• Ellen De Roeck
  • Lieve J Hoeyberghs
  • Anne Van Der Vorst
  • Michaël Christiaan John Van der Elst
  • Bram Fret
  • Tinie Kardol
  • Peter Paul De Deyn
  • Jos M. G. A. Schols
  • Gertrudis I. J. M. Kempen
  • G. A. Rixt Zijlstra
  • Jan De Lepeleire
  • Birgitte Schoenmakers
Background
Frail community-dwelling older adults, whom might experience problems regarding physical, cognitive, psychological, social and environmental factors, are at risk for adverse outcomes such as disability, institutionalization and mortality. People in need of help do not always find their way to care and support services and are left undetected. The aim of the D-SCOPE project is to detect frail community-dwelling older adults who previously went unnoticed and to improve their access to care and support. Goal is to increase their frailty-balance, quality of life, meaning in life, life satisfaction, mastery, community inclusion and ageing well in place.

Methods/design
The study is a prospective, longitudinal randomized four-armed controlled trial with follow-up at 6 months. The study group aims to include 900 community-dwelling older adults aged 60 years and over from 3 municipalities in Flanders (Belgium). While selecting the study group, risk profiles for frailty will be taken into account. Participants will be randomly selected from the census records in each municipality. Data will be collected prospectively at baseline (T0) and at follow-up, 6 months after baseline (T1). At baseline, participants who are at least mild frail on one of the 5 domains of frailty (CFAI-plus) or feel frail based on the subjective assessment of frailty will be randomly assigned to (1) the study group or (2) the control group. A mixed method design with the inclusion of quantitative and qualitative data analyses will be used to evaluate the efficacy and experiences of the detection and prevention program on frailty.

Discussion
The study will contribute to an innovative vision concerning the organization of care and support, and a timely and accurate detection and support of community-dwelling older adults at risk for frailty.

Trial registration
This trial was registered at ClinicalTrials.gov, on May 26, 2017, identifier: NCT03168204.
Original languageEnglish
Article number194
Pages (from-to)194
Number of pages12
JournalBMC Geriatrics
Volume18
Issue number1
DOIs
Publication statusPublished - 27 Aug 2018

    Research areas

  • Aged, Aged, 80 and over, Belgium/epidemiology, Emotions/physiology, Female, Follow-Up Studies, Frail Elderly/psychology, Frailty/epidemiology, Humans, Independent Living/psychology, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Quality of Life/psychology

ID: 45803817