hearing, psychological well-being
  • Affiliated with a social protection system
Not Eligible

You will not qualify if you...

  • Already participated in the ICOPE program or completed more than one isolated step
  • Living in a dependent elderly care facility
  • Having disabilities preventing reaching the trial center unaided, such as dementia or major mobility problems
  • Hearing, vision, or speech impairments that prevent understanding instructions or communication
  • Life-threatening illness with prognosis under 5 years
  • Unable to provide written informed consent
  • Under legal protection, guardianship, or trusteeship
  • Participating in another interventional research study
  • In a relationship with a person participating in the study

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 36 months

Participants in the intervention group receive the complete ICOPE program personalized to their functional deficits. This includes repeated screenings every 6 months using the ICOPE tool, comprehensive assessments, personalized interventions to correct functional decline, and follow-up support including telephone calls to assist with intervention adherence. Control group participants receive usual care from their primary care physician during the first 36 months.

Annual visits at 12, 24, and 36 months; telephone follow-ups at 1.5, 6, 18, and 30 months

Follow-up

Duration - 24 months

After the initial 36-month treatment phase, all participants receive the complete ICOPE program during a 24-month extension phase with continued annual visits and telephone follow-ups to support ongoing intervention adherence and collect life events.

Annual visits at 48 and 60 months; telephone follow-ups at 42 and 54 months

Trial Site Locations

Total: 6 locations

1

CHIC

Castres, France, France, 81108

Actively Recruiting

2

Perpignan Hospital

Perpignan, France, France, 66046

Actively Recruiting

3

Bigorre Hospital

Tarbes, France, France, 65000

Actively Recruiting

4

CHU Toulouse

Toulouse, France, France, 31000

Actively Recruiting

5

Angers University hospital

Angers, France, 49933

Actively Recruiting

6

Limoges university hospital

Limoges, France, 87042

Actively Recruiting

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Research Team

L

Laurent BALARDY, MD

E

Elodie LESTIME

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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