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Multidomain Intervention Based on ICOPE (FORMULA 100)
FORMULA 100: an ICOPE-based Multidomain Intervention to Promote Active and Healthy Ageing.
FORMULA 100 is a prospective, single-arm feasibility study conducted at two Active Ageing Centers in Monza, Italy, involving community-dwelling adults aged 65 years and older. The study will test whether an Integrated Care for Older People (ICOPE)-based care pathway can be implemented in this setting.
Participants will first be screened for possible decline in intrinsic capacity (IC). Those enrolled will then undergo a multidimensional assessment and receive a personalized 3-month intervention tailored to their needs. The intervention may address physical, cognitive, nutritional, psychological, sensory, and social needs and may also include a review of medications.
Participants will be reassessed after 3 months and again after 6 months. The main study outcome is the proportion of participants who complete the 6-month follow-up. About 300 people are expected to be screened, with a target enrollment of 250 participants.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Maria Cristina Ferrara, Medical doctor and PhD
- Telefoonnummer: +39 0392339719
- E-mail: mariacristina.ferrara@unimib.it
Studie Locaties
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Monza E Brianza
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Monza, Monza E Brianza, Italië, 20900
- Werving
- Active Ageing Centers (organized by Sociosfera)
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Contact:
- Sociosfera president
- Telefoonnummer: +39 3408747301
- E-mail: a.lex@sociosfera.it
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Contact:
- Manuela Grimoldi
- E-mail: m.grimoldi@sociosfera.it
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Age ≥ 65 years
- Attendance at one of the Active Ageing Centers participating in the project
- Evidence of impairment in at least one key domain of intrinsic capacity, as identified through the first-level ICOPE screening
- Ability to walk independently (with or without a walking aid)
- Ability to communicate and cooperate with the research team
Exclusion Criteria:
- Clinical conditions precluding completion of the first-level ICOPE screening or safe participation in the study, including severe dementia, bilateral blindness, end-stage diseases (e.g., Child-Pugh class C liver cirrhosis, stage 5 chronic kidney disease, chronic obstructive pulmonary disease Global Initiative for Chronic Obstructive Lung Disease group D, end-stage heart failure, or advanced cancer)
- Concurrent participation in another clinical study
- Refusal or inability to provide written informed consent
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Multidomain intervention
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Following the in-depth assessment, each participant receives a personalized 3-month multidomain intervention plan tailored to identified IC impairments, clinical status, preferences, and social context.
A multidisciplinary team provides multicomponent physical exercise based on Vivifrail for all participants, alongside targeted interventions for cognitive impairment, overt malnutrition or risk of malnutrition, depressive symptoms, sensory deficits, and social isolation.
Regular medications are also reviewed using STOPP/START criteria, with recommendations communicated to the participant and primary care physician.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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ICOPE-based program feasibility, operationalized as the study completion rate at 6 months.
Tijdsspanne: 6 months
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This retention rate is defined as the proportion of enrolled participants who complete the entire study pathway, with a prespecified feasibility target of ≥80%.
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6 months
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Prevalence of IC-domain impairments
Tijdsspanne: Baseline
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Baseline prevalence of impairment in each IC domain, as identified through the first-level screening and further confirmed through the in-depth assessment
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Baseline
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Prevalence of frailty
Tijdsspanne: Baseline
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Baseline prevalence of frailty
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Baseline
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Adherence to multidomain interventions
Tijdsspanne: 3 months
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Mean proportion of prescribed intervention sessions completed
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3 months
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Participant satisfaction
Tijdsspanne: 3 months and 6 months
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Likert-5 point questionnaire
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3 months and 6 months
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Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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IC domain-specific measures changes
Tijdsspanne: Baseline to 3 month and 6 month
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Longitudinal changes in IC-domain specific measures (in-depth multidimensional assessment)
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Baseline to 3 month and 6 month
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Falls, emergency department visits, hospitalizations, and vital status
Tijdsspanne: 3 month and 6 month
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Number of falls, emergency department visits, hospitalizations, and vital status at follow-up visits
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3 month and 6 month
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Giuseppe Bellelli, Medical doctor, full professor, University of Milano-Bicocca, IRCCS Foundation San Gerardo dei Tintori
Publicaties en nuttige links
Algemene publicaties
- Tavassoli N, Piau A, Berbon C, De Kerimel J, Lafont C, De Souto Barreto P, Guyonnet S, Takeda C, Carrie I, Angioni D, Paris F, Mathieu C, Ousset PJ, Balardy L, Voisin T, Sourdet S, Delrieu J, Bezombes V, Pons-Pretre V, Andrieu S, Nourhashemi F, Rolland Y, Soto ME, Beard J, Sumi Y, Araujo Carvalho I, Vellas B. Framework Implementation of the INSPIRE ICOPE-CARE Program in Collaboration with the World Health Organization (WHO) in the Occitania Region. J Frailty Aging. 2021;10(2):103-109. doi: 10.14283/jfa.2020.26.
