journal articles
RELIABILITY OF SELF-SCREENING FOR INTRINSIC CAPACITY IMPAIRMENTS USING THE ICOPE MONITOR APP
E. Gonzalez-Bautista, P. de Souto Barreto, N. Tavassoli, C. Ranarijhon, J.S. Pons, Y. Rolland, S. Andrieu, J. Delrieu
J Frailty Aging 2023;12(4)291-297
AIM: To verify the inter-rater agreement of the Integrated Care for Older People (ICOPE) STEP 1 screening tool using the ICOPE Monitor app, comparing self-assessment to a screening performed by a health professional.
METHODS: We compared the results of the ICOPE Step 1 obtained by self-screening with those obtained by a professional screening using Gwet’s agreement coefficient in two studies. Study 1 tested inter-rater reliability in participants to the INSPIRE-T cohort who agreed to undergo the self-and the professional screening on the same day. Study 2 used data from the INSPIRE-ICOPE care cohort. We included real-life users of the French health system whose first ICOPE Step 1 was a self-assessment followed by a professional Step 1within 130 days (mean=76 days, SD=60).
RESULTS: Study 1 included 79 participants (45 aged less than 60, 34 aged 60 and over, 60% female, mean (SD) age of 54.5 (18.5) years). Of the 207 participants in Study 2, 49 were less than 60, and 158 were 60 and over (54% female, mean (SD) age 67 (16.1) years). Agreement coefficients in Study 1 ranged from 0.49 (CI95% 0.24; 0.66) in the cognition domain – moderate agreement) to 0.99 (CI95% 0.96;1.00) in the nutrition domain – very good agreement); and in Study 2 from 0.36 (CI95% 0.23;0.49) in the cognition domain to 0.97 (95% 0.95;1.00) in the nutrition domain. The agreement coefficients for the cognition and hearing domains were higher for the participants aged <60 than those aged 60 and over. The time orientation items (cognition) showed high reliability.
CONCLUSION: Our study supports using ICOPE Step 1 as a self-assessment screening tool. High reliability was found for intrinsic capacity’s nutrition, psychological, and locomotion domains, regardless of age. We discuss aspects of the self-assessment of cognition, vision, and hearing domains when using the ICOPE monitor app in older adults.
CITATION:
E. Gonzalez-Bautista ; P. de Souto Barreto ; N. Tavassoli ; C. Ranarijhon ; J.S. Pons ; Y. Rolland ; S. Andrieu ; J. Delrieu ; (2023): Reliability of Self-Screening for Intrinsic Capacity Impairments Using the ICOPE Monitor App. The Journal of Frailty and Aging (JFA). http://dx.doi.org/10.14283/jfa.2023.34