Evidence map›Paper›PMID 41299329›Full record

Observational studyBMC geriatrics2025

Five reasons for the failure of frailty screening in primary care: lessons from the experience with ICOPE monitor step 1.

Nadine Pellen, Lucas Beurton-Couraud, Audrey Le Goff-Coquet, Aurore Trameçon, Armelle Gentric, Jean-Yves Le Reste

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05541731 (Implementation Study of the ICOPE Program for the Detection of Frailty in the Elderly Within the Territorial Health Professional Communities), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05541731 terminatednot on this map

Implementation Study of the ICOPE Program for the Detection of Frailty in the Elderly Within the Territorial Health Professional Communities (CPTS) of Brest Region

TypeobservationalSponsorUniversity Hospital, BrestRan2023 to 2024Enrolled56ConditionsFrailty
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nadine PellenUR 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, Brest, F-29200, France. nadine.pellen@univ-brest.fr.
Lucas Beurton-CouraudUR 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, Brest, F-29200, France.
Audrey Le Goff-CoquetUR 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, Brest, F-29200, France.
Aurore TrameçonUR 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, Brest, F-29200, France.
Armelle Gentric *UR 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, Brest, F-29200, France.
Jean-Yves Le Reste *UR 7479 SPURBO, University of Western Brittany, 22, av. Camille Desmoulins, Brest, F-29200, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2019, the World Health Organization (WHO) set the goal of reducing the number of dependent older people worldwide. To meet this objective, the Gérontopôle (centre on ageing) of Toulouse, France, implemented the WHO ICOPE Monitor digital application for frailty screening in older people. However, frailty screening in primary care remains limited. In this qualitative study, the aim was to identify the factors that limit the use of ICOPE Monitor and the social representations surrounding its use, or not, by healthcare professionals.

methodsThe data was collected through observations, individual interviews and focus groups with healthcare professionals from two French primary care communities that include 449 healthcare professionals. Data analysis was based on the principles of grounded theory.

resultsData analysis revealed a low use of ICOPE Monitor by healthcare professionals. Only 12% (56 of 449) of the healthcare professionals working in the two primary care communities followed the ICOPE training course. At the training end, 95% of the 56 healthcare professionals who underwent training expressed an interest in using ICOPE Monitor. However, only 10/56 healthcare professionals performed at least one ICOPE step 1 screening, but without the 6-month follow-up. After 2 months of use, difficulties were reported during the seventeen interviews and two focus groups, linked to the many definitions of the term "frailty", the target population, the use of digital technology, time and financial constraints, and the lack of dedicated professionals.

conclusionsThe study highlighted the social and financial obstacles hindering the use of ICOPE Monitor and more broadly, the implementation of frailty screening by primary care practitioners.

trial registrationNCT05541731 (ClinicalTrials.gov ID), registration date on 20,220,913.

Indexed as

FrailtyGeriatric AssessmentMass ScreeningPrimary Health CareAgedFemaleFocus GroupsFranceHealth PersonnelHumansMaleMiddle AgedQualitative ResearchBarriers to careFrailty/diagnosisHealth personnelICOPEPrimary health careSocial perceptions

Identifiers

PMID41299329
PMCPMC12751237

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.