- Ferrara MC, Perez LM, Sole AR, Villa-Garcia L, Ars J, Soto-Bagaria L, Bellelli G, Cesari M, Enfedaque MB, Inzitari M. Sustained improvement of intrinsic capacity in community-dwelling older adults: The +AGIL Barcelona multidomain program. J Intern Med. 2023 Dec;294(6):730-742. doi: 10.1111/joim.13710. Epub 2023 Aug 21.
- Merchant RA, Liu Y, Tan LF, Yeo L, Sandrasageran S, Tay YK, Seet A, Chua L, Tan WM, Vellas B. Community-Based ICOPE Screening Identifies Intrinsic Capacity Impairment and Supports Integrated Health and Social Care. J Am Med Dir Assoc. 2026 Aug 4;27(10):106414. doi: 10.1016/j.jamda.2026.106414. Online ahead of print.
- Yan Wang N, Liu X, Kong X, Sumi Y, Chhetri JK, Hu L, Zhu M, Kang L, Liang Z, Ellis JW, Shi L. Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial. Age Ageing. 2024 Jan 2;53(1):afad249. doi: 10.1093/ageing/afad249.
- Malkowski OS, Davis-Plourde K, Western MJ, Gill TM. Association between intrinsic capacity and disability before death among older adults: a decedent cohort study. Lancet Healthy Longev. 2026 May;7(5):100854. doi: 10.1016/j.lanhl.2026.100854. Epub 2026 Jun 9.
- Cesari M, Canevelli M, Amuthavalli Thiyagarajan J, Arai H, Assantachai P, Chan P, Chhetri JK, Ferriolli E, Geffen L, Gregson CL, Guaraldi G, Gutierrez Robledo LM, Hammami S, Jang H, Kalula S, Mathur A, Merchant RA, Oliveira D, Perracini MR, Petrovic M, Polidori-Nelles MC, Rodriguez Manas L, Rowe JW, Sabzwari S, Sadana R, Sumi Y, Tomarevska O, Vellas B, Visvanathan R, Woo J, Martin FC. Frailty and intrinsic capacity: integrating complementary concepts to promote healthy ageing and transformation of care. Age Ageing. 2026 May 4;55(5):afag138. doi: 10.1093/ageing/afag138.
- Sanchez-Sanchez JL, Lu WH, Gallardo-Gomez D, Del Pozo Cruz B, de Souto Barreto P, Lucia A, Valenzuela PL. Association of intrinsic capacity with functional decline and mortality in older adults: a systematic review and meta-analysis of longitudinal studies. Lancet Healthy Longev. 2024 Jul;5(7):e480-e492. doi: 10.1016/S2666-7568(24)00092-8.
- Sum G, Lau LK, Jabbar KA, Lun P, George PP, Munro YL, Ding YY. The World Health Organization (WHO) Integrated Care for Older People (ICOPE) Framework: A Narrative Review on Its Adoption Worldwide and Lessons Learnt. Int J Environ Res Public Health. 2022 Dec 22;20(1):154. doi: 10.3390/ijerph20010154.
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Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- N. 0447865 (20/10/2025)
- Ref. 2024-2810 (28/01/2025) (Ander subsidie-/financieringsnummer: Cariplo Foundation)
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